Staff training in the management of violence and aggression: 1 – SETTING UP A TRAINING SYSTEM

McDonnell, Andrew; B, Dearden; Richens, A.

doi:10.1111/j.1468-3156.1991.tb00624.x

Cited by 13 publications

(1 citation statement)

References 4 publications

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“…37 Interestingly it has been suggested that training can aid staff coping responses. 38 The importance of engaging the support of care home managers in implementing the training is in keeping with previous studies considering educational interventions in this setting. 39 Our findings regarding falls prevention usual care are in keeping with existing literature, which suggest this to be predominantly ad hoc and reactive.…”

Section: Discussionmentioning

confidence: 59%

The Falls In Care Home study: a feasibility randomized controlled trial of the use of a risk assessment and decision support tool to prevent falls in care homes

et al. 2016

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Objective:To explore the feasibility of implementing and evaluating the Guide to Action Care Home fall prevention intervention.Design:Two-centre, cluster feasibility randomized controlled trial and process evaluation.Setting:Purposive sample of six diverse old age/learning disability, long stay care homes in Nottinghamshire, UK.Subjects:Residents aged over 50 years, who had fallen at least once in the past year, not bed-bound, hoist-dependent or terminally ill.Interventions:Intervention homes (n = 3) received Guide to Action Care Home fall prevention intervention training and support. Control homes (n = 3) received usual care.Outcomes:Recruitment, attrition, baseline and six-month outcome completion, contamination and intervention fidelity, compliance, tolerability, acceptance and impact.Results:A total of 81 of 145 (56%) care homes expressed participatory interest. Six of 22 letter respondent homes (27%) participated. The expected resident recruitment target was achieved by 76% (52/68). Ten (19%) residents did not complete follow-up (seven died, three moved). In intervention homes 36/114 (32%) staff attended training. Two of three (75%) care homes received protocol compliant training. Staff valued the training, but advised greater management involvement to improve intervention implementation. Fall risks were assessed, actioned and recorded in care records. Of 115 recorded falls, 533/570 (93%) of details were complete. Six-month resident fall rates were 1.9 and 4.0 per year for intervention and control homes, respectively.Conclusions:The Guide to Action Care Home is implementable under trial conditions. Recruitment and follow-up rates indicate that a definitive trial can be completed. Falls (primary outcome) can be ascertained reliably from care records.

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Section: Discussionmentioning

confidence: 59%

The Falls In Care Home study: a feasibility randomized controlled trial of the use of a risk assessment and decision support tool to prevent falls in care homes

et al. 2016

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Coping with violent situations in the caring environment

McDonnell¹,

McEvoy²,

Dearden³

1994

Violence and Health Care Professionals

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The effects of staff training on staff confidence and challenging behavior in services for people with autism spectrum disorders

McDonnell¹,

Sturmey

Oliver

et al. 2008

Research in Autism Spectrum Disorders

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The effects of a 3 day training course in the management of aggressive behaviour in services for people with autism spectrum disorders were investigated using a quasiexperimental design. An experimental group received training over a 10-month period and a contrast group, which had received training before this study, did not. Staff training increased carer confidence, but there were no training effects of measures of staff coping, support or perceived control of challenging behaviours. Staff reports of service user challenging behaviour management difficulties decreased in both the experimental and contrast groups. This study showed that staff training can increase staff confidence in managing aggression in people with autism spectrum disorders. Staff training and aggression 3 The effects of staff training on staff confidence and challenging behavior in services for people with autism spectrum disorders. Aggressive behavior in people with mental retardation in community settings is shown by approximately 2-15% of children and adolescents and approximately 10-15% of adults (Rojahn & Tasse, 1996.) Aggression has many negative consequences, including rejection by peers, staff and family members, exclusion from integrated settings, use of restrictive behavioral practices, increased use of psychotropic medications, injuries to self, peers and staff, and increased costs (McDonell & Sturmey, 1993.) In response to this

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Staff training in the management of violence and aggression: 1 – SETTING UP A TRAINING SYSTEM

Cited by 13 publications

References 4 publications

The Falls In Care Home study: a feasibility randomized controlled trial of the use of a risk assessment and decision support tool to prevent falls in care homes

The Falls In Care Home study: a feasibility randomized controlled trial of the use of a risk assessment and decision support tool to prevent falls in care homes

Coping with violent situations in the caring environment

The effects of staff training on staff confidence and challenging behavior in services for people with autism spectrum disorders

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