In the mental health nursing environment, nurses and their everyday role may repeatedly be subjected to or witness challenging and / or self-defeating behaviour (Health and Safety Executive 2006). In this assessment the aim will be for me to identify and describe a challenging behaviour. In this case the response was to aggressive behaviour which I witnessed on one of my practice placements as a student nurse. Part of the assignment will be written in the first person when referring to my personal account of the incident. Using literature and the relevant references the essay will critically analyse the incident, an action plan will be placed and a discussion on how it will be implemented (Rolfe et al, 2011). The Marks-Maran and Rose model of reflection will be used to reflect on the challenging behaviour I have chosen. The precipitating factors will be discussed along with the environmental, social and communication factors that can and may have contributed to the behaviour. My emotions and feelings towards the situation will be expressed and discussed. Management of the situation will be analysed through research literature. The conclusion will explain what I have learned from the incident and my awareness of promoting positive behaviour.
Although challenging behaviour was initially applied to people with learning disabilities, it is now accepted in a wide range of settings (Emerson and Einfield 2011). Challenging behaviour can be complex; Emerson (1995) defines it as the intensity, frequency or duration of the behaviour that the physical safety of the person or others is at risk. With this in mind the challenging behaviour which shall be the focus of this essay is on aggression (Emerson 2001).
Following anonymity and confidentiality in respect of the Data Protection Act (1998), (Department of Health 2009) and the Nursing and Midwifery Council (2010: 5) on confidentiality the
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