Research Article
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A Qualitative Research on Aggressive Behaviors of Dementia Patients aganist Their Caregivers

Year 2019, Volume: 3 Issue: 1, 81 - 91, 27.06.2019

Abstract

Violence against
health workers is one of today's important issues. Long-term care organizations
are among the healthcare organizations that these employees take part.
Individuals with dementia often remain and are taken care of in dementia units
which are designed for long-term care organizations. However, the psychiatric
and behavioral changes experienced by the nature of their diseases may lead
these patients to exhibit aggressive behaviors towards the employees who take
care of them. The most affected by this situation are the caregivers. So, this
study was conducted about the aggressive behavior of patients with 18
caregivers working in a care facility in Istanbul. The data obtained show that
caregivers are often exposed to these behaviors and have a variety of coping
strategies. In order to solve this problem, new qualitative and quantitative
researches are needed.

References

  • Åström, S., Karlsson, S., Sandvide, Å., Bucht, G., Eisemann, M., Norberg, A., & Saveman, B. I. (2004). Staff's experience of and the management of violent incidents in elderly care. Scandinavian Journal of Caring Sciences, 18(4), 410-416.
  • Birleşmiş Milletler. (2017). World Population Aging. Erişim 25 Temmuz, 2018.http://www.un.org/en/development/desa/population/publications/pdf/ageing/WPA2017_Highlights.pdf
  • DSÖ. (2018). Violence against health workers. Erişim 1 Ağustos, 2018. http://www.who.int/violence_injury_prevention/violence/workplace/en/
  • Evers, W., Tomic, W., & Brouwers, A. (2002). Aggressive behaviour and burnout among staff of homes for the elderly. International Journal of Mental Health Nursing, 11(1), 2-9.
  • Franz, S., Zeh, A., Schablon, A., Kuhnert, S., & Nienhaus, A. (2010). Aggression and violence against health care workers in Germany-a cross sectional retrospective survey. BMC Health Services Research, 10(1), 51.
  • Gates, D. M., Fitzwater, E., & Meyer, U. (1999). Violence against caregivers in nursing homes: Expected, tolerated, and accepted. Journal of Gerontological Nursing, 25(4), 12-22.
  • Gates, D., Fitzwater, E., & Succop, P. (2005). Reducing assaults against nursing home caregivers. Nursing Research, 54(2), 119-127.
  • Gerberich, S. G., Church, T. R., McGovern, P. M., Hansen, H. E., Nachreiner, N. M., Geisser, M. S., ... & Watt, G. D. (2004). An epidemiological study of the magnitude and consequences of work related violence: the Minnesota Nurses’ Study. Occupational and Environmental Medicine, 61(6), 495-503.
  • Güngen, C., Ertan, T., Eker, E., Yaşar, R., & Engin, F. (2002). Standardize mini mental test’in Türk toplumunda hafif demans tanısında geçerlik ve güvenilirliği. Türk Psikiyatri Dergisi, 13, 273-281.
  • Habermann, M. (2003). Introductory remarks: violence in nursing-international perspectives. Violence in Nursing International Perspectives, 13-27.
  • Isaksson, U., Graneheim, U. H., Richter, J., Eisemann, M., & Åström, S. (2008). Exposure to violence in relation to personality traits, coping abilities, and burnout among caregivers in nursing homes: a case–control study. Scandinavian Journal of Caring Sciences, 22(4), 551-559.
  • Kiata, L., Kerse, N., & Dixon, R. (2005). Residential care workers and residents: the New Zealand story. The New Zealand Medical Journal (Online), 118(1214), 1-11.
  • Levin, P. F., Hewitt, J. B., Misner, S. T., & Reynolds, S. (2003). Assault of long-term care personnel. Journal of Gerontological Nursing, 29(3), 28-35.
  • Liu, J. (2004). Concept analysis: aggression. Issues in Mental Health Nursing, 25(7), 693-714.
  • Lundström, M., Saveman, B. I., Eisemann, M., & Åström, S. (2007). Prevalence of violence and its relation to caregivers’ demographics and emotional reactions–an explorative study of caregivers working in group homes for persons with learning disabilities. Scandinavian Journal of Caring Sciences, 21(1), 84-90.
  • Luppa, M., Luck, T., Brähler, E., König, H. H., & Riedel-Heller, S. G. (2008). Prediction of institutionalisation in dementia. Dementia and Geriatric Cognitive Disorders, 26(1), 65-78.
  • McKenna K. (2004). Study of Work-related Violence. Northeastern Health Board, Kells.
  • Pulsford, D., & Duxbury, J. (2006). Aggressive behaviour by people with dementia in residential care settings: a review. Journal of Psychiatric and Mental Health Nursing, 13(5), 611-618.
  • Schmidt, S. G., Dichter, M. N., Palm, R., & Hasselhorn, H. M. (2012). Distress experienced by nurses in response to the challenging behaviour of residents–evidence from G erman nursing homes. Journal of Clinical Nursing, 21(21-22), 3134-3142.
  • Scott, A., Ryan, A., James, I., & Mitchell, E. A. (2011). Perceptions and implications of violence from care home residents with dementia: a review and commentary. International Journal of Older People Nursing, 6(2), 110-122.
  • Testad, I., Aasland, A. M., & Aarsland, D. (2007). Prevalence and correlates of disruptive behavior in patients in Norwegian nursing homes. International Journal of Geriatric Psychiatry, 22(9), 916-921.

