Resistance to Care: contributing factors and associated behaviours in healthcare facilities

J Adv Nurs. 2013 Aug;69(8):1747-60. doi: 10.1111/jan.12035. Epub 2012 Oct 31.

Abstract

Aims: This article reports results of a study of contributing factors and associated behaviours in specific clinical areas to resistance to care episodes.

Background: Resistance to Care has previously been studied in aged care settings, and previous studies have reported patient behaviours and appropriate responses. Resistance to Care is a defensive response by patients towards healthcare staff and is demonstrated in various non-compliant behaviours.

Design: Cross-sectional study.

Methods: A cross-sectional survey of a representative sample of nurses (n = 5044), who were members of the New South Wales Nurses' Association in Australia, was conducted in 2008-2009.

Results: Resistance to Care episodes occur in various clinical settings and may be precipitated by a range of clinical diagnoses and symptoms. They may also be triggered during various nursing activities that nurses recognize as high-risk for these episodes.

Conclusion: The reported Resistance to Care behaviours are similar to those reported in studies of aggression and violence; however, they require a substantially different response by nurses in various clinical contexts.

Keywords: Resistance to Care; behaviour; contributing factors; nurses.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cross-Sectional Studies
  • Health Care Surveys
  • Humans
  • New South Wales
  • Nurse-Patient Relations*
  • Patient Compliance*
  • Risk Factors
  • Risk Management*
  • Task Performance and Analysis*
  • Violence*