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TESTING AN INTERVENTION TO INCREASE SELF-EFFICACY OF STAFF IN MANAGING CLIENTS PERCEIVED AS VIOLENT

MCINTOSH, DIANA
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1069786693

Abstract Details

2003, PhD, University of Cincinnati, Nursing : Doctoral Program in Nursing.
The purpose of this quasi-experimental study was to examine the effect of a nonviolent crisis intervention program on the perceived self-efficacy of community mental health center staff. The research was guided by Social Cognitive Theory, using the construct of self-efficacy, which is belief in one’s capabilities (Bandura, 1986). Crisis intervention self-efficacy, along with seven other variables believed to influence crisis intervention self-efficacy were investigated: anxiety arousal, avoidant behavior, interpersonal self-efficacy, participant behavior, perceived risk, personal vulnerability, and risk discernment. The sample was non-randomized and consisted of 90 multidisciplinary mental health staff conveniently selected from two community mental health centers. The experimental group (n. = 56) received The Nonviolent Crisis Intervention® training program targeted toward managing potentially violent clients; the control group (n = 34) received no training. Data were collected using self-administered questionnaires immediately prior to the training, at the conclusion of the training, and six months later. The ANOVA showed there was a significant main effect for group (F [1,80] = 0.16, p < 0 .01, h =.15) and for time (F [1,80] = 10.17, p < .01. h=.11). Subjects who participated in the training demonstrated greater self-efficacy when compared to the subjects who did not have the training, and subjects who participated in the training increased their self-efficacy mean scores over time. Path analysis revealed a causal structure with interpersonal self-efficacy, risk discernment, and anxiety impacting personal vulnerability that mediated perceived risk, ultimately influencing crisis intervention self-efficacy. The results suggest community mental health staff that received the non-violent crisis training professed greater confidence in their ability to manage potentially violent clients. Perceived risk and interpersonal self-efficacy appear to directly influence crisis intervention self-efficacy. The staff’s increased confidence as a result of on-going training is significant given that prevalence of workplace violence has risen in the health care setting over the past ten years. This increased confidence and awareness of strategies for intervention should result in decreased injury/harm to both clients and staff. Additional research on crisis intervention self-efficacy and its impact on reduction of incidence of workplace violence is recommended to strengthen these findings.
Dr. Evelyn Fitzwater (Advisor)
149 p.
self-efficacy; crisis intervention; community mental health; potentially violent clients; training

Recommended Citations

Citations

  • MCINTOSH, D. (2003). TESTING AN INTERVENTION TO INCREASE SELF-EFFICACY OF STAFF IN MANAGING CLIENTS PERCEIVED AS VIOLENT [Doctoral dissertation, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1069786693

    APA Style (7th edition)

  • MCINTOSH, DIANA. TESTING AN INTERVENTION TO INCREASE SELF-EFFICACY OF STAFF IN MANAGING CLIENTS PERCEIVED AS VIOLENT. 2003. University of Cincinnati, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1069786693.

    MLA Style (8th edition)

  • MCINTOSH, DIANA. "TESTING AN INTERVENTION TO INCREASE SELF-EFFICACY OF STAFF IN MANAGING CLIENTS PERCEIVED AS VIOLENT." Doctoral dissertation, University of Cincinnati, 2003. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1069786693

    Chicago Manual of Style (17th edition)

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This open access ETD is published by University of Cincinnati and OhioLINK.