A qualitative study into the attitudes of patients and staff towards violence and aggression in a high security hospital

This paper provides a brief overview of research conducted within a high security hospital to ascertain staff and patient views on how aggression and violence are managed and their subsequent impact on all parties. Both the National Institute for Mental Health in England (NIMHE, 2004) and the National Institute of Clinical Excellence (NICE, 2005) have emphasized the need to take account of contextual factors when considering the cause and management of aggression. While patient variables (internal) are important within psychiatry, the environment or setting (including culture), relational issues (including gender) and staff attitude are equally important (Jansen et?al. 2006). Duxbury & Whittington (2005) found that poor communication contributed to the development of patient aggression, whereby restrictions and environmental factors are fundamental to relational issues. There is currently very little research conducted in high secure services (HSS) that focuses on the management of violence and aggression (MVA) in this context. Uppal & McMurran (2009) report on the frequency and nature of incidents of violence, self-harm and security and Ireland (2006) consider bullying within this context. However, these studies do not focus specifically on the attitudes of staff and patients to violence and aggression. References