Predicting violent behavior is a major concern for nurses as well as other mental health professionals. Two diagnostic assessment systems (Nursing Diagnosis-NANDA and Psychiatric Diagnosis-DSM III-R) were compared in their ability to predict assaultive behavior. The nursing diagnosis potential for violence suggested a difference (p= .07) between the assaultive and control subjects. No differences were found between assaultive and control subjects on psychiatric diagnoses. Nursing diagnosis is based upon measurable behaviors and is time specific. Clinical implications and further research endeavors in this area are suggested.
AlfaroR. (1990). Applying nursing diagnosis and Nursing process: A step by step guide. Philadelphia: Lippincott.
2.
BantlyA.LanzaM. (1993). Nursing service patient care standard: Violence, potential for. Bedford, MA: VAMC Bedford.
3.
BarnardG.RobbinsL.NewmanG.CarreraF. (1984). A study of violence within a forensic treatment facility. Bulletin of the American Academy of Psychiatry and Law, 12, 339–348.
4.
BigelowD.CutlerD.MooreL. (1988). Characteristics of state hospital patients who are hard to place. Hospital & Community Psychiatry, 39, 181–185.
5.
BinderR.McNeilD. (1986). Victims and families of violent psychiatric patients. Bulletin of the American Academy of Law, 14, 131–139.
6.
BinderR.McNeilD. (1988). Effects of diagnosis and context on dangerousness. American Journal of Psychiatry, 145, 728–732.
7.
BlomfhoffS.SeimS.FriisS. (1990). Can prediction of violence among psychiatric inpatients be improvedHospital and Community Psychiatry, 41, 771–775.
8.
BradfordJ. (1983). The forensic psychiatric aspects of schizophrenia. Psychiatric Journal of the University of Ottawa, 8, 96–103.
9.
BrizerD.CrownerM.ConvitA. (1988). Videotape recording of inpatient assaults: A pilot study. American Journal of Psychiatry, 145, 751–752.
10.
BrownerC. (1987). Job stress and health: The role of social support at work. Research in Nursing and Health, 10, 93–100.
11.
CarmelH.HunterM. (1989). Staff injuries from inpatient violence. Hospital and Community Psychiatry, 40, 41–46.
12.
ClunP. (1984). Nurses' assessment of a person's potential for violence: Using grounded theory in developing a nursing diagnosis. In KimM.McFarlandG.McLaneA. (Eds.), Classification of nursing diagnoses: Proceedings of the fifth national congress (pp. 376–393). St. Louis: Mosby.
13.
ColsonD.AllenJ.CoyneL.DeeringD.JehlN.KearnsE.SpohnH. (1986). Profiles of difficult psychiatric hospital patients. Hospital & Community Psychiatry, 37, 720–724.
14.
CraigT. (1982). An epidemiological study of problems associated with violence among psychiatric inpatients. American Journal of Psychiatry, 139, 1262–1266.
15.
DavisS. (1991). Violence by psychiatric inpatients: A review. Hospital and Community Psychiatry, 42, 585–590.
16.
DooleyE. (1986). Aggressive incidents in a secure hospital. Medical Science Law, 26, 125–130.
EdwardsJ.JonesD.ReidW.ChuC. (1988). Physical assaults in a psychiatric unit of a general hospital. American Journal of Psychiatry, 145, 1568–1571.
19.
GordonM. (1987). Nursing diagnosis: Process and application. (2d ed.). New York: McGraw-Hill.
20.
HallerR.DelutyR. (1988). Assaults on staff by psychiatric inpatients: A critical review. British Journal of Psychiatry, 152, 174–179.
21.
HattiS.DubinW.WeissK. (1982). A study of circumstances surrounding patient assaults on psychiatrists. Hospital and Community Psychiatry, 33, 660–661.
22.
HodgkinsonP.McIvorL.PhillipsM. (1985). Patient assaults on staff in a psychiatric hospital: A two year retrospective study. Medical Science Law, 25, 288–294.
23.
KayS.WolkenfeldF.MurrillL. (1988). Profiles of aggression among psychiatric patients: Nature and prevalence. Journal of Nervous and Mental Disease, 176, 539–546.
24.
KennedyM. (1993). Relationship between psychiatric diagnosis and patient aggression. Issues in Mental Health Nursing, 14, 263–273.
