RESUMO
Introduction: Workplace violence is one of the issues that nurses face in clinical practice, which needs to be studied. One of the most eventful clinical environments is a psychiatric ward. The aim of this study was to determine workplace violence status, vulnerable and preventive factors among nurses working in psychiatric wards
Materials and Methods: In this study, 183 nurses were selected from psychiatric wards in Razi Psychiatric Center in Tehran, by simple random sampling. Data gathered with [International Workplace Violence Questionnaire]
The questionnaire contains 4 subscales, physical, mental, sexual and rational violence and three open ended questions. Content and face validity were measured by opinion of experts and reliability was confirmed by test-retest [r=0.73].Data analyzed with descriptive statistics methods by SPSS/18
Findings: Prevalence of workplace violence was 71% in one year period. Physical and psychological violence, respectively, with a frequency of 4.93% and 6.71%, respectively racial and sexual violence, respectively, with a frequency of 1.19%, and 5.5% lower than subjects who had suffered violence. Majority of samples' reaction [39.9%] was to calm the aggressive person. Furthermore, most of them [61.2%] supposed that providing educational course of violence control and 59.6% thought that providing a management system to report control is necessary
Conclusion: Psychiatric nurses permanently exposed to a variety of physical and verbal violence. Providing function for prevention is suggested
RESUMO
Frequent rehospitalization is one of the complications in treatment of schizophrenic patients. The present study was design to determine the effectiveness of home care service in preventing rehospitalization of schizophrenic patients. A semi-experimental study was conducted with 48 schizophrenic patients who were randomly allocated in two groups of intervention and control [20 patients in each group]. Home care services after discharge were delivered to the intervention group for three months. Control group received routine services included appointing a date for next visit at psychiatric clinic. Both groups were followed up for six months, after discharge. They were compared for their rate of rehospitalization. Chi square and Student's t-test were used to analyze the data. The results revealed that rate of rehospitalization after three month follow up was%25 [6 of 24 patients] in control group and zero in interventional group which was significantly different [P<0.001]. Six months later, the rate turned to%21 [5 of 24 patients] in intervention group and%46 [11 of 24 patients] in control group which was significantly different [P=0.002] as well. Home care after discharge reduces rehospitalization of schizophrenic patients