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

Heckemann, Birgit; Zeller, Adelheid; Hahn, Sabine; Dassen, Theo; Schols, Jos M. G. A.; Halfens, Ruud J.G.

doi:10.1016/j.nedt.2014.08.003

Cited by 121 publications

(160 citation statements)

References 57 publications

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“…A study in British mental health care institutions did not show a reduction in aggressive incidents after staff training programs (Bowers et al, 2006). Research of Heckemann et al (2014) in acute hospital settings, found comparable results.…”

Section: Aim Of This Studymentioning

confidence: 93%

The influence of dysfunctional impulsivity and alexithymia on aggressive behavior of psychiatric patients

Schutter¹,

Kramer²,

Franken³

et al. 2016

Psychiatry Research

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Current approaches in Dutch mental health care institutions towards inpatients' aggression have focused predominantly on environmental factors, such as training the staff in aggression management. However, personality traits might be an important factor in patients' aggressionas shown by incidents in the wards. This study explores the influence of dysfunctional impulsivity and alexithymia on psychiatric patients' aggressive behavior, through self-reports and through involvement in aggressive incidents. Personality traits influencing patients' aggression emphasize the importance of a more direct approach to their aggression. Clinical patients at Dutch mental health care institution Emergis (n = 84) filled out questionnaires about their aggressiveness (using Buss and Perry's Aggression Questionnaire Short Form), dysfunctional impulsivity and alexithymia. Multiple regression analyses indicated that dysfunctional impulsivity positively related to self-reported aggressive behavior. The relationship, however, could not be confirmed for inpatients' aggression as reported by the staff on the wards. Unexpectedly affective alexithymia negatively related to hostility. Gender differences in self-reported aggression were found. Female patients showed higher levels of hostility. Regression analyses indicated that the male gender positively related to physical aggression. Findings emphasize the importance of a new approach in Dutch mental health care, in which patients may engage in aggression-regulation training programs.

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Section: Aim Of This Studymentioning

confidence: 93%

The influence of dysfunctional impulsivity and alexithymia on aggressive behavior of psychiatric patients

Schutter¹,

Kramer²,

Franken³

et al. 2016

Psychiatry Research

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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%

“…Nurses responded (level 1) favorably, gaining knowledge, skills, and confidence (level 2) to manage aggressive situations (level 3) more effectively. In 1 study, 15 nurses reflected how education related to aggression management helped them consciously pay more attention to patients' cues and their body language (eg, voice, gestures, posture, distance) and use of deescalation techniques. Despite favorable effects on practice, attitudes toward aggression largely Table 2).…”

Section: Resultsmentioning

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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“…Health workforce is the main factor in providing hospital services and is the most effective element in patient survival and treatment success, as nearly 50% to 80% of costs are allocated to workforces (1). Among all medical staff in healthcare organizations, nurses are the most important and largest workforce with a vital role in the quality of care and health promotion (2).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Nursing Workload and Efficiency of Staff Allocation in a Trauma Intensive Care Unit

Momennasab¹,

Karimi²,

Dehghanrad³

et al. 2017

Trauma Mon

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Background: Heavy workload is one of the main problems of nurses working in intensive care units (ICUs). It not only decreases the quality and safety of patient care, but also increases human errors in health care, rate of hospitalization, and risk of mortality in patients. Workload evaluation and surveillance of patients enable authorities to allocate adequate staff to ICUs, leading to improved quality of patient care and treatment.

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

Cited by 121 publications

References 57 publications

The influence of dysfunctional impulsivity and alexithymia on aggressive behavior of psychiatric patients

The influence of dysfunctional impulsivity and alexithymia on aggressive behavior of psychiatric patients

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

Evaluation of Nursing Workload and Efficiency of Staff Allocation in a Trauma Intensive Care Unit

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