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首页> 外文期刊>The British journal of clinical psychology >Care staff attributions for violent incidents involving male and female patients: a field study.
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Care staff attributions for violent incidents involving male and female patients: a field study.

机译：涉及男性和女性患者的暴力事件的护理人员归因：一项现场研究。

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OBJECTIVES: This article presents a study of naturally occurring attributions recorded by care staff following incidents of restraint in a psychiatric secure unit. The relationship between control for patient, control for staff and behavioural outcomes including use of medication, seclusion and duration of restraint were explored for male and female patients. DESIGN AND METHODS: In all, 557 forms documenting incidents of control and restraint, and completed over a four-year period by nurses in a UK psychiatric hospital, were content analysed using the Leeds Attributional Coding System (LACS; Munton, Silvester, & Hanks, 1999). Additional information concerning duration of restraint, severity of injuries sustained by patient and care staff, use of medication and seclusion, and patient was also gathered. It was hypothesized that perceived patient control over causes of the restraint incident would be associated with duration of restraint, use of seclusion and medication. It was also predicted that male patients would be perceived as having more control over incidents, and thus be more likely to be secluded and less likely to be prescribed medication, than female patients. RESULTS: Seclusion was associated with controllable attributions for patient and uncontrollable attributions for care staff. Use of medication was associated with uncontrollable attributions for patient, but only for male patients. Contrary to prediction, female patients were more likely to be secluded than males and less likely to receive medication. Staff were also more likely to state that they had 'no explanation' for restraint incidents involving female patients. CONCLUSIONS: The investigation of naturally occurring attributions raises important questions regarding the relationship between patient gender and attributional models of helping behaviour. The results are discussed in terms of their potential implications for future research and health care practice.
机译：目的：本文介绍了在精神科安全病房发生约束事件后，护理人员记录的自然发生的归因。研究了男性和女性患者对患者的控制，对人员的控制与包括药物使用，隐居和约束时间等行为结果之间的关系。设计与方法：使用利兹归因编码系统（LACS; Munton，Silvester和Hanks），对总共557份记录控制和约束事件的表格进行了分析，这些表格由英国精神病医院的护士在四年内完成。 ，1999）。还收集了有关约束时间，患者和医护人员受伤严重程度，药物使用和隔离情况以及患者的其他信息。假设患者对约束事件的成因的感知控制将与约束的持续时间，使用隔离和药物有关。还可以预见，与女性患者相比，男性患者将被认为对事件有更多的控制权，因此更可能被隔离，并且不太可能开处方药。结果：隔离与患者的可控归因和护理人员的不可控归因有关。药物的使用与患者的归因失控有关，但仅适用于男性患者。与预测相反，女性患者比男性患者更容易被隔离，而接受药物治疗的可能性更低。工作人员还更有可能说他们对涉及女性患者的约束事件没有“解释”。结论：对自然归因的调查提出了有关患者性别与帮助行为归因模型之间关系的重要问题。讨论了结果对未来研究和卫生保健实践的潜在影响。

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