{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T02:13:02Z","timestamp":1791252782023,"version":"4.1.0"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T00:00:00Z","timestamp":1695859200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>The aims of the study were to determine the types and prevalence of forensic mental health nurse exposure to patient aggression and explore the impact of these exposures on their physical and mental health and work absences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross\u2010sectional survey conducted January to April 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All 205 nurses working in an Australian high\u2010security inpatient forensic mental health hospital were invited to participate. An online survey included the Perception of Prevalence of Aggression Scale to measure respondent exposure to types of patient aggression, and the SF\u201036v2 to measure mental and physical health. Absence from work and other work and individual characteristics were also explored.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010eight respondents completed the survey. Verbal abuse was the most experienced aggression type, followed by physical violence and observing violence, patient self\u2010harming behaviours and sexual violence. Nurses who worked in acute units experienced significantly more exposure to overall aggression than nurses in non\u2010acute units. Higher level of aggression was associated with number of days sick leave taken and days off due to aggression or violence. Higher level of aggression was associated with poorer mental health, and patient self\u2010harming behaviour was associated with poorer physical health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Nurses in acute units experience higher levels of inpatient aggression and are therefore at increased risk of being impacted by the exposure. Findings indicate a psychological impact of exposure to frequent aggression and potential for an accumulative effect of exposure to traumatic events on nurse well\u2010being. Nurses who are victim of, or witness, physical violence are most likely to take time off work.<\/jats:p><\/jats:sec><jats:sec><jats:title>Impact<\/jats:title><jats:p>This study provides further evidence that forensic mental health nurses are frequently exposed to various forms of patient aggression. For some nurses, this exposure to patient aggression negatively impacted their mental and physical health. Employing organizations should therefore prioritize provision of formal support for nurses.<\/jats:p><jats:p>No patient or public contribution.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jan.15885","type":"journal-article","created":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T05:54:50Z","timestamp":1695966890000},"page":"1201-1211","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Exposure to patient aggression and health outcomes for forensic mental health nurses: A cross\u2010sectional survey"],"prefix":"10.1111","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7614-931X","authenticated-orcid":false,"given":"Claire","family":"Newman","sequence":"first","affiliation":[{"name":"University of Technology Sydney  Ultimo New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3831-537X","authenticated-orcid":false,"given":"Michael","family":"Roche","sequence":"additional","affiliation":[{"name":"University of Technology Sydney  Ultimo New South Wales Australia"},{"name":"University of Canberra  Bruce Australian Capital Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6081-5442","authenticated-orcid":false,"given":"Doug","family":"Elliott","sequence":"additional","affiliation":[{"name":"University of Technology Sydney  Ultimo New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,28]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1078390314537377"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14683"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1092852915000188"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2018.1553064"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/1478994031000074306"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1108\/14636646200300024"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1108\/JFP\u201012\u20102020\u20100053"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.00146"},{"key":"e_1_2_13_10_1","volume-title":"The influence of psychological trauma in nursing","author":"Foli K. 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