Introduction
The
research proposal topic is patient /customer violent toward nurses in outpatient
department. This research will use both qualitative and quantitative research
approach in order to conduct the research in an effective manner.
Research Objectives
The
research objectives for this research are as follows:
· To identify and determine the relationship between
the patients and nurses in outpatient department.
· To identify the causes of patients violent and
aggressive behavior of patients with nurses.
· To provide solutions to minimize the violent
behavior of patients with nurses.
· To determine the level or extent this aggressive
behavior is causing problems to nurses working in the outpatient department.
· To determine the incidence and happening of violence
towards nurses.
· To compare the verbal and physical violence towards
nurses.
Management Dilemma
Why the incident of patient
/ customer violent to ward nurse in outpatient department increasing?
Management question
How
we can reduce the incident of patient /customer violent to ward nurses in
outpatient department?
Research Questions
Q1 what is the
reason of patient /customer violent behavior toward nurses in outpatient
department?
Q2
what are the nurses’ levels of knowledge on handling violent patients?
Q3 what are the precautionary measures that could be
initiated to reduce the violent and aggressive behavior of patients?
Q4 what are the consequences and affects hospital will
be expecting because of this aggressive behavior in the future?
Hypothesis
The
hypothesis for above research is as follows:
“The aggressive and violent behavior of patients
towards nurses causing serious threats to nurses lives”.
Literature Review
According to Brennan
(2000) violence is a
complicated word to define as violence can be defined as the happening or an
occurrence of an event in which a person is verbally abused, threatened and
beaten by a patient or member of the public (Health and Safety Commission Advisory Committee , 1997) . Rippon (2000) suggested the
definition of an aggression which was provided by Berkowitz (1993) an aggression can be
described as a conduct and behavior in which a planned and proposed action is
taken in order to damage or harm someone physically or psychologically.
A violent and an aggressive or a brutal conduct or
behavior point towards nursing staff by patients in outpatient department is
becoming more concern and severe issue for nurses as well as the hospital
management and this issue needs more focus and attention as the violent
incidents and behavior have increased over a period of time that shows the
increased trend of a violence which is prevailing in the society (Rippon, 2000) . There was a case
study of a large teaching hospital in Ireland as 36 members of staff were
questioned and the results showed that 63% of incidents and 29% of physical
beatings were not reported. In today’s scenario the trend has changed as nurses
are more likely to report 71% after ten years and decrease of 20% among nurses
have been found (Rose, 1997) .
According to Brennan
(2000) the factor of
violence has been perceived and realized as a part of nurse’s job as the author
stressed the need and demand of zero tolerance in a hospital when dealing with
violence. The inefficiency of an effective communication between staff and
patients has resulted in aggressive and brutal outbursts (Dolan & Holt, 2000) . There was a research which was conducted in
order to determine the patients’ violence towards nurses and the findings
suggested that nurses have to be trained in non violence self-defense and
therapeutic communication techniques (Balamurugan, Joseb, & P, 2012) .
Research Methodology
This research study will use both qualitative and quantitative research methodologies (Cooper & Schindler, 2014) . As qualitative
approach has been used because of cross sectional study for a short time period
and sample size is small whereas the quantitative approach is also followed as
it could be time consuming and sample size could be large in this study.
Research Design
The
research design which will be followed in this study is consisted upon the Data
collection and sampling design (Cooper & Schindler, 2014) .
Exploratory Techniques
It is an exploratory
research therefore exploratory research techniques will comprise of secondary
data analysis along with surveys and focus groups (Cooper & Schindler, 2014) . .
Data Collection Method
Data
collection involves both monitoring and communication aspects as monitoring includes
studies in a way that the researcher investigates the activities of a subject
or a nature of some material without attempting to elicit responses from
anyone. While the communication aspect describes the way in which researcher
questions the subjects and collect their responses by personal or impersonal
means (Cooper & Schindler, 2014) .
Research Design Descriptors
The
research design descriptors are time dimension, topical scope, research
environment, purpose of the study and perceptual awareness in this study. In
time dimension as it is a cross sectional study therefore these studies are
conducted once and present a one snapshot of one point in time. Topical scope
refers to a process in which statistical studies are planned and intended for
breadth rather than depth. The population’s trait or an attribute is captured
by making inferences from a sample trait and characteristics. Case studies are
examined also in which the focus and analysis is done on the fewer events and
conditions and their interrelations. Research environment actually focuses on
three factors such as field and lab conditions along with the simulations as
simulations are more used in the researches (Cooper & Schindler, 2014) .
The purpose
of the study is categorized in two aspects like Reporting and
Causal-Explanatory. The reporting phase describes the summation of a data in
order to understand in a detailed manner to generate statistics for comparison.
The causal explanatory involves learning that relates to why that is how one
variable causing changes to another. The perceptual awareness involves three
perceptions levels one is no deviation perceived, second is deviations are
perceived as unrelated and third is deviation perceived as researcher induced (Cooper & Schindler, 2014) .
