Nursing Management of Aggression

Added on - 28 May 2020

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Running head:CRITICAL ANALYSISCritical AnalysisArticle Title:Nursing management of aggression in a Singapore emergency department:A qualitative studyName of the StudentName of the UniversityAuthor Note
1CRITICAL ANALYSISTitle of the paperThe title of the article framed byTan, Lopez & Cleary (2015),does not provide aclear view to the reader about the phenomenon of research interest. Here the term“aggression” fails to highlight the source of aggression or who is getting the affected of suchaggression (population group of interest). The tile also fails to clearly convey the context ofthe study; it only gives a vague reference towards aggression and nursing management in theemergency department (ED). The paper mostly deals with the perception of the nurses toaddress aggression coming from the patients and their careers in the ED. The paper howeverprovides the paradigm or methodological approach undertaken (qualitative).The title needs to be modified in such a way that it gives a direct insight if the aim ofthe research. For example, the paper published by Heckemann et al., in the year 2015provides full insight about the nature of the study conducted, the target population andmethodological approach undertaken, “The effect of aggression management trainingprogrammes for nursing staff and students working in an acute hospital setting. A narrativereview of current literature”.Literature review & background to the problemThere are few themes generated in the literature review from the thematic analysis ofthe paper published byTan, Lopez & Cleary in the year 2015.1. Impact of aggressive patients on nurses of ED2. Nursing assessment of aggressive behaviours3. Nursing management in order to deal aggressive behaviour4. Organizational support to deal with aggressive behaviour
2CRITICAL ANALYSISNot all the themes provide a logical sequence building to gap the knowledge in theresearch. The gap in the knowledge is, theme:nursing assessment of aggressive behavioursonly highlights the problematic physiological state of the patients. However, this qualitativeresearch fails to highlight dearth in the knowledge among the nurses which are responsiblefor the generation of aggressive behaviour of the nurses. The paper Zeller, Dassen, Kok,Needham & Halfens, 2012 highlighted lack of confidence among the care givers anddeployment of inexperienced staff in the ED as two main factors for the generation ofaggression among the patients in the ED. Moreover, the paper published by Angland,Dowling & Casey in 2014 showed significant involvement of environmental factors andcommunication factor in the development of violence and aggression among the ED patients.The effectiveness of communication factor in controlling patient aggression has been furtherhighlighted in the study conducted by the Hahn, Hantikainen, Needham, Kok, Dassen &Halfens in the year 2012.The nursing perception however did not highlighted that how the application ofcreating and refreshing visual aid helps in controlling the negative patient behaviour waitingin the long queue to get admitted in the emergency department(Nanda, Chanaud, Nelson,Zhu, Bajema & Jansen, 2012).The significance of the study is however been properly discussed. The authors are ofthe opinion that this is first every study in accessing the perception of nurse in managingaggressive behaviour of the patients in Singapore emergency department scenario. Thequality of the sources that has been used to support the literature review is authentic.However, few sources are more than 10 years old.
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