Demans Hastalarının Bakımverenlerine Karşı Saldırgan Davranışları Üzerine Nitel Bir Araştırma

Year 2019, Volume: 3 Issue: 1, 81 - 91, 27.06.2019

Abstract

Sağlık çalışanlarına
karşı şiddet günümüzün önemli konularından biridir. Uzun dönem yaşlı bakım
kuruluşları da bu çalışanların yer aldığı sağlık hizmeti sunan çalışma
yerlerindendir. Artan yaşlı nüfusunda yerini alan ve bakım kuruluşları
aracılığıyla bakımı üstlenen demans hastalığına sahip bireyler genellikle bu
kuruluşların kendileri için tasarlanmış demans ünitelerinde kalmaktadır. Ancak,
hastalıklarının doğası gereği yaşadığı psikiyatrik ve davranışsal değişimler bu
hastaları kendilerine bakan çalışanlara karşı saldırgan davranışlar içine
sokabilmektedir. Bu durumdan en çok etkilenen ise bakımverenlerdir. Bu
amaçla,  bu çalışma İstanbul’daki bir
bakım kuruluşunda çalışan 18 bakımveren ile hastaların saldırgan davranışları
hakkında görüşme yapılmıştır. Elde edilen veriler bakımverenlerin sıklıkla bu
davranışlara maruz kaldıklarını ve uyguladıkları çeşitli başa çıkma
stratejilerinin var olduğunu göstermiştir. Bu sorunun çözülebilmesi için hem
nitel hem de nicel yeni araştırmalara ihtiyaç vardır.

