{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T01:55:06Z","timestamp":1774403706190,"version":"3.50.1"},"reference-count":44,"publisher":"Wiley","issue":"13-14","license":[{"start":{"date-parts":[[2015,4,29]],"date-time":"2015-04-29T00:00:00Z","timestamp":1430265600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>The aim of the study was to examine learning disability nurses' perceptions of incidents involving physical intervention, particularly factors contributing to injuries sustained by this group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>This article reports on a qualitative study undertaken within one secure <jats:styled-content style=\"fixed-case\">NHS<\/jats:styled-content> Trust to respond to concerns about staff injuries sustained during physical interventions to prevent incidents of service user violence from escalating out of control. The context of the study relates to increasing debate about the most effective approaches to incidents of violence and agression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A qualitative research design was utilized for the study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Semi\u2010structured interviews were undertaken with 20 participants, two from each of the 10 incidents involving staff injury sustained during physical intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four themes were produced by the analysis, the first, knowledge and understanding, contextualized the other three, which related to the physical intervention techniques employed, the interpretation of the incident and the impact on staff.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Service user violence consistently poses nurses with the challenge of balancing the need to respond in order to maintain the safety of everyone whilst simultaneous supporting and caring for people with complex needs. This study highlights the need for further exploration of the contributory factors to the escalation of potentially violent situations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Services may have good systems in place for responding to and managing service user violence but appear less effective in understanding the reasons for and developing strategies to prevent violence occurring.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.12830","type":"journal-article","created":{"date-parts":[[2015,4,30]],"date-time":"2015-04-30T04:17:57Z","timestamp":1430367477000},"page":"1926-1935","source":"Crossref","is-referenced-by-count":14,"title":["A qualitative investigation into nurses' perceptions of factors influencing staff injuries sustained during physical interventions employed in response to service user violence within one secure learning disability service"],"prefix":"10.1111","volume":"24","author":[{"given":"Andrew","family":"Lovell","sequence":"first","affiliation":[{"name":"Department of Mental Health &amp; Learning Disabilities Faculty of Health &amp; Social Care University of Chester Chester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debra","family":"Smith","sequence":"additional","affiliation":[{"name":"School of Health University of Central Lancashire Preston UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Johnson","sequence":"additional","affiliation":[{"name":"Calderstones Partnership NHS Foundation Trust Whalley Lancashire UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,4,29]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"219","volume-title":"Ethical Approaches to Physical Interventions: Responding to Challenging Behaviour in People with Intellectual Disabilities","author":"Allen D","year":"2002"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-3148.2000.00004.x"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12085"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_12_6_1","volume-title":"Learning Disability: Definitions and Contexts","author":"British Psychological Society","year":"2000"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-0979.2003.00270.x"},{"key":"e_1_2_12_8_1","volume-title":"Preventing Face to Face Violence: Dealing with Anger and Aggression","author":"Davies W","year":"1993"},{"key":"e_1_2_12_9_1","volume-title":"Transforming Care: A National Response to Winterbourne View Hospital","author":"Department of Health","year":"2012"},{"key":"e_1_2_12_10_1","volume-title":"A Positive and Proactive Workforce: A Guide to Workforce Development for Commissioners and Employers Seeking to Minimise the Use of Restrictive Practices in Social Care and Health","author":"Department of Health","year":"2014"},{"key":"e_1_2_12_11_1","unstructured":"2008 Psychiatric Intensive Care (2nd edtn) Cambridge: Cambridge University Press R Dix MJ Page MD Beer SM Pereira C Paton De\u2010escalation"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1192\/pb.23.8.486"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2008.04629.x"},{"key":"e_1_2_12_14_1","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1177\/174462959900300304","article-title":"The laying on of hands: nursing staff talk about physical restraint","volume":"3","author":"Edwards R","year":"1999","journal-title":"Journal of Learning Disabilities for Nursing, Health and Social Care"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744629505049726"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.56.9.1123"},{"key":"e_1_2_12_17_1","volume-title":"Physical Interventions : A Policy Framework","author":"Harris J","year":"1996"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3148.2004.00207.x"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1108\/20420921211236870"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.7748\/mhp2011.07.14.10.14.c8575"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/0969733009350140"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2850.2009.01496.x"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2850.2007.01226.x"},{"key":"e_1_2_12_24_1","first-page":"49","volume-title":"Management of Violence and Aggression in Health Care","author":"Leadbetter D","year":"1995"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2850.2003.00625.x"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1348\/014466503322528937"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.57.4.576"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12164"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12362"},{"key":"e_1_2_12_30_1","volume-title":"Mental Health Crisis Care: Physical Restraint in Crisis. A Report on Physical Restraint in Hospital Settings","author":"MIND","year":"2013"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2850.2011.01699.x"},{"key":"e_1_2_12_32_1","volume-title":"The Short Term Management of Disturbed\/Violent Behaviour in In\u2010Patient Psychiatric Settings and Emergency Departments \u2013 Guideline 25","author":"National Institute for Health and Clinical Excellence","year":"2005"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.165.1.107"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.182.4.287"},{"key":"e_1_2_12_35_1","volume-title":"Handling Qualitative Data: A Practical Guide","author":"Richards L","year":"2009"},{"key":"e_1_2_12_36_1","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1007\/978-0-387-33965-8_7","volume-title":"Violence in Mental Health Settings: Causes, Consequences, Management","author":"Richter D","year":"2006"},{"key":"e_1_2_12_37_1","volume-title":"Troubled Inside: Responding to the Mental Health Needs of Men in Prison","author":"Rickford D","year":"2005"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939-3938.2011.01125.x"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns2007.05.21.36.35.c4627"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns2002.03.16.27.33.c3169"},{"key":"e_1_2_12_41_1","unstructured":"Steering Committee on Bioethics of the Council of Europe(2005)White Paper on the Protection of the Human Rights and Dignity of People Suffering from Mental Disorders Especially Those Placed as Involuntary Patients in a Psychiatric Establishment. Council of Europe. Available at:http:\/\/www.ijic.org\/docs\/psychiatry.pdf(accessed 3 August 2014)."},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-009-0132-3"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1108\/13619322200900012"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201000274"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2850.2006.00913.x"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjocn.12830","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjocn.12830","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.12830","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T03:44:42Z","timestamp":1696218282000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.12830"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,4,29]]},"references-count":44,"journal-issue":{"issue":"13-14","published-print":{"date-parts":[[2015,7]]}},"alternative-id":["10.1111\/jocn.12830"],"URL":"https:\/\/doi.org\/10.1111\/jocn.12830","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,4,29]]}}}