Enhancing Health Care Personnel's Response to ER Violence Using Situational Simulation

Wu, Jaclyn; Chen, Hao Yu; Hsieh, Jane Lee; Clinciu, Daniel L.; Tung, Heng Hsin

doi:10.1016/j.ecns.2018.12.003

Cited by 12 publications

(18 citation statements)

References 11 publications

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“…17,18 Finally, a situational simulation training course is an effective tool for enhancing the coping skills of emergency nurses and thus a way to minimize the negative effects of WPV in Taiwan. 19 This study found that alcohol, holding/boarding patients, and prolonged wait times were the 3 most common precipitating factors for WPV against emergency nurses. The Australian VENT study also stressed the stimulating role of alcohol in WPV against emergency nurses.…”

Section: Discussionmentioning

confidence: 78%

Workplace Violence Against Emergency Nurses in Taiwan: A Cross-Sectional Study

Lee¹,

Han²,

Redley³

et al. 2020

Journal of Emergency Nursing

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The current literature on workplace violence against emergency nurses indicates that the phenomenon is common worldwide. This article contributes the main finding that Taiwanese emergency nurses are not satisfied with the current prevention measures implemented in emergency departments.The key implication for emergency nursing practice found in this article is that the measures should be reformed in order to reduce the impact of workplace violence against emergency nurses.

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Section: Discussionmentioning

confidence: 78%

Workplace Violence Against Emergency Nurses in Taiwan: A Cross-Sectional Study

Lee¹,

Han²,

Redley³

et al. 2020

Journal of Emergency Nursing

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show abstract

“…Perhaps, to further support and prepare students, undergraduate programs and continuing education for nurses should also include preparation and role-play simulations on how to handle WV, detailing the potential implications to improve the resilience of students (Martinez, 2017;Ming, Huang, Hung, Chang, Hsu, Tzeng, Huang, & Hsu, 2019;Sanner-Stiehr, 2017;Wu, Chen, Hsieh, Clinciu, & Tung, 2019). A programme could consist of several stages.…”

Section: Discussionmentioning

confidence: 99%

Workplace violence: A qualitative study drawing on the perspectives of UK nursing students

2021

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Background: Workplace violence (WV) remains problematic and highly prevalent in healthcare with student nurses being especially vulnerable. Aim:To investigate the impact of WV from the perspectives of nursing students Methods: A qualitative design was employed. 444 nursing students in the UK participated in the study. Findings:The qualitative data was analysed, coded and three main themes have emerged; (1) violence culture in nursing, (2) tolerating violence and (3) the impact of the violence. Discussion:The undesirable truth is each year nearly more than half of the students face WV in environments where such behaviour becomes culturally embedded and passed between generations of nurses. This process of normalization requires intervention that will break this cycle to enable more appropriate workplace behaviours to flourish. Conclusion:The impact of WV can be extremely destructive for the individual, the profession and ultimately patient care with large numbers choosing to leave at a time when there is a national shortage of qualified staff.

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“…This study confirmed that staff self-reported confidence levels in managing clinical aggression can be increased through completion of a 2-h simulation training programme and adds to the body of literature that simulation training programmes can improve non-technical skills in health care staff: staff confidence [ 64 ], communication skills [ 33 , 65 ], leadership skills [ 66 – 68 ], team skills [ 28 , 69 , 70 ], knowledge acquisition and retention [ 71 ] and skills in aggression management [ 37 , 38 , 61 , 72 ]. The use of a simulated patient exercise to practice de-escalation techniques has been described in some acute care hospitals [ 12 , 18 , 20 , 21 , 61 ] and for undergraduate nursing students [ 37 , 38 ]; however, widespread use of simulation courses for managing aggression in children and young people in acute health care, and in particular paediatric settings, has not been reported until this study. This proof of concept study provides evidence that simulation training is an acceptable and effective format to rehearse and practice de-escalation skills in the management of clinical aggression.…”

Section: Discussionmentioning

confidence: 99%

“…Aggression management training programmes for staff working in acute care hospitals are scant [7,8,[13][14][15][16][17][18][19][20][21] and rarely described for staff working in the paediatric setting [22,23]. Programmes vary in format, content and duration hindering direct comparison.…”

Section: Introductionmentioning

confidence: 99%

Simulation-based education to promote confidence in managing clinical aggression at a paediatric hospital

et al. 2020

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Background: An increasing number of incidents involving aggressive behaviour in acute care hospitals are being witnessed worldwide. Acute care hospital staff are often not trained or confident in managing aggression. Competent management of clinical aggression is important to maintain staff and patient safety. Training programmes for acute care staff are infrequently described in the literature and rarely reported for paediatric staff. Simulation training allows practice of skills without patient risk and may be more effective than traditional teaching formats for aggression management. Aim and design: The aim of this proof of concept study was to develop a simulation-based education session on aggression management for acute care paediatric staff based on best practice principles, to evaluate the acceptability of this training programme and to gain an understanding of the impact of the training on participants' perceived confidence in managing clinical aggression. Two separate simulation exercises were delivered as a 2-h component of a hospital management of clinical aggression (MOCA) training day. Participants completed a written survey immediately prior to, at completion of the simulation-based group training, and at 3-6 months following the simulation training. Findings: Nine training days were conducted in 2017 for nursing, medical, allied health, education and security staff with a total of 146 participants (83% were acute care nurses). Two thirds (68%) of participants had experienced clinical aggression as part of their routine work, with 51% overall reporting a lack of confidence managing these patients. Immediately following the simulation training, 80% of all participants reported feeling more confident in managing clinical aggression, 47% reported a 1-point increase in confidence, whilst 33% of participants reported a 2-or 3-point increase. At 3-6 months post-training, 66% of respondents (N = 44) reported continued confidence in managing aggression with 100% of participants stating they would recommend simulation training to colleagues.

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Enhancing Health Care Personnel's Response to ER Violence Using Situational Simulation

Cited by 12 publications

References 11 publications

Workplace Violence Against Emergency Nurses in Taiwan: A Cross-Sectional Study

Workplace Violence Against Emergency Nurses in Taiwan: A Cross-Sectional Study

Workplace violence: A qualitative study drawing on the perspectives of UK nursing students

Simulation-based education to promote confidence in managing clinical aggression at a paediatric hospital

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