Evaluating the effectiveness of a CRSCE-based de-escalation training program among psychiatric nurses: a study...

Area of Science:

• Nursing
• Mental Health
• Clinical Psychology

Background:

• Workplace violence (WPV) is prevalent in mental health settings, negatively impacting nurses.
• De-escalation (DE) training offers strategies to manage WPV, but evidence of its effectiveness is limited.
• Existing studies on DE training effectiveness have design limitations and small sample sizes.

Purpose of the Study:

• To evaluate the effectiveness of a Communication, Response, Solution, Care, and Environment (CRSCE)-based DE training program for psychiatric nurses.
• To assess the impact of DE training on WPV incidence, injuries, and coercion rates.
• To examine the effects of DE training on nurses' DE capacity, confidence, job burnout, and quality of life.

Main Methods:

• Cluster randomized controlled trial with a 6-month follow-up conducted in psychiatric hospitals in Guangdong, China.
• Intervention group received routine training plus CRSCE-based DE training; control group received routine training only.
• Primary outcomes: WPV incidence, injuries, and coercion. Secondary outcomes: DE capacity, confidence, burnout, and quality of life.

Main Results:

• The study is designed to provide trial-based evidence on the efficacy of DE training.
• Expected outcomes include a reduction in WPV incidence and its negative impacts.
• Anticipated improvements in psychiatric nurses' coping skills and confidence in managing WPV.

Conclusions:

• DE training is a promising intervention for mitigating WPV in psychiatric settings.
• The study will offer evidence to support the implementation of DE training for nurses.
• Effective DE training can enhance nurse safety and well-being in mental health care.