APPLICATION OF DE-ESCALATION NURSING INTERVENTIONS WITH EMOTIONAL EXPERIENCE WRITING IN CLIENTS WITH RISK OF VIOLENT BEHAVIOR

Galuh Tyas Wijiastuti

doi:10.37430/jen.v7i1.181

APPLICATION OF DE-ESCALATION NURSING INTERVENTIONS WITH EMOTIONAL EXPERIENCE WRITING IN CLIENTS WITH RISK OF VIOLENT BEHAVIOR

Galuh Tyas Wijiastuti

Abstract

The risk of violent behavior in nursing diagnosis is usually arise because of aggressiveness which is often associated with people with schizophrenia. Affects and emotions in schizophrenic patients affect behaviors such as hand and body movements, facial expressions, and tone of voice that can be seen clearly when a person expresses and experiences feelings and emotions. This study aims to analyze the effectiveness of applying de-escalation with expressive writing exercises in reducing signs and symptoms of risk of violent behavior. The client is a 23-year-old woman with schizophrenia. The therapy given is generalist nurse intevention and by applying Emotional Experience Writing as a form of de- escalation. Emotional Experience Writing is part of expressive therapy that is used to help recovery and improve mental health. Emotional Experience Writing is one of the intervention techniques developed from expressive writing therapy techniques used in counseling, psychotherapy, and rehabilitation. The procedure for implementing emotional experience writing is also based on expressive writing, which is oriented towards disclosing the emotional experiences experienced. The evaluation was carried out using an evaluation sheet for signs and symptoms of risk of violent behavior developed by the Department of Psychiatric Nursing, Faculty of Nursing, University of Indonesia. The results of this study indicate that the application of Emotional Experience Writing is effective in reducing the signs and symptoms in client with the risk of violent behavior. Emotional Experience Writing exercises are recommended to be an alternative de-escalation intervention, especially for clients with the risk of violent behavior.

Keywords

Key words: Emotional Experience Writing, Risk of Violent Behavior, Schizophrenia

Full Text:

PDF

References

Barcaccia, B., Schaeffer, T., Balestrini, V., Rizzo, F., Mattogno, F., Baiocco, R., Mancini, F., & Schneider, B. H. (2017). Is expressive writing effective in decreasing depression and increasing forgiveness and emotional wellbeing of preadolescents? Terapia Psicológica, 35(3). https://doi.org/10.4067/s0718- 48082017000300213

DeWall, C. N., Finkel, E. J., & Denson, T. F. (2011). Self-Control inhibits Aggression. Social and Personality Psychology Compass 5(7), 458-472.

Fahrizal, Y., Mustikasari, M., & Daulima, N. H. C. (2020). Changes in the Signs, Symptoms, and Anger Management of Patients with A Risk of Violent Behavior After Receiving Assertive Training and Family Psychoeducation Using Roy's Theoretical Approach: A Case Report. Indonesian Journal of Nursing, 23(1), 1-14. https://doi.org/10.7454/jki.v23i1.598

Fazel, S., Gulati, G., Linsell, L., Geddes, J. R., & Grann, M. (2019). Schizophrenia and violence: Systematic review and meta-analysis. In J. McGrath (Ed.), PLoS Medicine (Vol. 6, Issue 8, p. e1000120). Public Library of Science. https://doi.org/10.1371/journal.pmed.1000120

Gogtay, N., Vyas, N.S., Testa, R., Wood, S.J., & Pantelis, C. (2011).Age of onset of schizophrenia: Perspectives from structural neuroimaging studies. Schizophrenia Bulletin, 37, 504-513.

Indonesian Ministry of Health. (2019). Mental Health Situation in Indonesia. Jakarta: INFODATIN Center for Data and Information Ministry of Health RI

Institute for Health Metrics and Evaluation. (2019). Number of People with Schizophrenia, 1990-2019. Retrieved fromOurWorldinData: https://ourworldindata.org/grapher/number-of-people-with-schizophrenia- country?tab=chart&country=~IDN

Kurniawan, Y., & Kumolohadi, R. (2015). Spiritual-Emotional Writing Therapy on Subjects Experiencing Moderate Depressive Episode with Somatic Symptoms. HUMANITAS Vol 12. No.2, 142-157

Keliat, B. A., & Akemat. (2011). Mental Health CMHN Communities (Basic Course). EGC Medical Book Publisher.

