A Novel Simulation-Based Multidisciplinary Verbal De-escalation Training

Area of Science:

• Healthcare Management
• Patient Safety
• Emergency Medicine

Background:

• Agitated patients pose significant risks of harm to hospital staff.
• Healthcare workers experience high rates of workplace violence.
• Effective de-escalation techniques are crucial for managing patients who are a danger to themselves or others.

Purpose of the Study:

• To improve education and communication among hospital staff regarding verbal de-escalation.
• To reduce incidents of workplace violence in a surgical unit setting.

Main Methods:

• A 90-minute simulation-based multidisciplinary curriculum was developed.
• The curriculum included didactic discussion, simulation, and debriefing.
• Learners comprised nurses, patient service associates, and protective services officers.

Main Results:

• Over 97% of learners reported increased confidence in managing agitated patients post-training.
• The Management of Aggression and Violence Attitude Scale (MAVAS) showed a trend towards recognizing the importance of clear communication and role clarity.
• The training positively impacted learners' attitudes towards managing aggressive patient behaviors.

Conclusions:

• A combined approach of didactic teaching and simulated experience enhances confidence, communication, and teamwork.
• This training is effective in improving the management of agitated patients in a community hospital surgical unit.
• Simulation-based learning is a valuable tool for enhancing staff preparedness in handling challenging patient interactions.