TY  - JOUR
PY  - 2018//
TI  - Violence in mental health settings: a systematic review
JO  - International journal of mental health nursing
A1  - Spaducci, Gilda
A1  - Stubbs, Brendon
A1  - McNeill, Ann
A1  - Stewart, Duncan
A1  - Robson, Debbie
SP  - 33
EP  - 45
VL  - 27
IS  - 1
N2  - The introduction of smoke-free policies is increasingly common in mental health settings, to improve health. However, a barrier to implementing smoke-free polices is staff concern that violence will increase. We conducted a systematic review comparing the rates of violence before and after the introduction of smoke-free policies in mental health settings. Two authors searched major electronic databases. We included studies reporting the prevalence of violence (verbal and/or physical or combined) before and after the introduction of a smoke-free policy in a mental health, forensic, or addiction setting. We included 11 studies in the review. A narrative synthesis was used to describe the key results of each study. Six studies measured physical violence specifically; four reported a decrease or no change and two reported a short-term increase. Five of these six studies also measured verbal violence; two found an increase, with one of the studies reporting that this increase was temporary. Three reported a decrease in verbal violence. A further five studies evaluated the rate of combined verbal and physical violence; four reported a decrease or no change and the other an increase. We conclude that the introduction of smoke-free policies generally does not lead to an increase in violence. There is a need for more robust studies to support this finding. However, the conclusions from this review may be a step in reducing staff concerns.<br><br>© 2017 Australian College of Mental Health Nurses Inc.<p />  <p>Language: en</p>
LA  - en
SN  - 1445-8330
UR  - http://dx.doi.org/10.1111/inm.12425
ID  - ref1
ER  -