Resistance to Care: contributing factors and associated behaviours in healthcare facilities
- 31 October 2012
- journal article
- research article
- Published by Wiley in Journal of Advanced Nursing
- Vol. 69 (8), 1747-1760
- https://doi.org/10.1111/jan.12035
Abstract
Aims This article reports results of a study of contributing factors and associated behaviours in specific clinical areas to resistance to care episodes. Background Resistance to Care has previously been studied in aged care settings, and previous studies have reported patient behaviours and appropriate responses. Resistance to Care is a defensive response by patients towards healthcare staff and is demonstrated in various non-compliant behaviours. Design Cross-sectional study. Methods A cross-sectional survey of a representative sample of nurses (n = 5044), who were members of the New South Wales Nurses' Association in Australia, was conducted in 2008–2009. Results Resistance to Care episodes occur in various clinical settings and may be precipitated by a range of clinical diagnoses and symptoms. They may also be triggered during various nursing activities that nurses recognize as high-risk for these episodes. Conclusion The reported Resistance to Care behaviours are similar to those reported in studies of aggression and violence; however, they require a substantially different response by nurses in various clinical contexts.Keywords
This publication has 31 references indexed in Scilit:
- An intervention to reduce care‐resistant behavior in persons with dementia during oral hygiene: a pilot studySpecial Care in Dentistry, 2011
- An overview of swearing and its impact on mental health nursing practiceInternational Journal of Mental Health Nursing, 2008
- Occupational violence and assault in mental health nursing: A scoping project for a Victorian Mental Health ServiceInternational Journal of Mental Health Nursing, 2008
- Agitation and Resistiveness to Care Are Two Separate Behavioral Syndromes of DementiaJournal of the American Medical Directors Association, 2007
- A Case Study of Resistiveness to Care and ElderspeakResearch and Theory for Nursing Practice, 2007
- Workplace violence in Queensland, Australia: The results of a comparative studyInternational Journal of Nursing Practice, 2006
- Aggression and violence - a problem in Irish Accident and Emergency departments?Journal of Nursing Management, 2006
- An epidemiological study of the magnitude and consequences of work related violence: the Minnesota Nurses' StudyOccupational and Environmental Medicine, 2004
- Aggressive and violent incidents: perceptions of training and support among staff caring for older people and people with head injuryJournal of Clinical Nursing, 2004
- Managing Delirium and Agitation in Elderly Hospitalized Orthopaedic PatientsOrthopaedic Nursing, 2001