Keliat, B. A., Hamid, A. Y., Putri, Y. S. E., Daulima, N. H. C., Wardani, I. Y., Hargiana, G., & Panjaitan, R. U. (2019). Mental nursing care. EGC

Keliat, B. A., Hamid, A. Y., Eka Putri, Y. S., Daulima, N. H., Wardani, I. Y., Susanti, H., . . . Panjaitan, R. U. (2021). Mental Nursing Care. Jakarta: EGC Medical Book Publisher

NANDA. (2018). Nursing Diagnoses Definitions and Classification 2018-2020 Eleventh Edition. New York: Thieme.

Nisaa, C., Masruroh, F., & Praktikto, H. (2022). Expressive Wriitg Therapy to Improve Self Disclosure Ability in Paranoid Schizophrenia Patients. Ar-Risalah: Islamic Media, Education and Islamic Law Volume XX Number 1 in 2022.

Nurmaliza, T. H. (2022). Emotional experience writing to increase resilience to stress in adolescents. Gadjah Mada Journal of Professional Psychology (GamaJPP), 8(1), 35. https://doi.org/10.22146/gamajpp.73566

Pardede, J. A. (2021). Self-Efficacy and the Role of Family in Relating to the Frequency of Recurrence of Schizophrenia Patients. Journal of Mental Nursing Science, 4(1), 57-66

Pennebaker, J. W. (1985). Traumatic experience and psychosomatic disease: Exploring the roles of behavioral inhibition, obsession, and confiding. CanadianPsychology/PsychologieCanadienne , 26(2). https://doi.org/10.1037/h0080025

Pennebaker, J. W., & Chung, C. K. (2012). Expressive Writing: Connections to Physical and Mental Health. In The Oxford Handbook of Health Psychology. https://doi.org/10.1093/oxfordhb/9780195342819.013.0018

Pennebaker, J. W., & Chung, C. K. (2008). Pennebaker, J.W., & Chung, C.K. (in press). Expressive writing, emotional upheavals, and health. In H. Friedman and R. Silver (Eds.),. British Journal of Health Psychology, 13(Pt 1).

Pennebaker, J. W., & Seagal, J. D. (1999). Forming a story: The health benefits of narrative. JournalofClinicalPsychology, 55(10). https://doi.org/10.1002/(SICI)1097-4679(199910)55:10<1243::AID- JCLP6>3.0.CO;2-N

Peni, Purwanti. Mukhripah, Damaiyanti (2018). Analysis of Mental Nursing Clinical Practice on Mrs. Y with the Intervention of Writing Therapy Innovation of Emotional Experience on Violent Behavior in Punai Room, Atma Husada Mahakam Samarinda Regional Mental Hospital 2018.

Pertiwi, N. Y. (2019). Application of Deep Breath Physical Exercise and Pillow Punch Technique to Reduce Signs of Cognitive Symptoms in Early Psychosis Clients. University of Indonesia

Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. (2013). Fundamentals of Nursing (8th ed.). Elsevier

Data and Information Center of the Indonesian Ministry of Health. (2019). Mental Health Situation in Indonesia. Jakarta: KEMENKES RI.

Sanjani, Resi Saf. (2022) Differences in emotional handling in terms of the results of emotional experience writing (exprit) intervention between male and female adolescents in orphanages. Muhammadiyah University of Pontianak

Schoenmakers, E. C., van Tilburg, T. G., & Fokkema, T. (2015). Problem-Focused and Emotion-Focused Coping Options and Loneliness: How Are They Related? European Journal of Ageing, 12, 153-161

Shives, L.R. (2012) Basic Concepts of Psychiatric Mental Health Nursing. Wolters Kluwer, Florida.

Stuart, G. W. (2013). Principles and practice of psychiatric nursing (10th ed.). Elsevier.

Stuart, G. W. (2016). Stuart's Principles and Practice of Mental Health Nursing (B. Keliat & J. Pasaribu (eds.); 1st ed.). Elsevier

Tonarelli, A., Cosentino, C., Artioli, D., Borciani, S., Camurri, E., Colombo, B., D'Errico, A., Lelli, L., Lodini, L., & Artioli, G. (2017). Expressive writing. A tool to help health workers. Research project on the benefits of expressive writing. Acta Biomedica, 88. https://doi.org/10.23750/abm.v88i5-S.6877

Videback, S. L. (2013). Psychiatric Mental Health Nursing. Philadelphia: Wolters Kluwer Health

DOI: https://doi.org/10.37430/jen.v7i1.181