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Precipitating Factors
Another significant aspect that should be noted is that such behavior is frequently demonstrated by members of the family that are not satisfied with the treatment that is provided or cannot handle emotions because of tension or other factors. Also, it should be noted that such factors as access to weapons are especially dangerous and could lead to severe consequences. It needs to be said that violence may not only be physical, and threats also should be taken seriously most of the time (Wykes, 2013).
Institutional Culpability
It is imperative to say that it is essential to take necessary measures to make sure that the environment in the particular facility does not lead to moral distress (Kathi, 2012). Professionals must have an understanding of what course of action is reasonable in a situation, and what behavior should be avoided. It needs to be said that institutions can be perceived as responsible if necessary measures to prevent or limit such incidents are not taken. It needs to be said that some of the penalties may be severe, and it is necessary to limit possible risks to avoid complications. Numerous institutional factors also should be taken into account.
Staff Culpability
Also, it needs to be said that staff may also be culpable. The primary issue that needs to be discussed is that some clients lack the necessary knowledge and understanding of how to behave in stressful situations. However, provocation should not be perceived as a reason to justify violent behavior (Cook, 2006). It is imperative to note that the attitude of human service providers also plays a huge role in most cases, and it is necessary to create an environment that does not support violence. The lack of training may also be viewed as a significant issue because employees do not know how to react in such situations. It should be noted that the experience of the staff is of utmost importance, and the number of assaults may be dramatically reduced.
Legal Liability
It is paramount to say that healthcare providers may be viewed as victims in most situations, but some actions may be unreasonable and can be legally liable depending on the situation. Another significant aspect that should not be overlooked is that the number of lawsuits that have been won against human service professionals is truly astounding, and one must understand the broad range of his or her responsibilities (James & Gilliland, 2012). One of the most significant aspects that should not be disregarded is that the lack of communication frequently leads to cases that could have been avoided.
Model of Intervention
It needs to be said that the approach that has been developed by Piercy can be viewed as extremely efficient, and it consists of nine stages. The first step is education, and it is followed by a phase that is focused on the avoidance of conflict. It is imperative to note that they should be followed by appeasement and deflection respectively. Time-out is also an essential step that should not be disregarded in most cases because it can be used to reduce the tension that is present. Also, it is paramount to show force, and it should be followed by seclusion. Restraints and sedation may also be considered depending on the situation (James & Gilliland, 2012).
References
Cook, H. (2006). Changing Discourses of Blame in Nursing and Healthcare. In A. Perron, D. Holmes, & T. Rudge (Eds.), (Re)Thinking Violence in Health Care Settings: a Critical Approach (pp. 47-67). Farnham, UK: Ashgate Publishing.
James, R., & Gilliland, B. (2012). Crisis Intervention Strategies (7th ed.). Boston, MA: Cengage Learning.
Kathi, E. (2012). Pulmonary: State of the Science, an Issue of Critical Care Nursing Clinics. Philadelphia, PA: Elsevier Health Sciences.
Wykes, T. (2013). Violence and Health Care Professionals. New York, NY: Springer Publishing.
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