Prevalence & Risk Factors of Violence by Psychiatric Acute Inpatients

Paper for Publication
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Contents
INTRODUCTION...........................................................................................................................3
LITERATURE REVIEW................................................................................................................4
METHODS......................................................................................................................................6
ANALYSIS......................................................................................................................................7
EVALUATION AND DISCUSSION.............................................................................................8
CONCLUSION..............................................................................................................................10
REFERENCES..............................................................................................................................11
APPENDIX....................................................................................................................................12
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Topic- Prevalence & Risk Factors of Violence by Psychiatric Acute Inpatients: A systematic
review and meta-analysis.
INTRODUCTION
The study is related to the violence which is mainly occurred by the Psychiatric Acute
Inpatients and identify the specific problem or issue. Physical Violence is one of the psychiatric
wards and this can happen due to the major injury of patient, staff members. Multiple effects can
be examined through therapeutic approach and also measure suitable prevention of violence (di
Giacomo & et.al., 2020). To explore the emotional effect because of physical violence on other
inpatient that include fear, depression, shock, anxiety and sleep disturbance. It is all about the
way in which estimated between 75%-100% staff nurses face on acute psychiatric units. In most
of cases, physical violence can be identified against staff members who are contribution towards
low morale value, high rates of sick leaves and increases staff turnover. Moreover, it has been
identified the threat of physical violence which may show as result in greater use of different
coercive measurement such as medication, restraint among patients.
There are wide variation reported in the physical rate of violence in acute inpatient,
because of differences in context of measurement, method of data collection. On the basis of
study, it has been reviewed about the socio-demographic as well as clinical variables directly
associated with aggression of inpatient and measure high rate of violence among individual
patients. Author has been performed the different analysis of study in order to record all
aggressive incidents of patient, who are facing in past decade. Therefore, it become easier for
identifying the longer hospitalization, admission, hostility and involuntary. Furthermore, study
will be conducting the Meta-analysis and associated with different factors of aggression or
violence in diversified range of inpatient settings. Generally, it include intensive care units,
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psychiatric and forensic wards. The problem of aggression are majorly associated with the young
age, male, involuntary admission. In order to be examined in the history of violence, which has
been increased the high rate of self-destructive behaviour. Hence, different factors are integrated
with inpatient violence which may appear to behaviour change condition of patients. Sometimes,
it would be surprising to determine the specific wards where patient can admit who are likely to
be become face a situation or violent incidents. So as, it must require to applicable some essential
factors with entire rate of violence in context of actuate psychiatric wards.
For purpose of better understanding, it is important for identifying all essential factors that
related to the planning of service, presentation measurements and also comparing the
performance of services for inpatients. The primary aim of study is to use appropriate met-
analysis approach in order estimate or calculate the actual rate of violence, in order to explore the
aggregate level ward characteristics. It might have expressed the variation in the rate of violence
between different wards.
LITERATURE REVIEW
Ways in which violence in acute psychiatric wards affect safety of patients and staff members
According to the view of Renwick & et. al., (2019), Acute psychiatric wards are those
wards in which patients are admitted and provided care who are likely to harm themselves and
others as they are suffering from severe mental illness. Staff members working in acute
psychiatric wards mostly become target of suffering from violence due to extremely violent
patients. Many times due to this violence can many times affect overall safety of other patients as
well or can affect effectiveness of overall treatment provided to them. Renwick & et. al., (2019)
further explains that more than 40 percent of acute psychiatric wards patients or staff members
face violence. Out of every five patients one patient in acute psychiatric ward commit physical
violence either to hurt themselves or hurt other patients or staff members.
As per the view of Niu & et. al. (2019) many times violence faced by staff members can
affect effectives of treatment provided by them to patient conducting violent act. These violent
acts directly impact psychological and mental health of other patients and they start feeling
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