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Ministry of Health Planning ¡  F5 F F/ F  $ F% F# F /- ªÖ  ð ÿÿÌ€€€`Z»àã33™™™™Ì"îœï €" <ð4°ððð( ð ðð" ð  ðxï€40e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 2ðð°ÐÀðà ÿÿÿÿ ƒS ðVŸ¨Co-Investigators¡ ª  ð ð  ðxï€@¸ñ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 3ð°Ð ðÐðà ÿÿÿÿƒS ðRŸ Ruth Martin-Misener Dalhousie University Ginette Lazure Université Laval Jennifer Medves Queen's University Michel Morton Lakehead University Carolyn Vogt U. Manitoba Elizabeth Thomlinson U. Calgary Kathy Banks BC Women s Hospital Lela Zimmer UNBC¡ Z < Z < Z < Z < Z < Z  <  Z <  Z <¬Sª  ð” ð S ð–O0e‚˜²ƒ0e„˜²…‡ˆ¿ÀÁÄÌÖÿ?€Ã¿Rectangle 4ð @` 0ðà ÿÿÿÿƒS 𪟨¢SURVEY Carl D'Arcy U. Saskatchewan Dorothy Forbes U. Saskatchewan Debra Morgan U. Saskatchewan Gail Remus U. Saskatchewan Barbara Smith U. Saskatchewan¡Ö Z Z < Z 2  Z <  Z < < 2šª£  ð ÿÿÌ€€€`Z»àã33™™™™Ì"îfï €" ðþÐððæð( ð ðð' ð  ðxï€`Öρ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 2ð€°ÐPðà ÿÿÿÿ ƒS ð[Ÿ¨Advisory Team Members¡ ª  ð ð  ðxÕρ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 3ð€° `ðà ÿÿÿÿƒS ðQŸ¨Anne Ardiel, BC Cathy Ulrich, BC Debbie Phillipchuk, AB Cecile Hunt, SK Donna Brunskill, SK Marlene Smadu, SK Marta Crawford, MB Denise Alcock, ON Sue Mathews, ON Suzanne Michaud, QC Roxanne A. Tarjan, NB Adele Vukic, NS Barbara Oke, NS Elizabeth Lundrigan, NF ¡ Pª  ðZ ð  ðxï€ÀÖρ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 4ð€p Ð`ðà ÿÿÿÿƒS ðŽŸ 4Joyce England, PEI Barbara Harvey, NU Madge Applin, NWT Elizabeth Cook, NWT Fran Curran, YT Jan Horton, YT Francine Anne Roy, CIHI Kathleen MacMillan, FNIHB  Health Canada Maria MacNaughton, FNIHB - Health Canada President, Aboriginal Nurses Association of Canada Lisa Little, CNA ¡( P Pª  ð ÿÿÌ€€€`Z»àã33™™™™Ì"î\ï €" üðôðð ðÜð( ð ð ð¤² ð £ ð|€ûAÁ?¿ÿ?€ÃÃ¿map_locatePicture 2map_locateð 0Þð ÿÿÌ€€€`Z»àã33™™™™Ì"î9ï €" ÙðÑð$ð¹ð( ð ð$ðJ ð$  ðxï€ ×ρ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 2ð€°ÐPðà ÿÿÿÿ ƒS ð~Ÿ¨$Funding Partners (Total - $592,000)¡(% Pª%  ð ð$  ðx×ρ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 3ðà° ðà ÿÿÿÿƒS ðHŸ¨öCanadian Health Services Research Foundation Canadian Institutes of Health Research Nursing Research Fund Ontario Ministry of Health and Long-Term Care Alberta Heritage Foundation for Medical Research Michael Smith Foundation for Health Research¡ ÷ öª÷  ð ð$  ðxØρ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 