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Implementation of an Education Program to Mitigate Inpatient Disruptive Behavior

Joyce, Sherri Marie
http://orcid.org/0000-0002-8804-087X
http://rave.ohiolink.edu/etdc/view?acc_num=msjdn1588683839397587

Abstract Details

2020, Doctor of Nursing Practice, Mount St. Joseph University, Department of Nursing.
Hospital medical surgical units are experiencing an increase in aggression from patients resulting in increased injuries to health care team members nationally and locally. On one local medical surgical unit, incident reports were made on 10 violent patient occurrences within a two year time period. Leadership recognized the need to provide team members education for mitigating aggressive behaviors. A literature review was conducted to examine interventions effective in managing aggressive or disruptive patients. Effective communication techniques and mitigation strategies have been demonstrated to decrease patient aggression, increase team member confidence levels in managing patient aggression, and to decrease team member injuries. The DNP project focused on four voluntary education sessions in a week period on a local medical surgical unit to teach team members on de-escalation techniques, therapeutic communication, mindful awareness, dementia care tips, and knowing when to exit. A confidence scale instrument was used before the education, immediately after the education, and 30 days post education. In addition, injuries to health care team members from patients was reviewed and analyzed from before and after the project to measure effectiveness of the education sessions. The results of the DNP project did support the evidence that education classes on mitigating disruptive patient behaviors increased team members’ confidence level scores immediately after the education and the confidence level scores sustained in 30 days. The team member injuries from patients also decreased. The findings indicate a need to educate other medical surgical units, and to further disseminate through national conferences.
Nancy Hinzman, Dr (Advisor)
68 p.
Nursing
patient aggression; de-escalation; crisis intervention; disruptive behaviors; workplace violence

Recommended Citations

Citations

  • Joyce, S. M. (2020). Implementation of an Education Program to Mitigate Inpatient Disruptive Behavior [Doctoral dissertation, Mount St. Joseph University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=msjdn1588683839397587

    APA Style (7th edition)

  • Joyce, Sherri. Implementation of an Education Program to Mitigate Inpatient Disruptive Behavior. 2020. Mount St. Joseph University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=msjdn1588683839397587.

    MLA Style (8th edition)

  • Joyce, Sherri. "Implementation of an Education Program to Mitigate Inpatient Disruptive Behavior." Doctoral dissertation, Mount St. Joseph University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=msjdn1588683839397587

    Chicago Manual of Style (17th edition)

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