ArticlePloS one2022
Nurses', patients', and informal caregivers' attitudes toward aggression in psychiatric hospitals: A comparative survey study.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed, 9 citations in OpenAlex.
- Formal Caregivers' Exposure to Workplace Violence in the Swiss Home-care Setting: A Cross-sectional Study.Safety and health at work · 2026Article
- Validity of nursing interventions for aggressive behavior in neurodevelopmental disorders in child and adolescent psychiatry: A modified e-Delphi study.PCN reports : psychiatry and clinical neurosciences · 2025Article
- Violence Exposure Status of Prehospital Care Emergency Medical Services Personnel and the Effects of Violence on the System.Archives of Iranian medicine · 2025Article
- The Management of Workplace Violence against Healthcare Workers: A Multidisciplinary Team for Total Worker HealthInternational journal of environmental research and public health · 2022Article
- Anti-violence measures developed by ILO and WHO: Analysis of the prevalence of workplace violence and the effects of implementation in a general hospital in China.Frontiers in public health · 2022Article
- Verbal Workplace Violence and Burnout Among Italian Nurses: The Role of Self-Efficacy and Coping.SAGE open nursingArticle
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Authors and funding
12 authors at 6 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Attitudes toward aggression is a controversial phenomenon in psychiatry. This study examined and compared attitudes toward patient aggression in psychiatric hospitals from the perspectives of nurses, patients and informal caregivers and identified factors associated to these attitudes. A total of 2,424 participants completed a self-reported instrument regarding attitudes toward aggression (12-items Perception of Aggression Scale; POAS-S). We analysed data from nurses (n = 782), patients (n = 886), and informal caregivers (n = 765). Pearson's r correlations were used to examine associations between variables. Differences between group scores were analysed using ANOVA/MANOVA with post-hoc Sheffe tests. Multivariate logistic regression models and logistic regression analysis were used to examine the effects of respondents' characteristics on their attitudes toward aggression. Nurses had significantly more negative and less tolerant perceptions toward aggression (mean [SD] 47.1 [7.5], p<0.001) than the patients (mean [SD] 44.4 [8.2]) and the informal caregivers (mean [SD] 45.0 [6.9), according to the POAS-S total scores. The same trend was found with the dysfunction and function sub-scores (mean [SD] 25.3 [4.1] and 15.0 [3.6], respectively); the differences between the groups were statistically significant (p <0.001) when nurses' scores were compared to those of both the patients (mean [SD] 23.7 [5.3] and 14.0 [4.1], respectively) and the informal caregivers (mean [SD] 24.4 [4.2] and 13.9 [3.5], respectively). The study offers new understanding of aggressive behavior in different treatment settings where attitudes toward patient behavior raises ethical and practical dilemmas. These results indicate a need for more targeted on-the-job training for nursing staff, aggression management rehabilitation programs for patients, and peer-support programs for informal caregivers focused on patient aggression.
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