Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena
| Thesis Title | Reduction of the risk of violent incidents in the healthcare setting: nurse and de-escalation |
|---|---|
| Name | Pelliciari Alessia |
| Supervisor(s) | Galeazzi Gian Maria |
| Academic Year | 2016/17 |
| Thesis type | Non research thesis |
Abstract
The psychomotor agitation is a behavioral manifestation that can lead to aggression and episodes of violence: the methods for its treatment and management have evolved over time. Psychomotor agitation can be evaluated by using validate scale that allow to investigate the risk of its possible violent development and, therefore, of its severity. The management of aggression has had several variations: physical, mechanical, chemical, environmental and relational. The ineffectiveness and risks associated with physical and mechanical restraint have been documented and are potentially the cause of irreversible damage and do not make the person autonomous and able to participate in their care. Chemical restraint may need to be used to reduce acute symptoms, avoiding excessive sedation. The Danish study conducted by Lene Lauge Berring, dedicated to the identification of the guidelines, allowed the transition from the theoretical to the practical dimension in relation to the technique of de-escalation. This research has shown how this practice can be autonomously performed by nursing staff in the reduction of violent episodes and is useful for the avoidance of the containment practice. The nurse, must be able to demonstrate some skills to perform an effective de-escalation. Fundamental are relational techniques and they must be performed using the empathy, of verbal and non-verbal communication techniques that transmit trust to the assisted and interest in resolving the triggering cause of the acute episode. This guarantees the construction of a therapeutic alliance that allows the nurse to accompany the person at resolving the aggressive crisis. Furthermore, in this study are proposed NANDA-I diagnoses related to psychomotor agitation, NOC results and NIC interventions related to the de-escalation technique to be able to concretize this technique in the hospital assistance practice.