Abstract
Introduction: The high level of risk emergency psychiatry nurse becomes the target of aggressive behavior in patients both physically and psychologically, providing a special experience for nurses. Positive and negative impacts felt more likely a psychological effect on the nurse. Objective: Identifying the experiences of nurses dealing with patient of aggressive behavior in Emergency Psychiatric of Rumah Sakit Khusus Daerah Provinsi Sulawesi Selatan. Methods: The phenomenological approach to decision informants using purposive sampling with the informant as much as 9 informants who have experienced aggressive behavior from patients. Results: There were 7 themes obtained by the feelings of nurses with aggressive behavior patients, nurses experienced different kinds of aggressive behavior, nurses identified about the causes of the patient's aggressive behavior, nurse found some signs of the patient while being aggressive, nurses perceived impact of agresive behavior after getting the incident of it, the way nurses treated patients aggressive behavior, and nurses found obstacle to overcome aggressive behavior's patient. The positive experience of nurses in dealing with patient of aggressive behavior was nurse know the proper ways, causes and signs of the patient while being aggressive so the nurse was able to anticipate the action will be carried out. On the other hand the negative experience felt by the nurse due to the impacts of the aggressive behavior patients. Conclusions and: The experience felt by nurses in dealing with patients in Psychiatric Emergency Unit of Rumah Sakit Khusus Daerah Provinsi Sulawesi Selatan there were positive and negative. Therefore, we need a way to reduce aggressive behavior and provide management training for nurses in dealing with aggressive behavior in order to keep patients safely.
Highlights
The high level of risk emergency psychiatry nurse becomes the target of aggressive behavior in patients
Identifying the experiences of nurses dealing with patient of aggressive behavior
7 themes obtained by the feelings of nurses
Summary
Berdasarkan hasil analisa karakteristik informan pada penelitian ini, usia responden terbanyak berada pada rentang 30-49 tahun. Selanjutnya, berdasarkan hasil penelitian ini diperoleh bahwa informan dengan jenis kelamin perempuan yaitu 5 orang, dan laki-laki sebanyak 4 orang. Perasaan perawat menghadapi pasien perilaku agesif menghasilkan 2 kategori yaitu perasaan positif dan perasaan negatif. Terdapat 5 orang informan dalam penelitian ini mengemukakan bahwa dalam menghadapi pasien perilaku agresif, perasaan yang mereka rasakan biasa-biasa saja. Penelitian ini juga memperoleh hasil bahwa 7 orang informan merasakan hal negatif terkait pengalamannya dalam merawat pasien agesif seperti rasa takut, rasa khawatir, dan deg-degan. Mayoritas responden yang mengalami ketakutan berdasarkan hasil penelitian ini adalah perempuan. Hasil penelitian ini sejalan dengan penelitian yang dilakukan oleh Lisa, Jumaini, & Indriati (2013) yang mengemukakan bahwa reaksi negatif yang timbul adalah rasa takut dan was-was. Arnetz & Arnetz (2010) juga membuktikan bahwa setelah kejadian tindakan agresif, perawat merasa takut pada saat bekerja
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