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Perhaps due to the complexities of the problem of aggression and violence, and to ethical issues relating to the mental health areas where much of the work is focused, it is the perspective of staff working in those areas that is most commonly sought in research studies. In contrast, tools to examine the patient's view are rare. In this paper Joy Duxbury describes the piloting and development of a new tool, which aimed to survey the views of both patients and staff about the broader approaches used to manage patient aggression. This became the 'Management of Aggression and Violence Attitude Scale' (MAVAS), and the testing of this tool is the focus of this paper. [ABSTRACT FROM AUTHOR]

Carers of people with dementia should embrace the philosophy of person-centred care and understand that social and psychological aspects of care are as important as physical care. This article discusses a three-component model that identifies the personal qualities that carers should ideally possess to deliver person-centred care to people with dementia. These qualities are empathy with the person, person-centred attitudes and a compassionate approach. The intention is that these will induce a state of cognitive security in people with dementia and enhance their sense of wellbeing. The article defines each of the personal qualities and details their component parts. It explores why person-centred care can often be difficult to achieve in practice, as well as the role of education in its promotion.

The recent report of the Confidential Inquiry into Homicides and Suicides by Mentally Ill People (the Boyd report) compiled for the government, and the imminent publication of the Mental Health Patient's Charter, highlight national concern over the provision of care for this group of people. This article examines some of the dilemmas facing mental health nurses when caring for patients under detention orders and evaluates guidelines and recommendations which can aid the nurse in providing appropriate care.

This is the last article in our series of three looking at sleep in hospitals and the role of the night nurse. This article discusses why night nurses sometimes feel they are undervalued and unappreciated by the nursing profession. The application of primary nursing is also reviewed and presented as a possible solution to the overroutinisation of night nursing.

The second article in our series on patients' sleep and night nursing explores the reasons why patients may have difficulty in sleeping in hospital. The author looks at the various definitions and classification of insomnia and identifies the most likely causes of a disturbed night's sleep in hospital.

This is the first article in a series of three looking at patients' sleep in hospitals. This article explores the nature of sleep and reviews the various theories that have been put forward to explain why we need to sleep. The other two articles will concentrate on sleep disorders and hospitalisation, and the role of the night nurse.