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dc.contributor.authorMaagerø-Bangstad, Erlend Rinke
dc.contributor.authorSælør, Knut Tore
dc.contributor.authorLillevik, Ole Greger
dc.contributor.authorNess, Ottar
dc.date.accessioned2020-08-11T08:56:14Z
dc.date.available2020-08-11T08:56:14Z
dc.date.issued2020-08-08
dc.description.abstract<i>Background</i> - Staff-directed aggression is a concern for service providers in mental healthcare, frequently affecting both the quality of services and staff wellbeing. This also applies to supported housing services for people with mental health problems. Staff themselves consider training to be an important route to improve the prevention and management of staff-directed aggression. The aims of this study are to explore how staff in community mental health supported housing services conceptualize practice in prevention and management of aggression and how these conceptions develop following a local education and training endeavor in disempowerment-sensitive, de-escalating and knowledge-based risk assessment and management.<p> <p><i>Method</i> - Phenomenography, a qualitative research approach, was adopted to pursue the study aims. The data consisted of 26 semi-structured interviews with 13 participants from five different municipal housing facilities in Oslo, Norway. Participants were interviewed on two occasions, once prior to participation and once subsequent to the finalization of the education and training sessions.<p> <p><i>Results</i> - The analysis led to the development of six qualitatively different, yet logically interrelated, categories of description regarding practice in encounters with staff-directed aggression: (1) <i>Observation, alertness and awareness,</i> (2) <i>Established understanding and knowledge of service users, </i>(3) <i>Team-based risk management and deliberation,</i> (4) <i>Adaption of own dispositions and behaviors,</i> (5) <i>Reflexivity, sensitivity and care and</i> (6) <i>Involvement and dialogue</i>. These conceptions were found to vary in meaning and focus; they ranged from implementing safeguarding and protective measures, to drawing on what was portrayed in terms of staff’s expert knowledge, to increasingly allowing for, and committing to, tenant perspectives in designing practice. The results indicate a moderate, yet beneficial, effect of the course on conceptual change in the participants.<p> <p><i>Conclusion</i> - This study shows that practice in encounters with staff-directed aggression is conceptualized as complex and multifaceted by staff in mental health supported housing services and that the various conceptions have different implications for the way staff-directed aggression is mitigated individually and collectively. Our findings also suggest that it is beneficial to take conceptual variation regarding practice into consideration when devising education and training aimed at enhancing staff knowledge, skills and practices.en_US
dc.identifier.citationMaagerø-Bangstad ER, Sælør KT, Lillevik OG, Ness O. Exploring staff conceptions of prevention and management practices in encounters with staff-directed aggression in supported housing following education and training. International Journal of Mental Health Systems. 2020;14(60)en_US
dc.identifier.cristinIDFRIDAID 1821393
dc.identifier.doihttps://doi.org/10.1186/s13033-020-00387-2
dc.identifier.issn1752-4458
dc.identifier.urihttps://hdl.handle.net/10037/18940
dc.language.isoengen_US
dc.publisherBMCen_US
dc.relation.journalInternational Journal of Mental Health Systems
dc.relation.projectIDinfo:eu-repo/grantAgreement/RCN/?/?/Norway/?/?/en_US
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2020 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700en_US
dc.subjectVDP::Medisinske Fag: 700en_US
dc.titleExploring staff conceptions of prevention and management practices in encounters with staff-directed aggression in supported housing following education and trainingen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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