An integrative literature review of interventions to reduce violence against emergency department nurses

Anderson, Lucas A.; Fitzgerald, Michael; Luck, Lauretta

doi:10.1111/j.1365-2702.2009.03144.x

Cited by 73 publications

(84 citation statements)

References 30 publications

(65 reference statements)

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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

121

144

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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

121

144

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“…Seven original research papers [15][16][17][18][19][20][21] were retrieved. Of these, 2 were systematic reviews, 1 was an integrative review, 3 were pre-post studies, and 1 was a qualitative study.…”

Section: Resultsmentioning

confidence: 99%

“…Table 1 outlines main findings of these 7 studies that enrolled registered nurses and nursing students in medical/surgical, emergency department, or intensive care unit settings. Aggression management interventions included rapid 45-minute in-service training sessions, 16 twenty-four 50-minute sessions in several days, 20,21 4-hour 18 and 1-day sessions, 17,18 and a deescalation kit (poster and in-service training session). 18 Topics included prevention (situational awareness, self-reflection), assessment (risk factors, causes/types of aggression), intervention (deescalation based on nonviolent crisis intervention model), and postevent coping.…”

Section: Resultsmentioning

confidence: 99%

“…Incidence and severity of violence in emergency department reduced 18 Aggressive incident reporting increased 17 …”

Section: Did Education Improve Clinical Outcomes?mentioning

confidence: 99%

“…Situational awareness, including knowledge of risk factors and prevention of aggression escalation and management of aggressive situations increased 15,18,19 Confidence dealing with aggressive situations increased 15,[17][18][19]21 Attitudes toward aggression did not change 15,21 Coping during aggressive episodes remained challenging 15 …”

Section: Did Nurses' Knowledge Skills or Attitudes Change?mentioning

confidence: 99%

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Aggression Management Education for Acute Care Nurses: What’s the Evidence?

Halm

2017

American Journal of Critical Care

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A regular feature of the American Journal of Critical Care, Clinical Evidence Review unveils available scientific evidence to answer questions faced in contemporary clinical practice. It is intended to support, refute, or shed light on health care practices where little evidence exists. We welcome letters regarding this feature and encourage the submission of questions for future review. W orkplace violence-any threat or act of physical violence, harassment, intimidation, or other threatening behavior 1 -is a serious problem worldwide.2 Health care workers have an increased risk of workplace violence compared with workers in private industry.3 Nurses are the most common victims, 4-6 and patients are the main perpetrators (however, visitors and employees also can precipitate workplace violence).3 In 2014, the US Bureau of Labor Statistics 7 reported that serious workplace violence is more than 3 times higher in health care settings than other workplaces, with an incidence of 16.2 per 10 000 employees. Such estimates are conservative because of gross underreporting of workplace violence in health care settings. 2,3,[8][9][10] The percentage of nurses reporting having experienced verbal threats or actual physical violence ranges from 33% to 65% (Australia), 11 to 50% (Switzerland), 12 to 76% (US). 10 A systematic review 1 of 50 international studies revealed that patients' aggression toward nurses was similar in type (verbal abuse reported 3 times as often as physical assault in any setting), location and context (nurses in emergency departments commonly report higher rates), 10 individual consequences (physical injury, short-and long-term trauma), and organizational consequences (eg, absenteeism, low morale, job dissatisfaction, increased turnover, worker's compensation, heightened security, property damage, litigation) in different countries.8 Risk factors include individual influences such as history of aggression, psychiatric disorders, substance abuse, stress/frustration/ anxiety, powerlessness, and perceptions that violence is tolerated. Environmental risk factors for workplace violence include unrestricted access, inadequate security, long wait times, overcrowding, weekends/off-shifts, and lack of aggression management training.2,3,10,13,14 As education is a critical solution to arm nurses with knowledge, skill, and confidence to prevent and respond to situations involving workplace violence, the PICO (patient population, intervention, comparator, outcome) question for this evidence synthesis is, What effect does deescalation education have on nurse outcomes of aggression management knowledge and performance and clinical outcomes (incidence and severity of violence)? MethodThe strategy included searching the Cumulative Index to Nursing and Allied Health Literature (CINAHL) and MEDLINE. Key words included violence, hospital violence, acute care, nurses, aggression management, and deescalation education. The search was limited to research from the past 10 years. Results Seven original research papers15-21 were...

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Education and training for preventing and minimising workplace aggression directed toward healthcare workers

Hills

Ross

Pich³

et al. 2015

Cochrane Database of Systematic Reviews

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An integrative literature review of interventions to reduce violence against emergency department nurses

Abstract: The investigation of interventions rather than repeatedly redefining the problem and directing resources into debating semantics or differentiating 'degrees' of violence and aggression is recommended. This review unambiguously identifies the gap in research-based interventions.

Cited by 73 publications

References 30 publications

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

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

Aggression Management Education for Acute Care Nurses: What’s the Evidence?

Education and training for preventing and minimising workplace aggression directed toward healthcare workers

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