The Management of Aggression and Violence Attitude Scale (MAVAS): a cross-national comparative study

Duxbury, Joy; Hahn, Sabine; Needham, Ian; Pulsford, Dave (2008). The Management of Aggression and Violence Attitude Scale (MAVAS): a cross-national comparative study Journal of Advanced Nursing, 62(5), pp. 596-606. Wiley-Blackwell - STM 10.1111/j.1365-2648.2008.04629.x

[img] Text
Duxbury_et_al-2008-Journal_of_Advanced_Nursing.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (92kB) | Request a copy

AIM: This paper is a report of a study to determine the transferability of the Management of Aggression and Violence Attitude Scale to European mental health inpatient settings. BACKGROUND: Incidents of patient aggression and violence are common in psychiatric in-patient facilities, and nurses' attitudes may play a part in how they are managed. METHODS: Nursing staff from acute psychiatric in-patient units in Switzerland and the United Kingdom completed the Management of Aggression and Violence Attitude Scale. Data were collected in the UK in 2001 and Switzerland in 2003. The Swiss sample comprised 75 respondents: 45 female, mean age 36.24, mean experience 7.35 years, 60 Registered Nurses. The United Kingdom sample was 75 respondents: 58 female, mean age 32, mean experience 5.25 years, 48 Registered Nurses. T-tests identified differences between the groups in their responses to each Management of Aggression and Violence Attitude Scale statement. RESULTS: There was 66% concordance of views between the groups. Swiss nurses were, however, more likely to regard factors internal to the patient as contributory to aggression while United Kingdom nurses perceived environmental factors to be more important. Both groups endorsed physical means of aggression management, Swiss nurses more so. CONCLUSION: There are both commonalities and differences between the attitudes of Swiss and United Kingdom nursing staff regarding patient aggression. Differences may relate to rates of aggression, variations in management approaches, training and policy. The Management of Aggression and Violence Attitude Scale is a potentially effective tool for making comparisons about perspectives on patient aggression.

Item Type:

Journal Article (Original Article)


School of Health Professions
School of Health Professions > Nursing


Duxbury, Joy;
Hahn, Sabine0000-0002-2697-2014;
Needham, Ian and
Pulsford, Dave




1365-2648 (Electronic) 0309-2402 (Linking)


Wiley-Blackwell - STM




Sabine Hahn

Date Deposited:

18 May 2021 15:11

Last Modified:

23 May 2023 12:19

Publisher DOI:


Related URLs:

PubMed ID:


Additional Information:

Notes: Duxbury, Joy Hahn, Sabine Needham, Ian Pulsford, Dave eng Comparative Study Multicenter Study England J Adv Nurs. 2008 Jun;62(5):596-606. doi: 10.1111/j.1365-2648.2008.04629.x. Custom 1: 2008/05/21 Date: 2008

Uncontrolled Keywords:

Adult Aggression/psychology Attitude of Health Personnel/*ethnology Cross-Cultural Comparison Female *Hospitals, Psychiatric Humans Male Mental Disorders/*nursing Nursing Methodology Research Nursing Staff, Hospital/psychology Psychiatric Nursing/*methods Surveys and Questionnaires Switzerland United Kingdom Violence/*prevention & control/psychology




Actions (login required)

View Item View Item
Provide Feedback