Staff Perception of Interprofessional Simulation for Verbal De-escalation and Restraint Application to Mitigate Violent Patient Behaviors in the Emergency Department

Publication date: Available online 17 August 2018Source: Journal of Emergency NursingAuthor(s): Wendy Krull, Theresa M. Gusenius, Danyel Germain, Lisa SchnepperAbstractProblemViolent behaviors in the emergency department are on the rise. Mitigation efforts are essential for staff and patient safety. The goal of this quality improvement project was to improve staff perception of knowledge, skills, abilities, confidence, and preparedness when managing violent patient behaviors using interprofessional simulation training and to evaluate staff learning style satisfaction and self-confidence using simulation.MethodsInterprofessional participants received individual computer-based training and simulation training on de-escalation techniques and restraint application. The participants’ perceptions were collected in a pre- and postsurvey and analyzed using Bowker’s test of symmetry. Revised tools from the National League for Nursing were used, including the Simulation Design Scale and Satisfaction and Self-Confidence in Learning, and results were analyzed by one-way analysis of variance, comparing results within and between the disciplines involved.ResultsGroup comparison (nursing, providers, security staff, and social services staff) using contingency tables illustrated a significant improvement (P < 0.0001) in knowledge (21%), skills (20%), abilities (19%), confidence (20%), and preparedness (30%). Satisfaction among nurses (P = 0.0021), patient care assistants (P = 0.013...

Source: Journal of Emergency Nursing - August 17, 2018 Category: Nursing Source Type: research