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

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.

Keywords

• Dementia,Aggressiveness,Nursing Home Workers,Violence,Caregiver

Demans Hastalarının Bakımverenlerine Karşı Saldırgan Davranışları Üzerine Nitel Bir Araştırma

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.

Keywords

• Demans,Saldırganlık,Huzurevi Çalışanları,Şiddet,Hasta Bakıcı

References

1. 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.
2. Birleşmiş Milletler. (2017). World Population Aging. Erişim 25 Temmuz, 2018.http://www.un.org/en/development/desa/population/publications/pdf/ageing/WPA2017_Highlights.pdf
3. DSÖ. (2018). Violence against health workers. Erişim 1 Ağustos, 2018. http://www.who.int/violence_injury_prevention/violence/workplace/en/
4. 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.
5. 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.
6. 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.
7. Gates, D., Fitzwater, E., & Succop, P. (2005). Reducing assaults against nursing home caregivers. Nursing Research, 54(2), 119-127.
8. 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.

9. 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.
10. Habermann, M. (2003). Introductory remarks: violence in nursing-international perspectives. Violence in Nursing International Perspectives, 13-27.
11. 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.
12. 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.
13. 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.
14. Liu, J. (2004). Concept analysis: aggression. Issues in Mental Health Nursing, 25(7), 693-714.
15. 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.
16. 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.
17. McKenna K. (2004). Study of Work-related Violence. Northeastern Health Board, Kells.
18. 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.
19. 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.
20. 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.
21. 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.