[Participative development and evaluation of a multimodal concept for violence prevention (PEKo) : Analysis of the...

Violence in nursing care is a frequent phenomenon both towards nurses and towards care recipients. In Germany, there is a lack of scientifically developed and evaluated interventions and concepts for the prevention of violence. The aim of this study is to analyze the implementation of the participative development and evaluation of a multimodal concept for violence prevention (PEKo) project in three settings.

The aim of the project is to develop and implement facility-specific measures by multiprofessional teams. To evaluate the success of the implementation, quantitative data from an employee survey and process data regarding implementation fidelity, dose and outreach of PEKo were analyzed.

The PEKo was implemented between 2021 and 2023 in 42 nursing homes, 7 outpatient care services and 12 hospitals. All components were offered and were implemented in the majority of outpatient care services and hospitals and in approximately half of the nursing homes. A total of 91 measures were implemented in the facilities during the intervention period, 443 employees took part in the survey and reported more exchange and changes in dealing with violence.

The PEKo appears to promote awareness and confidence in all settings. Limitations were observed in terms of fidelity in the long-term inpatient care. The results suggest that continuous external support is crucial for sustainable implementation. The active involvement of care recipients should be given greater consideration in interventions.