Reducing Verbal and Physical Aggression towards Mental Health Nurses in NSW Mental Health HDU

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The name of the class
Professor
The name of the school
The state and city where it is located
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The verbal and physical aggression towards mental health nurses soon after patients
arriving on ward
Your employing agency’s name
The aggression of the nurses and patient’s frustrations is one of the major and up coming issue
within the psychiatric field. Working at NSW mental health high dependency unit of Wagga
wagga has not been easy for many nurses.
The area/role you work in.
As a registered nurse Newsouthwale mental health HDU, my primary role is to take care of
mentally ill patients or those have induced psychosis issues in the HDU (High dependency Unit).
A high percentage of the patients have been admitted through mental heath act under
involuntarily program.
Your ‘Puzzle”/Project - Identify what you want to change/improve.
The clients are brought in the high dependency unit from the EDs (emergency department)
immediately after being examined by the doctor the mental health emergency consultation
service (MHECS) or through the directives from the local hospitals. Mostly the clients brought in
the HDU are never directed concerning the restrictions within the HDU associated with mental
illness, they as well carry personal belongings like clothes, phones and other dangerous objects
like metals. In the fact that these patients are never taught concerning these restrictions from the
small hospitals or when being examined, this has resulted to physical and verbal aggression

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experienced within high dependency Unit. Hence my own concern is help in reducing the verbal
and physical aggression these mentally ill patients experience.
The primary focus of your role.
The clients at NSW mental health high dependency unit of Wagga wagga feel unfairly treated
since they were never taught on the restrictions during the examination processes. Therefore, this
is the reason why I decided to carry out the project on implementing the preadmission education
to help in reducing the aggression and frustration faced by the patients to bring good results.
The purpose behind your proposal.
Patients' education is one of the key aspects of an efficient self-management and the monitoring
needed for many patients from the emergency department and the small hospitals. Hence this
project will equip the patients with a clear information concerning the cigarette smoking
regulations at HDU and the provisions of using the NRT if necessary. This may be achieved
through,
 Presenting the statement of rights to the patients during Emergency department
examinations.
 Communicating clearly concerning the regulations on the mental health high dependency
unit admitting and assessing an individual.
 Informing the stakeholders to ensure all these procedures are followed
According to (Siegel, Miller and Jemal, 2018) within the ambulatory health care and inpatient
settings, the education provided to the patients has shown significant improvement to the

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patients' results. Although it has not been recognized by many medical practitioners, EDs
(emergency departments) provides a very vital for the educational intervention. However, the
mental health at HDU seems to have undermined the delivering of the healthcare education
(Househ, Borycki, and Kushniruk, 2014).
Effects on the multidisciplinary team
By offering the patients with education at the emergency department and peripheral small
hospital, I hope that there shall be a positive impact on the patients. These overwhelm the doctors
at the emergency department MHECS workers ED and the mental health HDU nurses. This
project will call for input from all the members that are involved with the patient's treatment for
the success of its implementations. The project is expected to reduce the number of the
incidences linked to verbal and physical aggression towards the mental health nurses. Thus,
when all the patients are fully empowered through education, it will ease their recovering process
(Vadiee, 2012).
Justification/rationale for the change.
The cause of the frustration experienced by the patients can be linked to mental sickness, the
social or physical environment of the patient and the relationship of the patients with other
people. The frustration of the patients while at mental health high dependency is a field that
require more attention. Considering the cause of the frustration, nurses in the mental health HDU
apply a variety of the person-centered health care and measures like medication and restrictions
to contain the frustration of the patients. According to (Johnson and Kimsey, 2012) such events