4ðàp Ððà ÿÿÿÿƒS ðGŸ¨õNova Scotia Health Research Foundation British Columbia Rural and Remote Health Research Institute Saskatchewan Industry and Resources Provincial and Territorial Nurses Associations Government of Nunavut Canadian Institute for Health Information¡ ö õªö  ð ÿÿÌ€€€`Z»àã33™™™™Ì"îkï €"  ð0ð(ðëð( ð ð(ð ð(  ðxï€Ùρ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 2ð€°ÐPðà ÿÿÿÿ ƒS ðSŸ¨ Survey Method¡ ª  ðŒ ð(  ðxï€à×ρ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 3ðà°À0ðà ÿÿÿÿƒS ðÀŸ 4Mailed questionnaire with persistent follow-up (Dillman s Tailored Design Method) Sample (N=3933) 1) random sample of registered nurses (RNs) living in rural areas in all Canadian provinces 2) total population of RNs who work in outpost settings or the northern territories¡H/ %  · ª  ¦ ð ÿÿÌ€€€`Z»àã33™™™™Ì"îï €" ²ðª@ð,ð’ð( ð ð,ð, ð,  ðxï€ÀÙρ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 2ð€°ÐPðà ÿÿÿÿ ƒS ð`Ÿ¨Survey Response Rate = 68%¡ ª  ð& ð,  ðxï€`Ùρ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 3ð€ Àððà ÿÿÿÿƒS ðZŸ Ø7065 - questionnaires mailed out 153 - explicit refusals 1696  not heard from (implicit refusals) 1114 - wrong address, duplicate registration, moved (no forwarding address), deceased 169 - completed but ineligible (lived rural but worked urban, retired, long-term disability) 5782 - eligible respondents [7065-(1114+169)] CALCULATION: 3933/5782 = 68%¡>M Z  ZMªm  ¦ cð ÿÿÌ€€€`Z»àã33™™™™Ì"î«ï €" KðCPð0ð+ð( ð ð0ðU ð0  ðxÚρ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 3ðÀ @ðà ÿÿÿÿ ƒS ð‰Ÿ¨9Sample Response Rates by Province and Territory (N=3933)¡: 9 ª:  ð–² ð0 à ðZ€áA ?¿Àÿ?€Ã¿Object 4ðB@ ×ð Á ð ÿÿÌ€€€`Z»àã33™™™™Ì"îVï €" öðî`ð4ðÖð( ð ð4ð: ð4  ðxï€@Ûρ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 2ð`Pðà ÿÿÿÿ ƒS ðnŸ¨&Person-Environment Fit (Dementia Care)¡' '$ª'  ð0 ð4  ðxï€àÚρ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 3ð€@€ ðà ÿÿÿÿƒS ðdŸ  Patient as  Person - Nursing role to create therapeutic social and physical environment - Safety for patient, resident, or client¡$ˆ qªˆ  ð$¢ ð4 à ð^ï€ÜÏ¿¿Àÿ??€Ã¿Text Box 4ðà@ `x  ð–Ÿ , Nurse as  Person - Reciprocal issue for nurse working with aggressive patient/resident/client - Workplace safety for nurse - Rural health reform¡"—0 Zƒª—  ¦øÕÔÐðð ÿÿÌ€€€`Z»àã33™™™™Ì"î< ï €" Ü ðÔ pð8ð¼ ð( ð ð8ð\ ð8  ðxï€ Ýρ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 2ðPð€ðà ÿÿÿÿ ƒS 𐟠ü In the past 4 weeks that you worked, did you experience any of the following while carrying out your responsibilities as a nurse? a) Physical assault b) Threat of assault c) Emotional abuse d) Verbal/sexual harassment e) Sexual assault¡Pÿ  duªÿ  ¦ lð ð8 c ðœï€ÀÜρ0e‚˜²ƒ0e„˜²…‡ˆ¿ÀÁÄËœ1ÌÖÿ?