Erna Erawati



Background: There is a general consensus that schizophrenia patients have a greater risk to become violent. Caring for schizophrenia patients with risk of violence presents difficult clinical challenges, and it complicates the efforts of nursing student. Analysis of nursing student' barriers may lead to improve nursing management of risk of violence.

Objective: The aim of this study is to explore the nursing student barriers in for caring schizophrenia patients with violence risk.

Method: A total sample of 22 nursing students completed their experience through reflective diary during clinical placements. The qualitative data were explored by thematic content analysis method using NVivo.

Results: Three themes were emerged from the data included: emotions, personal experience, and inadequate communication skills.

Conclusion: These themes reflected the barrier of the nursing students when they applied nursing care toward schizophrenia patient with violence risk. Knowing the barriers is very important for successful violence risk management for nursing student.


barrier; schizophrenia; violence risk; nursing students, qualitative study.

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Volavka J. Violence in schizophrenia and bipolar disorder. Psychiatria Danubina, 2013;25(1):24-33.

Friedman RA. Violence and mental illness: how strong is the link? New England Journal of Medicine. 2006;355:2064–2066.

Tardiff K, Marzuk P, Leon A, et al. Violence by patients admitted to a private psychiatric hospital. American Journal of Psychiatry. 1997;154:88–93.

Fazel S, Gulati G, Linsell L, Geddes JR & Grann M. Schizophrenia and violence: systematic review and metaanalysis. PLoS Medicine. 2009; 6:e1000120.

Torrey EF. Violent behavior by individuals with serious mental illness. Psychiatric Services. 1994;(45):7: 653-662.

Anderson A, West S G. Violence against mental health professionals: when the treater becomes the victim. Innovations in Clinical Neuroscience. 2011; 8(3): 34–39.

Brasic J. Fogelman, D. Clinician safety. Psychiatric Clinic of North America. 1999; 22:924–935.

Sheridan M, Henrion R, Robinson L, Baxter V. Precipitants of Violence in a psychiatric inpatient setting. Hospital and Community Psychiatry. 1990;41:776–780.

Cheek J, Jones J. What nurses say they do and need: implications for the educational preparation of nurses. Nurse Education Today. 2003; 23:40–50.

Lincoln Y. S., Guba E. G. (1985). Establishing trustworthiness. In Naturalistic inquiry (pp. 289–331). Thousand Oaks, CA: Sage.

Burnard P. A method of analyzing interview transcripts in qualitative research. Nurse Education Today. 1991;11:461–466.

Williams PL , Webb C. The Delphi technique: a methodological discussion. Journal of Advanced Nursing. 19954;19(1):180–186

Erdos B, Hughes D. Emergency psychiatry: a review of assaults by patients against staff at psychiatric emergency centers. Psychiatric Service. 2001;52:1175–1177.


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