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Heading off violence with verbal de-escalation.

S Stevenson1

  • 1Kino Community Day Hospital/CRC, Tucson, AZ 85713.

Journal of Psychosocial Nursing and Mental Health Services
|September 1, 1991
PubMed
Summary

Therapeutic communication skills help nurses manage patient agitation and prevent physical confrontation. Effective communication respects patient dignity, promotes cooperation, and de-escalates aggression, leading to better treatment outcomes.

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Area of Science:

  • Nursing
  • Patient Communication
  • Behavioral Health

Background:

  • Therapeutic communication is essential for patient care.
  • Effective communication respects patient dignity and rights.
  • Nurses must manage personal stress to effectively support patients.

Purpose of the Study:

  • To outline the principles of effective therapeutic communication in nursing.
  • To emphasize the importance of nurse self-awareness and self-control.
  • To provide strategies for de-escalating patient agitation and preventing physical confrontation.

Main Methods:

  • Observing patient behavior to detect early signs of agitation.
  • Practicing self-control and maintaining a calm, professional demeanor.
  • Utilizing open-mindedness to understand patient reactions and assumptions.
  • Identifying and presenting acceptable alternatives to aggression, respecting patient choice.

Main Results:

  • Early detection of agitation allows for timely intervention, avoiding physical restraints.
  • A calm, caring approach by nurses can de-escalate potentially violent situations.
  • Empowering patients with choices promotes self-control and cooperation.
  • Minimizing physical force is crucial for effective treatment and reducing aggression.

Conclusions:

  • Therapeutic communication is key to respecting patient dignity and rights.
  • Nurses' self-management and observational skills are vital for patient safety.
  • Effective communication strategies reduce aggression and enhance patient cooperation in treatment.

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