Aggressive Behavior of Nursing Home Residents Toward Caregivers: A Systematic Literature Review

Zeller, Adelheid; Hahn, Sabine; Needham, Ian; Kok, Gerjo; Dassen, Theo; Halfens, Ruud J.G. (2009). Aggressive Behavior of Nursing Home Residents Toward Caregivers: A Systematic Literature Review Geriatric Nursing, 30(3), pp. 174-187. Elsevier 10.1016/j.gerinurse.2008.09.002

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Aggression challenges and burdens caregivers face when working in nursing homes. The research questions in this review were (1) what types of residents' aggressive behavior do caregivers experience in nursing homes and how often? (2) In what situations does aggressive behavior occur? (3) What strategies do caregivers employ to manage aggressive behavior? Twenty one publications in English and/or German from 1996 to 2006 were identified by search strategies conducted in Medline, CINAHL, PsycINFO, and supplemented by screening citations, references, and unpublished manuscripts. Results show that all types of aggressive behavior occur in nursing homes with verbal and physical aggressive behavior combined. Personal care of the residents was the most frequent context in which aggressive behavior occurs. Strategies for preventing and dealing with aggressive behavior used by caregivers ranged from behavioral strategies aiming to prevent aggression, to medical treatment, or following written institutional guidelines for reducing aggressive behavior. Some care providers demonstrated predominantly positive and others predominantly negative strategies. Furthermore, there was a lack of information about "triggering" factors and interactive events during personal care in the referenced publications.

Item Type:

Journal Article (Original Article)


School of Health Professions
School of Health Professions > Nursing


Zeller, Adelheid;
Hahn, Sabine0000-0002-2697-2014;
Needham, Ian;
Kok, Gerjo;
Dassen, Theo and
Halfens, Ruud J.G.




1528-3984 (Electronic)






Sabine Hahn

Date Deposited:

10 Feb 2021 15:14

Last Modified:

08 Nov 2022 14:05

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Additional Information:

Notes: Zeller, Adelheid Hahn, Sabine Needham, Ian Kok, Gerjo Dassen, Theo Halfens, Ruud J G Review United States Geriatric nursing (New York, N.Y.) Geriatr Nurs. 2009 May-Jun;30(3):174-87. Custom 1: 2009/06/13 Date: 2009

Uncontrolled Keywords:

Aggression/*psychology Humans *Nurse-Patient Relations *Nursing Homes Violence/psychology/*statistics & numerical data




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