Experiencing violence in a psychiatric setting: Generalized hypervigilance and the influence of caring in the fear experienced

Work. 2017;57(1):55-67. doi: 10.3233/WOR-172540.

Abstract

Background: Exposure to violence in the mental health sector both affects employees and has implications for the quality of care provided.

Objective: This phenomenological study aims to describe and understand the ways in which acts of aggression from a patient might affect workers in a psychiatric institute, their relationships with the patients and the services offered.

Methods: Two semi-structured interviews were conducted with each of the 15 participants from various professions within a psychiatric hospital.

Results: Our analysis reveals four themes: hypervigilance, caring, specific fear toward the aggressor and generalized fear of all patients. A state of hypervigilance is found among all participants. An emphasis on caring is present among the majority and unfolds as a continuum, ranging from being highly caring to showing little or no caring. A feeling of fear is expressed and is influenced by the participant's place on the caring continuum. Caring workers developed a specific fear of their aggressor, whereas those showing little or no caring developed a generalized fear of all patients. Following a violent event, caring participants maintained this outlook, whereas those demonstrating little to no caring were more inclined to disinvest from all patients.

Conclusions: Hypervigilance and fear caused by experiences of violence impact the quality of care provided. Considerable interest should thus be paid to caring, which can influence fear and its effects.

Keywords: Agression; phenomenology; quality of care; workplace.

MeSH terms

  • Adult
  • Aggression / psychology
  • Anxiety*
  • Attitude of Health Personnel
  • Crime Victims*
  • Fear / psychology*
  • Female
  • Hospitals, Psychiatric
  • Humans
  • Male
  • Middle Aged
  • Ontario
  • Personnel, Hospital / psychology*
  • Workplace Violence / psychology*