Impact of anger management training on controlling perceived violence and aggression of nurses in emergency departments

Kalbali, Raheleh; Jouybari, Leila; Derakhshanpour, Firoozeh; Vakili, Mohammad Ali; Sanagoo, Akram

doi:10.4103/jnms.jnms_46_18

Cited by 3 publications

(13 citation statements)

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“…One study reported on the quantitative component of a participatory action research project 41 . Of the included quasi-experimental studies, only 8 reported using a comparison or control group 6,21,22,38,42–45 . Studies were appraised using the JBI critical appraisal checklist for quasi-experimental studies in JBI SUMARI, 28 and results of appraisal are presented in Table 1.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Studies were from the USA, 10,20,22,40,42,46–51 Pakistan, 6,38 Australia, 35,37,39,52–54 Taiwan, 21,55,56 Korea, 45 China, 57 Iran, 41,43,44,58 Uganda, 36 Jordan, 59,60 and India 61 . Not all studies specified a specific unit or ward type; however, of those that did, 17 studies focused on staff from emergency departments 6,20,22,37,38,41–44,48,50,54,56–58,60,61 . Across the 32 studies, 3246 participants were involved in the interventions and included a variety of health professionals, such as nurses, physicians, allied health workers, security officers, and administrative and support staff working within the included clinical settings.…”

Section: Resultsmentioning

confidence: 99%

“…Most interventions included a didactic component, with 9 studies 6,10,20,22,36,37,45,48,56 plausibly incorporating a video component. Only 7 studies reported hybrid or virtual modes of delivery, 10,20,22,43,47,48,51 and the remaining were face-to-face interventions. Although not clearly reported in some studies, it was reasonable to infer that face-to-face training was being delivered.…”

Section: Resultsmentioning

confidence: 99%

“…Although not clearly reported in some studies, it was reasonable to infer that face-to-face training was being delivered. Over half of the included studies (n=19) used some form of simulation or role-play method within their training 6,10,21,38,40,42,43,45–47,49,50,53,55–57,59–61 . De-escalation strategies or techniques were specifically discussed in 15 studies, 6,10,35,36,38,40,42,46–48,50,52,53,56,61 and breakaway (escape) techniques in 2 studies 21,36 .…”

Section: Resultsmentioning

confidence: 99%

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Educational programs and interventions for health care staff to prevent and manage aggressive behaviors in acute hospitals: a systematic review

Kynoch,

Liu,

Cabilan

et al. 2023

JBI Evidence Synthesis

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Objective: The objective of this review was to determine the effect of educational programs that have been implemented in acute health care settings to manage or prevent aggressive behaviors toward staff perpetrated by patients, families, and/or visitors. Introduction: Health care staff working within acute- and tertiary-level hospitals are at high risk of exposure to aggressive behaviors by patients, their family, and/or visitors. Negative staff and organizational impacts reported in the literature include individual psychological or emotional distress and severe harm, increased absenteeism, high staff turnover, and awarded compensation. Reports of this kind of occupational violence are increasing globally, therefore, strategies to address prevention and/or management are needed to mitigate the risk of harm to staff and the wider hospital service. Various educational activities have been implemented to address the issue, but the overall effect of these is unclear. Inclusion criteria: Experimental and quasi-experimental studies were considered for inclusion if they reported on an educational program or intervention for staff working within an acute hospital setting and aimed at managing or preventing occupational violence perpetrated by patients, family, or visitors. Reports of implemented programs to address occupational violence, whether verbal or physical, were included. Studies were excluded if they reported on lateral upward violence or bullying, patients in psychiatric or dementia facilities, and pediatric patients, due to the specific care needs of these cohorts. Methods: The following databases were searched: PubMed, CINAHL, PsycINFO, Embase, ERIC, Cochrane Controlled Trials, and Scopus. Unpublished studies were sought from ProQuest Dissertations and Theses. To obtain a wider perspective of the issue, studies published in Chinese were also searched for in WanFang Database, China National Knowledge Infrastructure, and Chongqing VIP. A date filter of 2008–2023 was applied in a deliberate effort to expand from previous work. No language filters were applied. The review was conducted in accordance with JBI methodology for systematic reviews of effectiveness and reported as per the Preferred Reporting Items for Systematic Reviews and Meta-Analaysis (PRISMA) guidelines. Results: The search process retrieved 4681 citations with a total of 32 studies representing 3246 health staff. The studies were either before and after or pre-test-post-test study designs. Methodological quality of studies was varied, with the main issues being absence of CIs within statistical analysis, limited detail on participant selection or attrition/non-response, and under-reporting of confounding factors. Educational programs varied in content and duration. Content delivery across the studies also varied, with a variety of didactic, role play, debriefing, group work, and simulation exercises reported. While studies reported some improvement in self-reported confidence levels, results were mixed for other outcomes. Determining overall effect of included studies is challenging due to heterogeneity within and across studies in intervention types, populations, measurement tools, and outcomes. Conclusions: This review is unable to determine which workplace educational programs were most effective on staff outcomes or on the number of occupational violence incidents. In future, educators and researchers could use the findings of this review to guide the design of educational programs and employ measures that are comparable to their settings. Review registration: PROSPERO CRD42020190538. Supplemental digital content: A Chinese-language version of the abstract of this review is available [http://links.lww.com/SRX/A33].