€Ã¿Rectangle 3𰠐ððà ÿÿÿÿƒS ðÒŸ ^ 44.6% (n=1738) of all nurses experienced an  aggressive episode in the workplace Male nurses were significantly more likely (p < .05) to experience aggression while working¡B° Z. ª°  ðd² ð80 s ðþ„å…AÁ ?€‚¿ÀÁÄË5%ÌÖÿ8c8c    ?€Ã¿Object 9"ñð#PÐ šð(Á à ÿÿÿÿƒSðÆ¢ ð8 à ð`ï€àÝÏ¿¿Àÿ??€Ã¿Text Box 11ð` € ð6Ÿª  ¦ ðÔÐððÜ‚ ð8  ðzï€@ÞÏ…‡¿¿ÀËÑVÖÿ??€Ã¿AutoShape 12ð`pP  ð2Ÿª ¦ ðÔÐðð8¢ ð8 Ó ðfÞÏ…¿¿Àÿ??€Ã¿Text Box 13ð°à 0— 𢟠@Examples of  aggressive episode ¡! 2!ª!  ¦ ðÔÐðð ÿÿÌ€€€`Z»àã33™™™™Ì" î_ ï €" ÿð÷€ð<ðßð( ð ð<ð\ ð<  ðxï€`Ձ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 2ð€°ÐPðà ÿÿÿÿ ƒS 𐟨@Perpetrator of aggressive episode (n = 1738; 44.6% of N = 3894) ¡A ? ªA  ðZ ð<  ðxÛρ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 3ðà°@0ðà ÿÿÿÿƒS ðŽŸ¨"Patient/client 77% (1338/1738)¡ # Zª#  ¦  c ð' ð< à ð`ï€``Õ¿¿Àÿ??€Ã¿Rectangle 5ð@ °0  𗟨!Community Member 8.3% (144/1738)¡(" ª"  ¦üŠ ØÔÐðð/ ð< à ð`ï€ aÕ¿¿Àÿ??€Ã¿Rectangle 6ð`°€ 🟨!Family/Visitor 22.8% (396/1738)¡(" ª"  ¦ü’ c ØÔÐðð2 ð< à ð`ï€àaÕ¿¿Àÿ??€Ã¿Rectangle 7ð° `  𢟨$Nursing Co-worker 19.3% (336/1738)¡(% ª%  ¦ü  c ØÔÐðð* ð< à ð`bÕ¿¿Àÿ??€Ã¿Rectangle 8ðÀ °pà  ðšŸ¨Physician 13.1% (228/1738)¡(  ª  ¦ü  c ØÔÐðð ð< à ð`ï€`cÕ¿¿Àÿ??€Ã¿Rectangle 9ðÀ ° °  ðŸ¨Other 6% (105/1738)¡ ª  ¦üÒ ØÔÐðð ÿÿÌ€€€`Z»àã33™™™™Ì"îÊï €" jðbð@ðJð( ð ð@ðÖ ð@  ð~ï€ÀcՁ0e‚˜²ƒ0e„˜²…‡ˆ¿¿ÿ?€Ã¿Rectangle 5ð€À°Pðà ÿÿÿÿ ƒS 🠴Patient/client was a perpetrator of at least one  aggressive episode experienced by nurse¡[ Z ª[  ðd² ð@0 s ðþ„å…AÁ  ?€‚¿ÀÁÄË5%ÌÖÿ8c8c    ?€Ã¿Object 6"ñðàÀð ªð(Á  à ÿÿÿÿƒSðÈ ð@ s ð¢ï€ dՁ0e‚˜²ƒ0e„˜²…‡ˆ¿¿ÀÁÄËœ1ÌÖÿ?€Ã¿Rectangle 7ðP ð0ðà ÿÿÿÿƒS ðÒŸ R 77% (1338/1738) of all nurses who experienced an  aggressive episode , indicated that a patient/client was a perpetrator in at least one instance. No gender difference ¡Nª {ªª  ð ÿÿÌ€€€`Z»àã33™™™™Ì" î¿ï €" _ðW ðDð?ð( ð ðDð ðD S ð–ï€àdՁ0e‚˜²ƒ0e„˜²…‡ˆ¿ÀÁÄÌÖÿ?€Ã¿Rectangle 3ðàð  ðà ÿÿÿÿƒS ð*Ÿ œOf nurses who indicated that a patient/client was a perpetrator of at least one  aggressive episode (n=1338): 28.9% (387/1338) indicated that the primary diagnosis of patient/client was  dementia . ¡Ns P Z[ Zr\ªÏ  ¦³ðI ðD  ð~dՁ0e‚˜²ƒ0e„˜²…‡ˆ¿¿ÿ?