25.
KimM.McFarlandG.McLaneA. (1987). Pocket guide to nursing diagnosis. St. Louis: Mosby.
26.
KinzelA. (1970). Body-buffer zone in violent prisoners. American Journal of Psychiatry, 127, 59–64.
27.
LanzaM. (1988). Factors relevant to patient assault. Issues in Mental Health Nursing, 9, 239–258.
28.
LanzaM.BantlyA. (1990). A model to develop indicators of care based upon a matrix of patient care standards and aspects of care. Journal of Nursing Quality Assurance, 4, 79–82.
29.
LanzaM.CampbellD. (1991). Patient assault: A comparison of reporting measures. Journal of Nursing Quality Assurance, 5, 60–68.
30.
LanzaM.MilnerJ.RileyE. (1988). Predictors of assault on acute inpatient psychiatric units: A pilot study. Issues in Mental Health Nursing, 9, 259–270.
31.
LeeH.VillarO.JuthaniN.BluestoneH. (1989). Characteristics and behavior of patients involved in psychiatric ward incidents. Hospital & Community Psychiatry, 40, 1295–1297.
32.
LowensteinM.BinderR.McNeilD. (1990). The relationship between admission, symptoms and hospital assaults. Hospital and Community Psychiatry, 41, 311–313.
33.
McFarlandG.WasliE. (1986). Nursing diagnosis and process in psychiatric mental health nursing. Philadelphia:Lippincott.
34.
McNeilD.BinderR.GreenfieldT. (1988). Predictors of violence in civilly committed acute psychiatric patients. American Journal of Psychiatry, 145, 965–978.
35.
MorrisonE. (1989). Theoretical model to predict violence in hospitalized psychiatric patients. Research in Nursing & Health, 15, 421–431.
36.
MorrisonE. (1992). A coercive interactional style as an antecedent to aggression in psychiatric patients. Research in Nursing & Health, 15, 421–431.
37.
MunnsD. (1985). A validation of the defining characteristics of the nursing diagnosispotential for violence.Nursing Clinics of North America, 20, 711–722.
38.
NobleP.RodgersS. (1989). Violence by psychiatric inpatients. British Journal of Psychiatry, 155, 384–390.
39.
PearsonM.WilmotE.PadiM. (1986). A study of violent behavior among in-patients in a psychiatric hospital. British Journal of Psychiatry, 142, 232–235.
40.
PesutD.LoomisM. (1993). Psychiatric nursing diagnosis: Past, present, and into the future. ANA Council Perspectives, 2, 4.
41.
PhillipsM.NasrS. (1983). Seclusion and restraint. American Journal of Psychiatry, 140, 229–232.
42.
RossiA.JacobsM.MonteleoneM.OlsenR.SurberR.WinklerE.WommackA. (1986). Characteristics of psychiatric patients who engage in assaultive or other fear-inducing behaviors. Journal of Nervous and Mental Disease, 174, 154–160.
43.
ShaderR.JacksonA.HarmatzJ.AppelbaumP. (1977). Patterns of violent behavior among schizophrenic inpatients. Journal Diseases Nervous System, 38, 13–16.
44.
SoloffP. (1987). Emergency management of violent patients. In HalesR. (Ed.), Psychiatry update: American Psychiatric Association Annual Review. Vol. 6, Washington, DC: American Psychiatric Press.
45.
SoriaM.JordanT. (1985). Clinical prediction of violent behavior. Rhode Island Medical Journal, 68, 549–551.
46.
StokmanC.HeiberP. (1980). Incidents in hospitalized forensic patients. Victimology: An International Journal, 5, 175–192.
47.
TardiffK. (1984). Characteristics of assaultive patients in private hospitals. American Journal of Psychiatry, 141, 1243–1245.
48.
TardiffK.KoenigsbergH. (1985). Assaultive behavior among psychiatric outpatients. American Journal of Psychiatry, 142, 960–963.
49.
VirkkunenM. (1974). Alcohol as a factor precipitating aggression and conflict behavior leading to homicide. British Journal of Addictions, 69, 149–154.
YudofskyS.SilverJ.JacksonW.EndicottJ.WilliamsD. (1986). The overt aggression scale for the objective rating of verbal and physical aggression. American Journal of Psychiatry, 143, 35–39.
