Citation

Berring LL, Pedersen L, Buus N. Arch. Psychiatr. Nurs. 2016; 30(5): 499-507.

Affiliation

Faculty of Nursing, University of Sydney and St. Vincent Private Hospital Sydney, Sydney, Australia. Electronic address: niels.buus@sydney.edu.au.

Copyright

(Copyright © 2016, Elsevier Publishing)

DOI

10.1016/j.apnu.2016.05.005

PMID

27654228

Abstract

This multiple case study explored de-escalation processes in threatening and violent situations based on patients and staff members perspectives. Our post hoc analysis indicated that de-escalation included responsive interactions influenced by the perspectives of both patients and staff members. We assembled their perspectives in a mental model consisting of three interdependent stages: (1) memories and hope, (2) safety and creativity and (3) reflective moments. The data indicated that both patients and staff strived for peaceful solutions and that a dynamic and sociological understanding of de-escalation can foster shared problem solving in violent and threatening situations.

Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

Language: en