Other Titles
Can a tool be used to improve work environments?
Abstract
Session presented on Friday, March 17, 2017:
Nurses and health care workers are being harmed by violent patients and family members and need to be safe in practice (The Joint Commission, 2010). Based on data from the Bureau of Labor Statistics (BLS), injuries in health care continue to increase due to assaults on employees by patients or family members (Ison, 2013). The BLS reported that over 11,000 assaults happened to employees at work and 'almost 19% of these assaults occurred in nursing and residential facilities alone' (Occupational Safety and Health Administration, 2015, para. 1). The American Nurses Association (2015) has taken a position that nurses should work in a safe and healthy environment. Healthy People 2020 (2015) addresses violence as an objective to be changed and decreased in society and the workplace. Escalation and violence is a problem at the local, state, and federal level. The objective was to help nurses and health care workers stay safe through increased self-efficacy in practice when caring for violent patients and family members. The PICOT question for this doctoral project is 'Will nurses and health care workers in a community based medical-surgical unit, using protocol in a de-escalation program have improved self-efficacy when caring for potentially violent patients and family members compared to nurses/health care workers that do not use the de-escalation program?' The population for this question is nurses and health care workers on a medical-surgical unit in a community-based hospital. The intervention is implementation of a program for nurses and health care workers for de-escalation for potentially violent patients and family members. The comparison in this project is data from incident reports and code-violet debriefing forms that determines incident and levels of violence, in a retrospective study from August 2014 to August 2015. The outcome is improved self-efficacy of nurses and health care workers with a program to deescalate potentially violent patients and family members. Medical-surgical nurses and health care workers attended a staff meeting where this program was introduced. A pre and post-survey was given to the employees in attendance. Based on the comparison between the pre and post survey, employees that attended the educational program showed improved self-efficacy. A verbal de-escalation program has implications in practice to be a valuable tool for increased self-efficacy for all employees within health care. Learning Objective: Describe the impact that violence has in health care and nursing practice today. Recognize ways to verbally de-escalate patients and family members that are violent or potential violent.
Notes
This item was accepted for inclusion in the 2017 Creating Healthy Work Environments, but was not presented at the event. Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.
Sigma Membership
Non-member
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Safety in Nursing, Verbal De-Escalation, Violence in Health Care
Recommended Citation
Jubb, Julia Mason, "Verbal de-escalation for nurse and health care worker improved self-efficacy when caring for violent patients" (2017). Creating Healthy Work Environments Event Materials. 65.
https://www.sigmarepository.org/chwe/2017/presentations_2017/65
Conference Name
Creating Healthy Work Environments 2017
Conference Host
Sigma Theta Tau International
Conference Location
Indianapolis, Indiana, USA
Conference Year
2017
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Verbal de-escalation for nurse and health care worker improved self-efficacy when caring for violent patients
Indianapolis, Indiana, USA
Session presented on Friday, March 17, 2017:
Nurses and health care workers are being harmed by violent patients and family members and need to be safe in practice (The Joint Commission, 2010). Based on data from the Bureau of Labor Statistics (BLS), injuries in health care continue to increase due to assaults on employees by patients or family members (Ison, 2013). The BLS reported that over 11,000 assaults happened to employees at work and 'almost 19% of these assaults occurred in nursing and residential facilities alone' (Occupational Safety and Health Administration, 2015, para. 1). The American Nurses Association (2015) has taken a position that nurses should work in a safe and healthy environment. Healthy People 2020 (2015) addresses violence as an objective to be changed and decreased in society and the workplace. Escalation and violence is a problem at the local, state, and federal level. The objective was to help nurses and health care workers stay safe through increased self-efficacy in practice when caring for violent patients and family members. The PICOT question for this doctoral project is 'Will nurses and health care workers in a community based medical-surgical unit, using protocol in a de-escalation program have improved self-efficacy when caring for potentially violent patients and family members compared to nurses/health care workers that do not use the de-escalation program?' The population for this question is nurses and health care workers on a medical-surgical unit in a community-based hospital. The intervention is implementation of a program for nurses and health care workers for de-escalation for potentially violent patients and family members. The comparison in this project is data from incident reports and code-violet debriefing forms that determines incident and levels of violence, in a retrospective study from August 2014 to August 2015. The outcome is improved self-efficacy of nurses and health care workers with a program to deescalate potentially violent patients and family members. Medical-surgical nurses and health care workers attended a staff meeting where this program was introduced. A pre and post-survey was given to the employees in attendance. Based on the comparison between the pre and post survey, employees that attended the educational program showed improved self-efficacy. A verbal de-escalation program has implications in practice to be a valuable tool for increased self-efficacy for all employees within health care. Learning Objective: Describe the impact that violence has in health care and nursing practice today. Recognize ways to verbally de-escalate patients and family members that are violent or potential violent.