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  • 1Robin G. Brown is manager of environment of care safety and emergency preparedness; Shauna Anderson is a unit director of nursing; Trish Enos is system director of performance improvement and quality assurance; and Keith Blough is chief of protective services and police-all at Summa Health System, Akron, OH. Barbara Brunt is an education consultant with Brunt Consulting Services, also in Akron, and Denise Kropp is a research associate, family and community medicine, at Northeast Ohio Medical University, Rootstown. Contact author: Robin G. Brown, brownr@summahealth.org. The authors have disclosed no potential conflicts of interest, financial or otherwise.

The American Journal of Nursing
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Summary
This summary is machine-generated.

Healthcare workers can better respond to workplace violence through comprehensive training. This program combines classroom learning, realistic simulations, and self-defense, significantly improving preparedness and performance.

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Area of Science:

  • Healthcare safety
  • Occupational health
  • Emergency preparedness

Background:

  • Workplace violence in healthcare settings is a growing national concern.
  • An interdisciplinary team developed a training model to address this issue.
  • The initial model included classroom learning, simulation, and self-defense.

Purpose of the Study:

  • To develop and pilot a comprehensive training program for healthcare professionals to address workplace violence.
  • To evaluate the effectiveness of the revised training program, Violence: enABLE Yourself to Respond.
  • To assess improvements in employee preparedness and performance in simulated violent scenarios.

Main Methods:

  • Development and piloting of a revised training program: Violence: enABLE Yourself to Respond.
  • Inclusion of classroom learning, four distinct five-minute simulation scenarios (escalating behavior to active shooter), and debriefing.
  • Utilized standardized participants and pre- and post-training self-evaluations and expert performance evaluations.

Main Results:

  • Statistically significant positive difference in participants' self-perceived preparedness.
  • Statistically significant improvement in experts' evaluation of participants' performance.
  • Demonstrated effectiveness of the combined classroom and simulation training approach.

Conclusions:

  • The Violence: enABLE Yourself to Respond training program is an effective, evidence-based method for preparing healthcare employees to respond to workplace violence.
  • The training enhances both perceived preparedness and actual performance in simulated critical incidents.
  • The model, designed for acute care, is adaptable to other settings and beneficial for personal and professional life.