Psychological trauma and fear for personal safety as a result of behaviours that challenge in dementia: The experiences of healthcare workers.

Ann Scott, Assumpta Ryan, Ian James, Liz Mitchell

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Few studies have systematically documented the psychological effects of exposure to aggression on healthcare workers. In 2007 an exploratory study invited 96 nurses and 228 care assistants from nine care homes to complete a questionnaire that incorporated the Impact Events Score – Extended (IES-E). Of the 112 returned (response rate 34.56%), 77 (68.8%) staff had been involved in an incident where they feared for their personal safety and 80 (71.4%) witnessed an incident where they feared for the safety of a colleague. Over the previous year 34% felt ‘very unsafe’ and almost 18% felt ‘terrified’. Violence against care home staff are not isolated incidents and irrespective of length of time working in dementia care staff lack the skills to identify triggers factors or appreciate the role they play in activating aggression. Their reluctance to engage with aggressive residents compromises care. An increasing ageing population combined with prevalence rates for dementia will place greater demands on care homes. Nationally agreed accredited qualifications for care assistants based on knowledge, and skills and attitudes specific to dementia care, may raise the standard of care. Infrastructures to support assaulted staff may reduce feelings of isolation, assist with recruitment and retention problems and provide social support.
LanguageEnglish
Pages257-269
JournalDementia
Volume10
DOIs
Publication statusPublished - 10 May 2011

Fingerprint

Home Care Services
Fear
Dementia
Delivery of Health Care
Aggression
Safety
Standard of Care
Violence
Social Support
Emotions
Nurses
Psychology
Population
Psychological Trauma

Keywords

  • dementia
  • violence
  • workforce issues
  • stress
  • nurse/patient relationship
  • nursing home care

Cite this

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abstract = "Few studies have systematically documented the psychological effects of exposure to aggression on healthcare workers. In 2007 an exploratory study invited 96 nurses and 228 care assistants from nine care homes to complete a questionnaire that incorporated the Impact Events Score – Extended (IES-E). Of the 112 returned (response rate 34.56{\%}), 77 (68.8{\%}) staff had been involved in an incident where they feared for their personal safety and 80 (71.4{\%}) witnessed an incident where they feared for the safety of a colleague. Over the previous year 34{\%} felt ‘very unsafe’ and almost 18{\%} felt ‘terrified’. Violence against care home staff are not isolated incidents and irrespective of length of time working in dementia care staff lack the skills to identify triggers factors or appreciate the role they play in activating aggression. Their reluctance to engage with aggressive residents compromises care. An increasing ageing population combined with prevalence rates for dementia will place greater demands on care homes. Nationally agreed accredited qualifications for care assistants based on knowledge, and skills and attitudes specific to dementia care, may raise the standard of care. Infrastructures to support assaulted staff may reduce feelings of isolation, assist with recruitment and retention problems and provide social support.",
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