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Using a Behavioral Response Team on Non-Psychiatric Nursing Units
Deborah Dahnke1, Malissa A Mulkey2
1Duke University Hospital, Durham, NC.
Summary
Aggressive patient behaviors pose risks to nursing staff. Behavioral Emergency Response Teams (BERTs) effectively support nurses managing challenging patient conduct on non-psychiatric units.
Area of Science:
- Healthcare Management
- Nursing Practice
- Patient Safety
Background:
- Nursing staff frequently encounter verbal and physical assaults from patients.
- Non-psychiatric units often lack specialized training for managing aggressive patient behaviors.
- Inadequate support can lead to staff stress and burnout.
Purpose of the Study:
- To evaluate the effectiveness of Behavioral Emergency Response Teams (BERTs) in supporting nursing staff.
- To assess the impact of BERTs on managing patients with negative behaviors.
- To provide evidence for implementing BERTs in general hospital settings.
Main Methods:
- Review of existing literature on BERT interventions.
- Analysis of incident reports involving nursing staff and aggressive patients.
- Comparative study of units with and without BERT support.
Main Results:
- BERTs have demonstrated significant success in de-escalating aggressive patient behaviors.
- Nursing staff reported increased confidence and reduced stress when supported by BERTs.
- Implementation of BERTs led to improved safety for both staff and patients.
Conclusions:
- Behavioral Emergency Response Teams (BERTs) are a crucial resource for enhancing safety and support for nursing staff.
- Integrating BERTs into non-psychiatric units can mitigate risks associated with patient aggression.
- Further research should explore long-term impacts and cost-effectiveness of BERT programs.
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