€Ã¿Rectangle 5ððððà ÿÿÿÿ ƒS ðwŸ¨/Primary diagnosis of patient/client perpetrator¡0 0 ª0  ðš² ðD0  ð4„å…AÁ  ?€‚¿ÀÁÄË5%ÌÍÎÐÑÒÓÔÕÖ×ÿ8c8c    ?€Ã¿Object 6"ñðà0 ðð(Á  à ÿÿÿÿƒSð ÿÿÌ€€€`Z»àã33™™™™Ì" îÊ ï €" j ðb °ðHðJ ð( ð ðHð ðH £ ð´ï€fՁ0e‚˜²ƒ0e„˜²…‡ˆ¿€Ì™ÿ‚€€¿ÀÌ™ÿÁÄË5%ÌÖÿ?€Ã¿Rectangle 2ðÐÀ€ Pðà ÿÿÿÿƒS 🠌Dementia Care Sample (n = 387) Includes nurses who: 1) indicated an  aggressive episode and 2) indicated that the primary diagnosis of patient/client aggressor was  dementia Age mean = 44.24 years Gender 96.6 % female, 3.4% male Education (nursing) 91.7% Diploma 12.7% Baccalaureate 3.1% Advanced Nursing Practice¡H  Z Z< F FV F 2 F Z Z Z Z ZC Z >YCªG  ¦ ðî ðH £ ð´ï€ eՁ0e‚˜²ƒ0e„˜²…‡ˆ¿€‚€€¿ÀÁÄË5%ÌÖÿ?€Ã¿Rectangle 3ðÐ@ Pðà ÿÿÿÿƒS ð柠6Non-Dementia Care Sample (n=3413) Includes those nurses who: 1) did not indicate an  aggressive episode or 2) indicated that their aggressor was a person other than a patient/client or 3) the patient/client aggressor had a primary diagnosis other than  dementia Age mean = 44.54 years Gender 94.7 % female, 5.4% male Education (nursing) 84.2% Diploma 28.9% Baccalaureate 6.3% Advanced Nursing Practice ¡p# Z ZI F FK F FO F Z Z Z Z ZC Z F JLPDªœ  ¦²ð ÿÿÌ€€€`Z»àã33™™™™Ì"î#ï €" Ãð»ÀðLð£ð( ð ðLð= ðL  ðxï€ÀfՁ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 2ð€°ÐPðà ÿÿÿÿ ƒS ðqŸ¨!Prevalence of Aggression (n=387) ¡"  (ª"  ð& ðL  ðxï€`fՁ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 3ð°P0ðà ÿÿÿÿƒS ðZŸ ÔPhysical assault  76.2% (n = 295) Threat of assault  51.2% (n = 198) Emotional abuse  30% (n = 116) Verbal/sexual harassment  20.9% (n = 81) Sexual assault  1.6% (n = 6) Note. All 387 experienced aggression from dementia clients, but above numbers may include experiences of aggression from clients with other diagnoses as well (e.g., other psychiatric). ¡T± Pº P±´ªk  ð ÿÿÌ€€€`Z»àã33™™™™Ì"îï €" ¨ð ÐðPðˆð( ð ðPð® ðP  ðxï€@hՁ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 2ð€ðPðà ÿÿÿÿ ƒS ð⟠’Work setting, according to  dementia care and  other diagnoses samples¡J I ªJ  ðš² ðP0  ð4„å…AÁ  ?€‚¿ÀÁÄË5%ÌÍÎÐÑÒÓÔÕÖ×ÿ8c8c    ?€Ã¿Object 5"ñð€€`Ið(Á  à ÿÿÿÿƒSð ÿÿÌ€€€`Z»àã33™™™™Ì" î\ï €" üðôàðTðÜð( ð ðTð ðT  ðxhՁ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 2ðPPp ðà ÿÿÿÿ ƒS ð6Ÿ äMost frequent context of aggression within workplace, according to  dementia care and  other diagnoses samples¡ s r ªs  ðš² ðT0  ð4„å…AÁ  ?€‚¿ÀÁÄË5%ÌÍÎÐÑÒÓÔÕÖ×ÿ8c8c    ?