I would like to show with this work, how violence and aggression in the stationary old person care by coworkers opposite care patients can be counteracted and by which indications coworkers ready for violence can be recognized early. Further I would like to explain the terms force and aggressions and which force - and aggression forms there are at all.
Thereupon I asked myself the question, which reasons, causes and triggers lead to force and aggression opposite protection inferiors and by which manifestations force can occur. Within my literature research I was looking for media reports about violence in inpatient geriatric care. Due to the low number of reports, my interest increased again and led to further questions.
Is violence in inpatient geriatric care communicated about or is it a taboo topic? At what point does violence begin? How far does an act of violence have to be carried out for the public to talk about it? Do the high demands on staff and the constant shortage of personnel lead to acts of violence against those in need of care? How can violence, perpetrated by nursing staff, be prevented? Is a concept of violence prevention in inpatient facilities helpful?
Table of Contents
1. Introduction
2. What is violence?
2.1 Forms of violence against people in need of care
2.2 Personal/direct violence
2.2.1 Physical violence
2.2.2 Psychological violence
2.2.3 Financial exploitation
2.2.4 Restriction of free will
2.2.5 Neglect
2.3 Structural violence
2.4 Cultural violence
3. What are aggressions?
3.1 Physical forms of aggression
3.2 Non-verbal forms of aggression
3.3 Verbal forms of aggression
4. Figures, data, facts – violence against people in need of care
5. Reasons, causes and triggers of violence and aggression towards the person in need of care
5.1 Overwork of the nursing staff due to the structural conditions
5.2 Frustration of caregivers due to hierarchical ranking
5.3 Excessive demands placed on caregivers by those in need of care
5.4 Overwork of caregivers due to private influencing factors
5.5 Frustration of caregivers due to insufficient income
5.6 Burnout of nurses
6. Prevention and solutions against violence and aggression against people in need of care
6.1 Approaches from an operational perspective
6.1.1 Further training and coaching
6.1.2 Supervision
6.1.3 Annual employee appraisals
6.1.4 Personnel structures
6.1.5 Spatial structures
6.1.6 Scope for action
6.1.7 Staff meetings
6.1.8 Rewarding employees
6.2 Approaches from a private perspective
6.2.1 Self-help groups
6.2.2 Family counselling
6.2.3 Development of personal relief strategies
6.2.4 Coping with burnout
6.2.5 Dealing with aggression
6.3 Approaches from the official point of view
6.3.1 Medical Service of the Health Insurance Funds
6.3.2 Residential and care supervision
7. Conclusion
Research Objectives and Core Themes
The primary objective of this work is to analyze the prevalence, causes, and triggers of violence and aggression against people in need of care within inpatient geriatric facilities. It explores the relationship between nursing staff workload, structural conditions, and incidents of violence, while developing effective prevention and management strategies from operational, private, and regulatory perspectives.
- Definitions and forms of violence and aggression in care settings.
- Statistical analysis of violence against elderly patients.
- Work-related and personal stress factors leading to caregiver frustration and burnout.
- Operational prevention strategies including training, supervision, and personnel management.
- Individual and private coping mechanisms for caregivers to maintain professional health.
Excerpt from the Book
6.1.4 Personnel structures
In order to be able to counteract the effects of violence in inpatient care for the elderly, a company should ensure that it has sufficient staff. The required personnel, i.e., the quota of skilled personnel, is calculated from the number of residents and the corresponding approved care levels. However, it is important to determine the required care levels of the residents. If this has not been applied for, i.e. residents require more care than their care level indicates, the staffing ratio is not correct. More work is being done and performed with clearly too few nursing staff. So this is where the managerial staff, such as the residential area manager or the nursing service manager, comes in.
Once a facility has provided enough staff with the necessary qualifications, the work should be done stress-free and without complications.
Summary of Chapters
1. Introduction: Presents the motivation for the study, highlighting the impact of demographic change and the necessity of protecting both staff and residents from violence.
2. What is violence?: Defines various manifestations of violence, ranging from physical and psychological harm to structural and cultural dimensions.
3. What are aggressions?: Distinguishes between physical, non-verbal, and verbal aggression, emphasizing their intent to injure or destroy.
4. Figures, data, facts – violence against people in need of care: Reviews empirical studies and statistics to illustrate the prevalence of neglect and abuse in geriatric care.
5. Reasons, causes and triggers of violence and aggression towards the person in need of care: Analyzes how structural conditions, overwork, burnout, and hierarchical stress contribute to violent behavior among staff.
6. Prevention and solutions against violence and aggression against people in need of care: Offers a comprehensive overview of management, personal, and regulatory interventions to mitigate violence in nursing facilities.
7. Conclusion: Summarizes the findings and reaffirms the importance of proactive, health-promoting working environments to ensure sustainable quality in elder care.
Keywords
Geriatric care, violence prevention, nursing staff, structural violence, burnout, patient care, staff management, occupational health, aggression management, inpatient facilities, employee satisfaction, demographic change, quality of care, professional stress, caregiver support.
Frequently Asked Questions
What is the core focus of this publication?
This work examines the complex issue of violence and aggression within inpatient geriatric care, focusing on why such incidents occur and how they can be prevented.
What are the primary themes discussed?
Key topics include the definition of various forms of violence, the impact of staff shortages and burnout, the role of management in creating a healthy work environment, and the implementation of effective prevention programs.
What is the main goal of the research?
The goal is to identify triggers for violence against residents, such as excessive workload or lack of training, and to provide actionable strategies to protect both caregivers and those in need of care.
What methodology does the author apply?
The author conducts a comprehensive literature review, drawing on statistical studies, sociological definitions, and management concepts within the healthcare sector.
What topics are covered in the main section of the book?
The main part covers the classification of violent acts, empirical data on violence in nursing, root causes like structural problems or insufficient income, and detailed prevention strategies from operational and private perspectives.
Which keywords best characterize this work?
The work is characterized by terms such as geriatric care, violence prevention, burnout, inpatient facilities, and occupational health.
How does burnout specifically influence violent behavior in nursing?
Burnout leads to exhaustion and emotional detachment, which may cause nurses to become less patient or professional, potentially resulting in negligent care or acts of violence against residents.
What role do "operational perspectives" play in violence prevention?
Operational strategies include systematic training, staff meetings, supervision, and adjusting personnel structures to reduce pressure, thereby creating a safer and more professional environment.
- Arbeit zitieren
- Sandra Mahncke (Autor:in), 2014, Violence Prevention in Patient Care For the Elderly, München, GRIN Verlag, https://www.grin.com/document/1183368