References

  • Åström, S., Karlsson, S., Sandvide, Å., Bucht, G., Eisemann, M., Norberg, A., & Saveman, B. I. (2004). Staff's experience of and the management of violent incidents in elderly care. Scandinavian Journal of Caring Sciences, 18(4), 410-416.
  • Birleşmiş Milletler. (2017). World Population Aging. Erişim 25 Temmuz, 2018.http://www.un.org/en/development/desa/population/publications/pdf/ageing/WPA2017_Highlights.pdf
  • DSÖ. (2018). Violence against health workers. Erişim 1 Ağustos, 2018. http://www.who.int/violence_injury_prevention/violence/workplace/en/
  • Evers, W., Tomic, W., & Brouwers, A. (2002). Aggressive behaviour and burnout among staff of homes for the elderly. International Journal of Mental Health Nursing, 11(1), 2-9.
  • Franz, S., Zeh, A., Schablon, A., Kuhnert, S., & Nienhaus, A. (2010). Aggression and violence against health care workers in Germany-a cross sectional retrospective survey. BMC Health Services Research, 10(1), 51.
  • Gates, D. M., Fitzwater, E., & Meyer, U. (1999). Violence against caregivers in nursing homes: Expected, tolerated, and accepted. Journal of Gerontological Nursing, 25(4), 12-22.
  • Gates, D., Fitzwater, E., & Succop, P. (2005). Reducing assaults against nursing home caregivers. Nursing Research, 54(2), 119-127.
  • Gerberich, S. G., Church, T. R., McGovern, P. M., Hansen, H. E., Nachreiner, N. M., Geisser, M. S., ... & Watt, G. D. (2004). An epidemiological study of the magnitude and consequences of work related violence: the Minnesota Nurses’ Study. Occupational and Environmental Medicine, 61(6), 495-503.
  • Güngen, C., Ertan, T., Eker, E., Yaşar, R., & Engin, F. (2002). Standardize mini mental test’in Türk toplumunda hafif demans tanısında geçerlik ve güvenilirliği. Türk Psikiyatri Dergisi, 13, 273-281.
  • Habermann, M. (2003). Introductory remarks: violence in nursing-international perspectives. Violence in Nursing International Perspectives, 13-27.
  • Isaksson, U., Graneheim, U. H., Richter, J., Eisemann, M., & Åström, S. (2008). Exposure to violence in relation to personality traits, coping abilities, and burnout among caregivers in nursing homes: a case–control study. Scandinavian Journal of Caring Sciences, 22(4), 551-559.
  • Kiata, L., Kerse, N., & Dixon, R. (2005). Residential care workers and residents: the New Zealand story. The New Zealand Medical Journal (Online), 118(1214), 1-11.
  • Levin, P. F., Hewitt, J. B., Misner, S. T., & Reynolds, S. (2003). Assault of long-term care personnel. Journal of Gerontological Nursing, 29(3), 28-35.
  • Liu, J. (2004). Concept analysis: aggression. Issues in Mental Health Nursing, 25(7), 693-714.
  • Lundström, M., Saveman, B. I., Eisemann, M., & Åström, S. (2007). Prevalence of violence and its relation to caregivers’ demographics and emotional reactions–an explorative study of caregivers working in group homes for persons with learning disabilities. Scandinavian Journal of Caring Sciences, 21(1), 84-90.
  • Luppa, M., Luck, T., Brähler, E., König, H. H., & Riedel-Heller, S. G. (2008). Prediction of institutionalisation in dementia. Dementia and Geriatric Cognitive Disorders, 26(1), 65-78.
  • McKenna K. (2004). Study of Work-related Violence. Northeastern Health Board, Kells.
  • Pulsford, D., & Duxbury, J. (2006). Aggressive behaviour by people with dementia in residential care settings: a review. Journal of Psychiatric and Mental Health Nursing, 13(5), 611-618.
  • Schmidt, S. G., Dichter, M. N., Palm, R., & Hasselhorn, H. M. (2012). Distress experienced by nurses in response to the challenging behaviour of residents–evidence from G erman nursing homes. Journal of Clinical Nursing, 21(21-22), 3134-3142.
  • Scott, A., Ryan, A., James, I., & Mitchell, E. A. (2011). Perceptions and implications of violence from care home residents with dementia: a review and commentary. International Journal of Older People Nursing, 6(2), 110-122.
  • Testad, I., Aasland, A. M., & Aarsland, D. (2007). Prevalence and correlates of disruptive behavior in patients in Norwegian nursing homes. International Journal of Geriatric Psychiatry, 22(9), 916-921.
There are 21 citations in total.

Details

Primary Language Turkish
Subjects Sociology (Other)
Journal Section Research Articles
Authors

Serkan Erebak 0000-0002-3777-7249

Publication Date June 27, 2019
Acceptance Date June 19, 2019
Published in Issue Year 2019 Volume: 3 Issue: 1

Cite

APA Erebak, S. (2019). Demans Hastalarının Bakımverenlerine Karşı Saldırgan Davranışları Üzerine Nitel Bir Araştırma. Sosyal Çalışma Dergisi, 3(1), 81-91.
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