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Effectiveness of De-Escalation Education on Nurses' Confidence and Aggressive Patient Outcomes

Stine, Elizabeth B
http://orcid.org/0000-0002-3133-7349
http://rave.ohiolink.edu/etdc/view?acc_num=msjdn1588520157526246

Abstract Details

2020, Doctor of Nursing Practice, Mount St. Joseph University, Department of Nursing.
Executive Summary Workplace violence has become a priority safety concern in health care settings today. Health care providers are exposed to workplace violence more than any other profession. Statistically, 50% of all health care providers have experienced verbal aggression and 25% have been physically assaulted by an aggressive patient. Exposure to patient aggression is associated with major consequences to hospitals and patients through increased injury, loss of productivity, psychological distress, medical costs, reduced job satisfaction, and higher turnover rates. Several studies have been conducted to determine the most effective interventions for managing patient aggression within the hospital setting. Evidence strongly supports de- escalation as the first-line intervention to reduce patient aggression directed toward health care providers. While de-escalation techniques have been shown to be effective in managing violent incidents, most studies on patient aggression have only evaluated its impact in psychiatric and emergency care settings. Due to challenges associated with the costs of training and time constraints, this DNP project focused on educating registered nurses (RNs) about de-escalation techniques in order to safely manage patient aggression on the renal unit at a large metropolitan hospital in Cincinnati, Ohio between September 5, 2019 and December 2, 2019. The findings of this DNP project supported the empirical evidence showing that an educational intervention on a medical-surgical unit can result in increased competence in nurses applying de-escalation strategies in clinical practice, leading to reduced aggressive events and better health outcomes. Evidence suggests that dissemination of this project’s results and a trial of the educational intervention on other medical-surgical units would be beneficial. Further, sustainability can be promoted through providing annual de-escalation education to staff. Plans for future dissemination include publication and presentation at national conferences.
Laura Valle, DNP (Advisor)
135 p.
Nursing
aggression management; de-escalation techniques; workplace violence; violent patients; managing patient aggression; nursing confidence; de-escalation

Recommended Citations

Citations

  • Stine, E. B. (2020). Effectiveness of De-Escalation Education on Nurses' Confidence and Aggressive Patient Outcomes [Doctoral dissertation, Mount St. Joseph University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=msjdn1588520157526246

    APA Style (7th edition)

  • Stine, Elizabeth. Effectiveness of De-Escalation Education on Nurses' Confidence and Aggressive Patient Outcomes. 2020. Mount St. Joseph University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=msjdn1588520157526246.

    MLA Style (8th edition)

  • Stine, Elizabeth. "Effectiveness of De-Escalation Education on Nurses' Confidence and Aggressive Patient Outcomes." Doctoral dissertation, Mount St. Joseph University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=msjdn1588520157526246

    Chicago Manual of Style (17th edition)

msjdn1588520157526246
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This open access ETD is published by Mount St. Joseph University Dept. of Nursing and OhioLINK.