Abstract

Psychiatric nurses run a high risk of being exposed to aggression. They experience aggression from clients as well as fellow colleagues. Aggression in the work environment has an overt negative psychological effect on the nurse. The purpose of this research was to explore and describe how psychiatric nurses experienced aggression amongst colleagues in the work environment. The study used a qualitative, exploratory and descriptive research design. Eight psychiatric nurses exposed to aggression by their colleagues in an academic psychiatric hospital in Johannesburg were purposively sampled to participate in this study. Data were collected by means of in-depth phenomenological interviews, observations and field notes until data saturation was achieved. The following question was asked: ‘What is your experience of aggression amongst colleagues in the work environment?’. The findings indicated that the psychiatric nurses experienced aggression in a passive but harmful manner. The nurses experienced a suspicious and distrustful team environment. Limited support was experienced when colleagues and management did not acknowledge aggression and the nurses applied various coping and defence mechanisms when emotional stress and aggression were experienced. The aggression psychiatric nurses experienced had an effect on their experience on self, team work and providing services to patients.

Highlights

  • Mental health professionals are mostly dedicated carers devoting themselves to people who are suffering from mental illness

  • The psychiatric nurses experienced management as giving limited support which appeared to contribute to the distress and demoralisation of the nurses

  • When aggression is not acknowledged by not talking about it or addressing the source of aggression, the psychiatric nurses experienced limited support from their colleagues and management who they see as a part of the nursing team

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Summary

Introduction

Mental health professionals are mostly dedicated carers devoting themselves to people who are suffering from mental illness. The mental health professionals do so for long hours and many years They end up suffering from burnout (Hinshelwood 2016). The nursing practice developed as such that the nurses avoided close relationships with patients and to make decisions. Minor decisions were passed on to be taken at the top of the nursing hierarchy. It assisted the mental health professionals to cope with the impact of mental illness. The suffering of mental health professionals were not recognised by themselves nor was it recognised by the management who were suppose to provide support

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