Preventing aggression in psychiatric settings: a best practice implementation project.
Introduction: Aggression is a frequent occurrence in psychiatric settings and results from complex multifactorial phenomena. Verbal or physical aggression has a significant impact on the quality of care, with negative repercussions on patients, professionals, and health care institutions. Objectives...
| Publicado en: | JBI Evidence Implementation Vol. 24; no. 3; pp. 506 - 517 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jul2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195416589&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195416589 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26913321 MO0F jtl: JBI Evidence Implementation issn: 26913321 maglogo: N pubinfo: dt: Jul2026 vid: 24 iid: 3 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 195416589 195416589 195416589 10.1097/XEB.0000000000000535 195416589 ppf: 506 ppct: 11 formats: tig: atl: Preventing aggression in psychiatric settings: a best practice implementation project. aug: au: Prod'hom, Louis Mahé, Stéphanie Lequin, Pierre Drozdek, Dorota Perrenoud, Béatrice affil: Psychiatry Department, Lausanne University Hospital (CHUV), Lausanne, Switzerland sug: subj: Personnel, Health Facility Psychosocial Factors Professional Compliance Evaluation Medical Practice, Evidence-Based Aggression Prevention and Control Psychiatric Service Labor Supply Academic Medical Centers Labor Supply Workplace Violence Prevention and Control Exposure to Violence Prevention and Control Exposure to Violence Epidemiology Audit Human Switzerland Conceptual Framework Mental Health Personnel Psychiatric Nurses Feedback Aggression Epidemiology Prevalence Exposure to Violence Risk Factors Aggression Risk Factors Risk Assessment Implementation Science Descriptive Statistics Focus Groups Discussion Interviews Thematic Analysis ab: Introduction: Aggression is a frequent occurrence in psychiatric settings and results from complex multifactorial phenomena. Verbal or physical aggression has a significant impact on the quality of care, with negative repercussions on patients, professionals, and health care institutions. Objectives: This project aimed to prevent and manage hetero-aggression in a university hospital psychiatric department in Switzerland through the promotion of evidence-based practices. Methods: The project used JBI's Evidence Implementation Framework, which is grounded in an audit and feedback process. A baseline audit was conducted to measure current practices for preventing and managing aggression and compare these to eight best practice recommendations. Interventions to improve compliance with best practices were implemented, and a follow-up audit was conducted to measure the changes achieved. Results: Despite a high prevalence of staff exposure to aggression, the baseline audit showed that violence risk assessments were not systematically documented. The follow-up audit revealed improvements, with the use of a validated screening tool to identify violence risk and increased prevention interventions. However, these measures had a relatively low impact on the exposure to violence of health care professionals. Patient involvement in the violence risk assessment also remained low. Conclusions: The JBI approach used in this project led to significant improvements in professional practices related to violence risk assessment and reduced the gaps between recommendations and clinical practices. Clinical practice analysis sessions are a successful means of promoting understanding of prevention interventions. http://links.lww.com/IJEBH/A410 pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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