@article{ref1,
title="Experiencing violence in a psychiatric setting: generalized hypervigilance and the influence of caring in the fear experienced",
journal="Work",
year="2017",
author="Forté, Lydia and Lanctôt, Nathalie and Geoffrion, Steve and Marchand, André and Guay, Stephane",
volume="57",
number="1",
pages="55-67",
abstract="BACKGROUND: Exposure to violence in the mental health sector both affects employees and has implications for the quality of care provided. <br><br>OBJECTIVE: This phenomenological study aims to describe and understand the ways in which acts of aggression from a patient might affect workers in a psychiatric institute, their relationships with the patients and the services offered. <br><br>METHODS: Two semi-structured interviews were conducted with each of the 15 participants from various professions within a psychiatric hospital. <br><br>RESULTS: Our analysis reveals four themes: hypervigilance, caring, specific fear toward the aggressor and generalized fear of all patients. A state of hypervigilance is found among all participants. An emphasis on caring is present among the majority and unfolds as a continuum, ranging from being highly caring to showing little or no caring. A feeling of fear is expressed and is influenced by the participant's place on the caring continuum. Caring workers developed a specific fear of their aggressor, whereas those showing little or no caring developed a generalized fear of all patients. Following a violent event, caring participants maintained this outlook, whereas those demonstrating little to no caring were more inclined to disinvest from all patients. <br><br>CONCLUSIONS: Hypervigilance and fear caused by experiences of violence impact the quality of care provided. Considerable interest should thus be paid to caring, which can influence fear and its effects.<p /> <p>Language: en</p>",
language="en",
issn="1051-9815",
doi="10.3233/WOR-172540",
url="http://dx.doi.org/10.3233/WOR-172540"
}