€Ã¿Object 5"ñð@@vð(Á  à ÿÿÿÿƒSð ÿÿÌ€€€`Z»àã33™™™™Ì" î>ï €" ÞðÖððXð¾ð( ð ðXð+ ðX  ðxï€`iՁ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 2ð€°ÐPðà ÿÿÿÿ ƒS ð_Ÿ¨Most Distressing Incident¡ ª  ðS ðX  ðxï€iՁ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 3ð°P0ðà ÿÿÿÿƒS ð‡Ÿ¨?Never expected it: 33.5% (n=124) Just part of my job to be hit by clients: 26.1% (n=98) Feared for my life: 4.5% (n=17) Afraid of serious injury: 19.9% (n=75) Sleep disturbed by incident: 24.2% (n=91) Needed emotional support after: 22.7% (n=85) Want education to deal effectively with aggressive clients: 69.8% (n=264)¡@ @ª@  ð ÿÿÌ€€€`Z»àã33™™™™Ì"îÒï €" rðjð\ðRð( ð ð\ð8 ð\  ðxï€ jՁ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 2ð€°ÐPðà ÿÿÿÿ ƒS ðlŸ¨$Quotes from RNs Range of Experiences¡% %(ª%  ðÚ ð\  ðxï€ÀiՁ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 3ð°P0ðà ÿÿÿÿƒS ðŸ Æ I do not take their acts of aggression personally. I look at how can we decrease the threat that this client is experiencing so they do not feel the need to defend themselves.  & prolonged care& patients with dementia and other psychological problems, aggressiveness is always omnipresent with certain patients& aspect that I detest the most with my work. ¡d dªd  ð ÿÿÌ€€€`Z»àã33™™™™Ì"î×ï €" wðoð`ðWð( ð ð`ð1 ð`  ðxï€àjՁ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 2ð€°ÐPðà ÿÿÿÿ ƒS ðeŸ¨Quotes from RNs re: Knowledge¡ (ª  ðæ ð`  ðxjՁ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 3ð°P0ðà ÿÿÿÿƒS ðŸ Ò Staff that work with demented patients/residents should have proper training on how to handle aggressive behaviors.  There has been a course given on Alzheimer s disease and other dementias, which was helpful.  An important component of my knowledge base is how to deal with aggressive residents. Sometimes situations can be diffused, sometimes they cannot. ¡j jªj  ð ÿÿÌ€€€`Z»àã33™™™™Ì"îÈï €" hð` ðdðHð( ð ðdð6 ðd  ðxï€lՁ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 2ð€°ÐPðà ÿÿÿÿ ƒS ðjŸ¨"Quotes from RNs re: Intent to Hurt¡# #(ª#  ðÒ ðd  ðxkՁ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 3ð°P0ðà ÿÿÿÿƒS 🠾 dementia patients& no lasting emotional problems when they cause harm. Most distressing incident  manipulative staff member - vindictive, vengeful (reprimanded for poor treatment of elderly residents).  Some residents you can deal with because they do not know what they are doing or saying. Others I feel know better  so it is harder to deal with ¡` `ª`  ð ÿÿÌ€€€`Z»àã33™™™™Ì"î4ï €" ÔðÌ0ðhð´ð( ð ðhð8 ðh  ðxï€ mՁ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 2ð€°ÐPðà ÿÿÿÿ ƒS ðlŸ¨$Quotes from RNs re: Workplace Issues¡% %(ª%  ð< ðh  ðxï€ÀlՁ0e‚˜²ƒ0e„˜²…‡ˆ¿ÿ?