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Dissertation
Implementing De-Escalation Training to Hospital New Hires
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2024
Abstract
Background The problem to be addressed is the deficit in education for colleagues on effective techniques for de-escalation. An estimated one in five healthcare workers experiences violence perpetrated by patients or visitors. Healthcare workers and specifically nurses are at a much higher risk of experiencing workplace violence as compared to other occupations. There has consistently been inadequate training provided to caregivers in the hospital setting on how to de-escalate amid violent episodes. Purpose The purpose of this project is to determine the effect of de-escalation training on patient caregivers’ knowledge, confidence, and ability when dealing with patient aggression. Methods This quality improvement project was developed using the PDSA cycles to enhance the safety of both patient caregivers and patients in the inpatient hospital setting. A de-escalation course was developed containing online and in-person components. The project was deemed not human subjects’ research. Participants were identified using their date of hire. Those hired between May-October of the selected year were invited to participate. Participants were educated on “10 Tips for De-Escalation.” Thackrey’s “Confidence in Coping with Patient Aggression Instrument” was administered both pre and post intervention. Codes called relating to patient violence within the hospital setting were also tracked for the months during and following the intervention. Findings Mean scores from each assessment were compared and a p value <0.05 indicated a significant increase in both knowledge and confidence for caregivers who participated in the training. Violent incidents were also tracked, and a trend was noted in decreased number of violent episodes occurring during the months following the training. Fluctuation in codes is expected and may or may not be dependent or reflective of caregivers’ ability to de-escalate. Discussion De-Escalation training improved confidence and showed a trend for lowered number of violent incidents at the project site. More patient caregivers need this education as violence within healthcare remains on the rise. Additional research with a larger sample size would add validity to these results.
Details
- Title: Subtitle
- Implementing De-Escalation Training to Hospital New Hires
- Creators
- Mary Claire Kathleen Wunderlich - University of Iowa
- Contributors
- Dan Wesemann (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Psych-Mental Health Nurse Practitioner
- Date degree season
- Spring 2024
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2024 Mary Claire Kathleen Wunderlich
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984627350702771
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