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Educational programs and interventions for health care staff to prevent and manage aggressive behaviors in acute hospitals: a systematic review

Kynoch,

Liu,

Cabilan

et al. 2023

JBI Evidence Synthesis

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Evidence-Based Approaches to Mitigate Workplace Violence From Patients and Visitors in Emergency Departments: A Rapid Review

Recsky¹,

Moynihan²,

Maranghi³

et al. 2023

Journal of Emergency Nursing

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Preventing Violence against Healthcare Workers in Hospital Settings: A Systematic Review of Nonpharmacological Interventions

Mundey,

Terry,

Gow

et al. 2023

Journal of Nursing Management

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Aims and Objectives. To evaluate nonpharmacological interventions for preventing patient and visitor-perpetrated violence against healthcare workers within hospital settings. Background. Up to 92% of health workers experience some form of patient-perpetrated violence. The highest risk environments include emergency departments, acute care settings, and mental health units. Given such elevated rates of violence, current interventions have questionable efficacy or implementation challenges. Design. We conducted a systematic review conforming to PRISMA reporting requirements. We searched PubMed, CINAHL, PsycINFO, Scopus, and the Cochrane Library. Studies reporting interventions to prevent patient-initiated violence against healthcare workers in hospitals were included, and findings were synthesised. Results. Based on meeting eligibility criteria, twelve studies were included in the review. Most interventions reported an effect with eleven of the twelve studies describing changes in the incidence of violence postintervention. Most studies were evaluations of education and training programs (n = 7), followed by action plans (n = 2), and a reporting instrument, risk assessment tool, and legislation (n = 1). Conclusions. Insights into effective strategies to prevent hospital patient and visitor-initiated violence are necessary to develop guidelines for better aggression/violence deterrence. Violence prevention requires strong, evidence-based, and clinically applicable interventions that promote the safety and satisfaction of all healthcare workers. Relevance to Clinical Practice. Formulating effective and appropriate strategies that aid in early recognition, prevention, and management of aggression/violence will benefit all health workers. Patient and staff satisfaction will rise; healthcare workers will regain a sense of preparedness, and higher levels of safety will be achieved. Without these effective interventions being established, the magnitude of adverse outcomes from patient-perpetrated violence will continue in healthcare.

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Impact of anger management training on controlling perceived violence and aggression of nurses in emergency departments

Cited by 3 publications

References 0 publications

Educational programs and interventions for health care staff to prevent and manage aggressive behaviors in acute hospitals: a systematic review

Educational programs and interventions for health care staff to prevent and manage aggressive behaviors in acute hospitals: a systematic review

Evidence-Based Approaches to Mitigate Workplace Violence From Patients and Visitors in Emergency Departments: A Rapid Review

Preventing Violence against Healthcare Workers in Hospital Settings: A Systematic Review of Nonpharmacological Interventions

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