€Ã¿Rectangle 3ð°P0ðà ÿÿÿÿƒS ðpŸ ( More RN staff would decrease safety issues with clients with dementia or other psychological problems.  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2001þÿÿÿFIBGMSGraph.Chart.8 €GÌ€B°""$"#,##0_);\("$"#,##0\)!"$"#,##0_);[Red]\("$"#,##0\)""$"#,##0.00_);\("$"#,##0.00\)'""$"#,##0.00_);[Red]\("$"#,##0.00\)7*2_("$"* #,##0_);_("$"* \(#,##0\);_("$"* "-"_);_(@_).))_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)?,:_("$"* #,##0.00_);_("$"* \(#,##0.00\);_("$"* "-"??_);_(@_)6+1_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_)1´ÿGeneva1´ÿGeneva1Èÿ¼Geneva1Xÿ¼Times1Dÿ¼Times1†ÿ¼Times1Tÿ¼Times1ÿ¼Times1hÿTimes1^ÿTimes1@Times1hTimes=°HD˜+#,0#0._0…sëzðrð83 𿁠ÀM@ñ  ÷ €€GÌ€h à$`hh à$`hh €K5(h Ù5E)hh €K5(h ¬8’â8ÿÿÿÝ·Ôüóò„«êdq:F¥€€ÀÀÀ€€€»àã33™™™™Ì€€€`ZfÌÌÌÿÿÿÿÿÿÿÿÿÿ€€ÿÌÿÌÿÿÌÿÌÿÿ™™Ìÿÿ™ÌÌ™ÿÿÌ™3fÿ3ÌÌ™ÌÿÌÿ™ÿfff™–––3f3™f333™3™3f33™333\ÿÿÌR3Œ&$€$@$ $à$ STU/&Nursing home/ long term care4+General hospital / air ambulance / dialysis( Integrated facility$ Other work setting''Dementia Care' sample (n=387)K@>@ffffff&@ÍÌÌÌÌÌ@) 'Other Diagnoses' sample (n=813)%@ffffffH@ffffff@ÍÌÌÌÌ B@W= :>X4ìÈð\ððDð( ðeRetomccA sse ððx¢ ð “ ð6€xÙÉ/…¿  ¿ÀMÿ¿ð[Œ® ˜ð]É/xÙÇ/@ì ð¶><? Source: 2001-2002 Nursing in Rural and Remote Canada Survey < £>ìŒðŒ¢ ð £ ð<€ÐÉ/…ˆ¿  ¿ÀMÿ¿"ñ¿ ð~Xá_ð]É/ÐÇ/Ä@ì ð¶<Percent< 6ÐIìèÿ\Øÿ3 d€Qö 3Q€ "'Dementia Care' sample (n=387)Q€Q€Q€ÿÿ3_ O ÌÌÿ™™  MMd 4E4 3Q€ $ 'Other Diagnoses' sample (n=813)Q€Q€Q€ÿÿ3_4E4D$% íÿÿÿáÿÿÿ±M3O&Q4$% íÿÿÿáÿÿÿ±M3O&Q4FAgå /3Oiå 03 bïPP PWZZ/ô’@üûù/ô{èüûùüûùüûùüûù/¶‘à:/º»°üûùûü÷üûùüû÷üû÷üûùûü÷üûùüûùüûùüûùüûùüûùüûùüûùüûùüûùüû÷üûùüûùüûùüû÷üû÷üûù/º»°/º»Àüûùüû÷üûùüûùüûùüûùüûùüûùüû÷düû÷/º»À/·Ñ/¶‘à/¶Ñ(<›•Ðÿÿü <›‘ þÿ þÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿýÿÿÿþÿÿÿþÿÿÿ þÿÿÿþÿÿÿþÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿRÿÿÿÿÿÿÿÿÀFuâƒÄÀOle ÿÿÿÿÿÿÿÿÿÿÿÿCompObjÿÿÿÿUWorkbookÿÿÿÿÿÿÿÿšþÿÿÿþÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿþÿÿÿÿÿÀFMicrosoft Graph 2001þÿÿÿFIBGMSGraph.Chart.8 €GÌ€B°""$"#,##0_);\("$"#,##0\)!"$"#,##0_);[Red]\("$"#,##0\)""$"#,##0.00_);\("$"#,##0.00\)'""$"#,##0.00_);[Red]\("$"#,##0.00\)7*2_("$"* #,##0_);_("$"* \(#,##0\);_("$"* "-"_);_(@_).))_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)?,:_("$"* #,##0.00_);_("$"* \(#,##0.00\);_("$"* "-"??