A narrative review of the effectiveness of aggression management training programs for psychiatric hospital staff

Livingston, James; Verdun-Jones, Simon N.; Brink, Johann; Lussier, Patrick; Nicholls, Tonia L.

doi:10.1111/j.1939-3938.2009.01061.x

Cited by 45 publications

(41 citation statements)

References 45 publications

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“…No consideration was given to the extent and content of employee training and support. Studies and reviews are now available that deal with the effectiveness of training programmes in different healthcare sectors 38 45 46. It is not entirely clear as to whether training programmes can reduce the number of instances of violence, but cognitive knowledge and subjective confidence tend to have a positive effect on how staff cope with the experience of violence.…”

Section: Discussionmentioning

confidence: 99%

Frequency and consequences of violence and aggression towards employees in the German healthcare and welfare system: a cross-sectional study

et al. 2012

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ObjectivesIn this study, the frequency and consequences of aggressive assaults on employees in the German healthcare and welfare system were investigated.DesignA retrospective cross-sectional study.SettingEmployees in the German healthcare system and their experiences of violence and aggression were examined in this study.ParticipantsThe sample consisted of 1973 employees from 39 facilities (6 facilities for the disabled, 6 hospitals and 27 outpatient and inpatient geriatric care facilities) who have regular contact with patients or clients.Main outcome measuresThe frequency of physical and verbal violence towards employees and the consequences of aggressive assaults were analysed.Results56% of respondents had experienced physical violence and 78% verbal aggression. The highest frequency of physical violence was in inpatient geriatric care (63%) (p=0.000). Younger workers run a higher risk of being affected by physical violence than older colleagues (OR 1.8, 95% CI 1.3 to 2.4). There is also an increased risk of experiencing physical violence in inpatient geriatric care (OR 1.6, 95% CI 1.2 to 2.0). Around a third of workers feel seriously stressed by the violence experienced. The better the facility trained employees for dealing with aggressive and violent clients, the less risk employees ran of experiencing either verbal aggression (OR 0.5, 95% CI 0.4 to 0.7) or physical violence (OR 0.7, 95% CI 0.6 to 0.9). Training by the facility has a positive effect on experienced stress (OR 0.6, 95% CI 0.4 to 0.8).ConclusionsViolence towards nursing and healthcare personnel occurs frequently. Every third respondent feels severely stressed by violence and aggression. Occupational support provisions to prevent and provide aftercare for cases of violence and aggression reduce the risk of incidents and of perceived stress. Research is needed on occupational support provisions that reduce the risk of staff experiencing verbal and physical violence and the stress that is associated with it.

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Section: Discussionmentioning

confidence: 99%

Frequency and consequences of violence and aggression towards employees in the German healthcare and welfare system: a cross-sectional study

et al. 2012

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“…Fostering coping skills and resilience are now recommended components of AM training (30,31). Although there is ample guidance for designing AM training, scientific evidence proving its actual benefits is limited (32): a number of literature reviews synthesizing evidence on the effect of AM training point to predominantly low quality of research (33)(34)(35)(36)(37). In practice, AM training evaluation has been criticized for failing to go beyond "happy sheets", i.e., feedback forms filled in by course participants on completion of the training (25,32).…”

Section: Introductionmentioning

confidence: 99%

The effect of aggression management training programmes for nursing staff and students working in an acute hospital setting. A narrative review of current literature

Heckemann¹,

Zeller²,

Hahn³

et al. 2015

Nurse Education Today

118

144

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“…5, 12–14 Instead, problematic resident behaviors are too often treated with psychotropic medications or restraint, while behavioral remedies are underutilized. 15–17 The limited research available on aggression management programs is focused on institutional settings, especially psychiatric units, with nurses identified as the population most at risk of violence.…”

Section: Introductionmentioning

confidence: 99%

“…15–17 The limited research available on aggression management programs is focused on institutional settings, especially psychiatric units, with nurses identified as the population most at risk of violence. 12, 18 In a meta analysis of 29 aggression management programs, which averaged 18 hours per year, Livingston et al, 12 reported that the aggression training programs lacked standardization, and may or may not reduce patient initiated violence, but they did appear to reduce use of restraint and coercive techniques by staff.…”

Section: Introductionmentioning

confidence: 99%

An Internet Training to Reduce Assaults in Long-Term Care

Irvine

Billow²,

Gates³

et al. 2012

Geriatric Nursing

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Physical and verbal assaults by residents on care staff are not uncommon in long-term residential care facilities (LTCs). This research evaluated an Internet training designed to teach Nurse Aides (NAs) strategies to work with aggressive resident behaviors. Six LTCs were randomized in an immediate treatment (IT) and delayed treatment (DT) design, and NAs were recruited in each (IT: n = 58; DT; n = 45). The treatment involved two weekly visits to the on-line training. Hard copy assessments collected participant responses at baseline (T1), 8 weeks (T2), and at 16 weeks (T3). The DT group viewed the program after T2. HLM models show significant group differences at T2 in knowledge and the levels were maintained at T3. The number of aggressive incidents reported per day by the IT group were non-significant at T2, but decreased significantly from T1 to T3 with a very large effect size. The program was well received by users. These results suggest that the Internet training was an effective tool to reduce assaults in LTCs, and training effects may improve over time as NAs gain experience using the techniques.

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A narrative review of the effectiveness of aggression management training programs for psychiatric hospital staff

Cited by 45 publications

References 45 publications

Frequency and consequences of violence and aggression towards employees in the German healthcare and welfare system: a cross-sectional study

Frequency and consequences of violence and aggression towards employees in the German healthcare and welfare system: a cross-sectional study

The effect of aggression management training programmes for nursing staff and students working in an acute hospital setting. A narrative review of current literature

An Internet Training to Reduce Assaults in Long-Term Care

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