Aggression From the Perspective of Patients and Nurses

Study Overview
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Brief Summary
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The research, was planned in a randomized controlled design, aiming to evaluate the effect of the training given to nurses working in psychiatric clinics on the use of aggression and BVC (Broset Violence Checklist) on the nurses' perceptions of aggression and the compliance of the use of BVC, which they evaluated for the patients watched in the videos, with the BVC determined by expert opinion. The study was conducted in Adana Doctor Ekrem Tok Mental Health and Diseases Hospital between July 2021 and April 2022. A total of 97 nurses working in psychiatric clinics, 47 in the training group and 50 in the comparison group, participated in the study. A pre-test was administered to the nurses and nurses in the training group were randomized and given training including aggression and BVC use. After the training, a post-test was administered to all nurses.

Official Title
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Aggression From the Perspective of Patients and Nurses: An Integrated Study on the Evaluation of Aggression in Psychiatric Clinics

Conditions
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Aggression

Intervention / Treatment
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* Other: Training including aggression and the use of BVC.


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Volunteering to participate in the research, To have been working in the hospital where the research was conducted for at least 1 year, To have no vision, hearing and speech problems. Exclusion Criteria: To want to withdraw from the research at any stage of the research, Not completing or not being able to complete the research for any reason, To work in the filiation team during the research process.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: pre- post test, training and control group, randomise controlled trial
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Taining group<br>Nurses in the training group were given training on aggression and the use of BVC. | Other: Training including aggression and the use of BVC.<br>* After obtaining verbal consent from the nurses who met the inclusion criteria of the study before the pre-test was applied to the nurses, the nurses who volunteered to participate in the study were randomized within their own clinic using the simple randomization method. For this, after the data collection form was distributed before the pre-test, the nurses were asked to write the letter that came to them on the data collection form and not forget it. In order for nurses to be included in the training or comparison group, the letter A, written on the closed papers in the box prepared for simple randomization, represents the Education group, and the letter B represents the comparison group.<br>|
| No Intervention: Control group<br>Nurses in the control group were not trained, till the study ends. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Perception of Aggression Scale | The scale has a 5-point Likert-type rating system ranging from strongly disagree (1) to strongly agree (5) and consists of 29 items. The items have two subscales: functional (functional - acceptable / healthy response) and dysfunctional (dysfunctional - unacceptable / undesirable aggression). For each subscale, the average of the relevant item scores will be calculated. | Procedure (one week before the training) | 
| Broset Violence Checklist | A score of 1 is given in the presence of each item of the BVC, and 0 in the absence of it. In the next evaluations of the patient, if there is an increase in the relevant item compared to the previous one, the behavior score is scored as 1, the habitual or same level behavior is considered absent and scored as 0. If there is no more in the case of a patient with a flood than before, the relevant item score should be 0. If an increase in the level of exuberance is observed, it should be scored as 1. After the six items are scored in this way, the evaluation is made over the total score. A total score of 0 indicates that the patient has a low severity risk level. 1- 2 points indicates moderate risk of violence and necessitates measures to prevent violence. 3-6 points refers to a high risk of violence. | Procedure (one week before the training and one day after the training) | 
| Perception of Aggression Scale | The scale has a 5-point Likert-type rating system ranging from strongly disagree (1) to strongly agree (5) and consists of 29 items. The items have two subscales: functional (functional - acceptable / healthy response) and dysfunctional (dysfunctional - unacceptable / undesirable aggression). For each subscale, the average of the relevant item scores will be calculated. | Procedure (one day after the training) | 
| Broset Violence Checklist | A score of 1 is given in the presence of each item of the BVC, and 0 in the absence of it. In the next evaluations of the patient, if there is an increase in the relevant item compared to the previous one, the behavior score is scored as 1, the habitual or same level behavior is considered absent and scored as 0. If there is no more in the case of a patient with a flood than before, the relevant item score should be 0. If an increase in the level of exuberance is observed, it should be scored as 1. After the six items are scored in this way, the evaluation is made over the total score. A total score of 0 indicates that the patient has a low severity risk level. 1- 2 points indicates moderate risk of violence and necessitates measures to prevent violence. 3-6 points refers to a high risk of violence. | Procedure (one day after the training) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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aggression, aggression in psychiatry clinics, perception of aggression, risk level of violence