<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec>
<h3>Background</h3>
<p>A correlation exists between staff retention, staff and patient safety and effective prevention of violence and aggression in neuroscience nursing. Workplace violence leads to a lack of productivity amongst nurses and legally a hospital is required to provide a safe working environment. This literature review aims to determine the themes within the literature and effective patient management of agitation leading to violence and aggression.</p>
</sec>
<sec>
<h3>Aim</h3>
<p>A literature review of articles was conducted using CINAHL, PubMed, Cochrane database and Google Scholar between 2007-2022.</p>
</sec>
<sec>
<h3>Discussion</h3>
<p>The common themes within the literature included assessment of the patient to identify an unmet need, early referrals to members of the interdisciplinary team, effective communication, verbal de-escalation techniques and an understanding of restraint and pharmaceutical management, even though these should be the last resort. Education for staff is fundamental and should include effective communication, warning signs, triggers for aggression, simulation in the clinical context, and verbal de-escalation techniques. Debriefing should take place after an incidence of violence and aggression and effective hospital management should be considered with guidelines and systems in place to support and protect staff and patients.</p>
</sec>
</abstract>

Background
A correlation exists between staff retention, staff and patient safety and effective prevention of violence and aggression in neuroscience nursing. Workplace violence leads to a lack of productivity amongst nurses and legally a hospital is required to provide a safe working environment. This literature review aims to determine the themes within the literature and effective patient management of agitation leading to violence and aggression.


Aim
A literature review of articles was conducted using CINAHL, PubMed, Cochrane database and Google Scholar between 2007-2022.


Discussion
The common themes within the literature included assessment of the patient to identify an unmet need, early referrals to members of the interdisciplinary team, effective communication, verbal de-escalation techniques and an understanding of restraint and pharmaceutical management, even though these should be the last resort. Education for staff is fundamental and should include effective communication, warning signs, triggers for aggression, simulation in the clinical context, and verbal de-escalation techniques. Debriefing should take place after an incidence of violence and aggression and effective hospital management should be considered with guidelines and systems in place to support and protect staff and patients.

A literature review of Patient care in the management of agitation leading to violence and aggression in neuroscience nursing

Australasian Journal of Neuroscience

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Background
A correlation exists between staff retention, staff and patient safety and effective prevention of violence and aggression in neuroscience nursing....

A literature review of Patient care in the management of agitation leading to violence and aggression in neuroscience nursing

Published Online: May 30, 2023

Page range: 71 - 78

DOI: https://doi.org/10.21307/ajon-2023-009

Keywords
Neuroscience nursing, agitation, violence and aggression, staff safety, patient safety, prevention, patient care

© 2023 Caroline Woon et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

12 Domains of verbal de-escalation (Richmond et al, 2012, page 20).

A literature review of Patient care in the management of agitation leading to violence and aggression in neuroscience nursing

Published Online: May 30, 2023

Page range: 71 - 78

DOI: https://doi.org/10.21307/ajon-2023-009

KeywordsNeuroscience nursing, agitation, violence and aggression, staff safety, patient safety, prevention, patient care

© 2023 Caroline Woon et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

12 Domains of verbal de-escalation (Richmond et al, 2012, page 20).

Keywords
Neuroscience nursing, agitation, violence and aggression, staff safety, patient safety, prevention, patient care