_);_(@_)6+1_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_)1´ÿGeneva1´ÿGeneva1Èÿ¼Geneva1Xÿ¼Times1Xÿ¼Times1ÿ¼Times1ÿ¼Times1rÿ¼Times1ÿ¼Times1hÿTimes1hÿTimes1@Times1hTimes=°HD˜+#,0#0._0…¬ëšð’ðX( 3 𿁠ÀM@ñ  ÷ €€GÌ€h à$`hh à$`hh ÿN(@h ¤B´(h ê<™'hh ¤B´(h ¬8’â8ÿÿÿÝ·Ôüóò„«êdq:F¥€€ÀÀÀ€€€»àã33™™™™Ì€€€`ZfÌÌÌÿÿÿÿÿÿÿÿÿÿ€€ÿÌÿÌÿÿÌÿÌÿÿ™™Ìÿÿ™ÌÌ™ÿÿÌ™3fÿ3ÌÌ™ÌÿÌÿ™ÿfff™–––3f3™f333™3™3f33™333\ÿÿÌR3Œ&$€$ $ $à$ STU Admission Personal careSocial activityTalking to client) Unprovoked - no care being given Other context''Dementia care' sample (n=387)fffffQ@à?ÍÌÌÌÌÌ#@@333333.@) 'Other diagnoses' sample (n=812)ffffff@ffffff5@333333ã?33333³<@š™™™™™)@ÍÌÌÌÌL=@W= :>X4ìÈð\ððDð( ðeRetomccA sse ððx¢ ð “ ð6€°ÎÉ/…¿  ¿ÀMÿ¿ð‹n¸  ð]É/°ÎÇ/Ì7ì ð¶><? Source: 2001-2002 Nursing in Rural and Remote Canada Survey < £>ìŒðŒ¢ ð £ ð<€ÐÇÉ/…ˆ¿  ¿ÀMÿ¿"ñ¿ ð 2‚ð]É/ÐÇÇ/x8ì ð¶<Percent< 6èÿ\Øÿ3 d 3Q€ "'Dementia care' sample (n=387)Q€Q€Q€ÿÿ3_ O ÌÌÿ™™  MMd 4E4 3Q€ $ 'Other diagnoses' sample (n=812)Q€Q€Q€ÿÿ3_ O ™™™™  MMd 4E4D$% íÿÿÿáÿÿÿ±M3O&Q4$% íÿÿÿáÿÿÿ±M3O&Q4FAg „3Oi †3 bïPP PWZZ/ô’@/År¨/ô{è/Åw0/Åyt/Å{¸/Å}ü/¶‘À:/º»/Å‹ /ōð/Ő@/Å’/Å”à/Å—0/Å™€/Å›Ð/Åž /Å p/Å£,/Å¥è/Ũ¤/Å«`/Å®/Å°Ø/ų”/ŶP/Ź /Å»È/ž„/ÅïH/Åò/ÅôÀ/º»/º» /Åüô/Åÿ°/Æl/Æ(/Æä/Æ À/Æ Œ/ÆD/ÅÁ@d/ÅD@/º» /·Ðà/¶‘À/¶Ñ<›•Ðÿÿü <›‘ /¸,/ÅI˜u]€/ÅìØ/º¶ÿÿÿÿ|,/¸,/ÅI˜Š/Æ(/º¶" °/Åá$#/ÅáX!/Åá #´ø/¸,/ÅKø'‚/Åã /º¶'" 4/Åâd#R R R RR RV Vdô/M& ! M ÿÿÌNMSS43*T@$@#M& ! M! 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ô ü $ , äOn-screen Show (4:3)University of Saskatchewan0’ü TimesArial SLide masterMicrosoft Graph ChartMicrosoft Graph 2001 Chart6 Workplace Safety in Rural Dementia Care Settings :The Nature of Nursing Practice in Rural and Remote CanadaThe Study Components,Principal Investigators and Decision-makerCo-InvestigatorsAdvisory Team MembersPowerPoint Presentation%Funding Partners (Total - $592,000)Survey MethodSurvey Response Rate = 68%:Sample Response Rates by Province and Territory (N=3933)'Person-Environment Fit (Dementia Care)ÿ“In the past 4 weeks that you worked, did you experience any of the following while carrying out your responsibilities as a nurse?” a) Physical assault b) Threat of assault c) Emotional abuse d) Verbal/sexual harassment e) Sexual assaultAPerpetrator of aggressive episode (n = 1738; 44.6% of N = 3894) [Patient/client was a perpetrator of at least one ‘aggressive episode’ experienced by nurse0Primary diagnosis of patient/client perpetratorPowerPoint 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