The Support Process by Experienced Nurses for Novice Nurses Who Have Experienced Violence From Patients in Psychiatric Hospitals

Abstract

Objective: To elucidate the support process provided by experienced nurses to novice psychiatric nurses who have experienced violence from patients.

Method: Interviews were conducted with 12 nurses who met at least one of the following criteria: over 10 years of experience in psychiatric nursing, nursing management position, or certified psychiatric nurse specialist. The data were analyzed using a Modified Grounded Theory Approach (M-GTA).

Results: Experienced nurses assessed the need for support by “identifying subtle maladaptive responses” and “exploring tendencies toward isolation.” They also reported “missing the appropriate timing to provide support in cases of verbal abuse.” Once the need for support was established, they transitioned from psychological support—“creating an environment where the novice nurse felt safe to consult,” “helping to manage and accept suppressed emotions,” and “encouraging the surrounding staff to provide further assistance”—to educational support aimed at “facilitating self-reflection to connect experiences of violence with future Care.”

Conclusion: The transition from psychological support to educational support was a process that emphasized preventing secondary harm while assisting in emotional regulation. In addition, establishing a support system for victims of verbal abuse was considered an ongoing challenge.