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Evaluating a Workplace Violence Management Program and Nurses' Confidence in Coping With Patient Aggression
Sheryl A Emmerling1, Jeremy S McGarvey, Kaitlyn S Burdette
1Author Affiliations: Director of Clinical Practice and Research (Dr Emmerling), Senior Statistician (McGarvey), OSF HealthCare, Peoria, IL; and Manager of Professional Practice and Education (Burdette), OSF HealthCare Saint Elizabeth Medical Center, Ottawa, and OSF HealthCare Saint Paul Medical Center, Mendota, Illinois.
Objective:
The purpose of this study was to evaluate nurse confidence in coping with patient aggression after implementing a workplace violence prevention program that includes management and postevent support.
Background:
Patient aggression toward nurses is increasing, leading many healthcare organizations to develop workplace violence prevention programs.
Methods:
This cross-sectional study was conducted at a large healthcare system in the Midwestern United States. Clinical nurses caring for adult patients across the care continuum ≥51% of the time were invited to participate.
Results:
In situ simulation plus standard training did not have a significant impact on confidence after controlling for the year education occurred; however, nurses completing training in 2022 had significantly higher confidence than nurses completing training in 2019. Use of the Violence Assessment Tool and participating in a post-control alert debriefing were also associated with significantly higher confidence.
Conclusion:
Factors other than education may influence nurses' confidence in coping with patient aggression.
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