@article{ref1,
title="Aggression on haemodialysis units: a mixed method study",
journal="Journal of Renal Care",
year="2014",
author="Jones, Julia and Nijman, Henk and Ross, Jamie and Ashman, Neil and Callaghan, Patrick",
volume="40",
number="3",
pages="180-193",
abstract="BACKGROUND: Aggression on haemodialysis units is a growing problem internationally that has received little research attention to date. Aggressive behaviour by patients or their relatives can compromise the safety and well-being of staff and other patients sharing a haemodialysis session. <br><br>OBJECTIVES: The objectives of the study were twofold: First, to identify the prevalance and nature of aggression on haemodialysis units; and second, to investigate factors that contribute to aggressive behaviour on haemodialysis units. DESIGN AND METHODS: A cross-sectional, sequential mixed method research design was adopted, with two research methods utilised. Incidents of aggressive behaviour were recorded over a 12-month period, using a renal version of the Staff Observation Aggression Scale. Six months after the incident data collection had commenced, semi-structured qualitative interviews were conducted with 29 multidisciplinary members of staff. <br><br>RESULTS: Over 12 months, 74 aggressive incidents were recorded. The majority of incidents involved verbal aggression, and the perpetrators were a minority of patients, relatives and staff. Two patients were responsible for 38% of all incidents; both patients had mental health problems. Distinct temporal patterns to the aggressive behaviour were observed according to the day of the week and time of day. <br><br>CONCLUSION: This study demonstrates that aggression is a significant problem on haemodialysis units, with verbal aggression most prevalent. The temporal patterns to aggression observed are related to the uniqueness of the haemodialysis setting, with a distinctly different treatment environment compared with other healthcare settings.<p /> <p>Language: en</p>",
language="en",
issn="1755-6678",
doi="10.1111/jorc.12068",
url="http://dx.doi.org/10.1111/jorc.12068"
}