This purpose of this paper is to critically appraise a research article titled ‘ Aggressive behavior on acute psychiatric wards: prevalence, severity and management ’ by Choloe Foster, Len Bowers & Nijman (2007). This article was published in the Journal of advanced Nursing 58(2), 140 – 149. Accepted for publication 31 August 2006.
The reason why this research article is chosen is because aggressive behavior on acute psychiatric ward are major nursing care problem that overwhelm nursing profession at psychiatric unit for many years. Duxbury (2002) aggressive behavior poses a threat to the physical and psychological health of psychiatric nursing staff, the fear that result from working in a climate of potential danger can also have a damaging impact on patient care. It is more prevalent than Dementia, Alzheimer disease, and many other condition that receive considerably more attention. Especially to patient diagnose as schizophrenia and bipolar but, it also happened for patient that diagnosed with depression and others mental health problem. In Adult Acute Psychiatric Ward (AAPW), in the one of the large hospital in Malaysia, where I have practiced my nursing profession for the past four years, aggressive behavior among the patient is one of the major problem where nurses must cope up in measuring patient quality care. Consequently, many mental health professionals fears that aggression within inpatient psychiatric service is increasing (Wells & Bowers 2002). Aggression and violent are unfortunate but ever present and growing future of health service work environment (Badger & Mullan 2004). Besides, to investigate the nature and prevalence of inpatient aggressive behavior directed at staff and other patients and, in the case of patient self- harm, the method used by nursing staff to manage this.
Hence, in this essay, I will explore about develop and encourage, advantage and disadvantage EBP in my clinical practices, I will critique a