Impact of Behavior Management Training on Nurses' Confidence in Managing Patient Aggression.

2019 
OBJECTIVE:The aim of this study was to evaluate the impact of behavior management training on nurses' confidence in managing aggressive patients. BACKGROUND:Nurses are at a high risk of experiencing violence directed toward them by patients. METHODS:This quality improvement project used a pre-and-post study design. A survey was administered within 1 month before behavior management training and 1 month after training, capturing participants' demographic and work characteristics, as well as their experiences with patient/visitor-perpetrated violence. Confidence was measured using the Confidence in Coping with Patient Aggression Instrument. Open-ended questions sought participants' thoughts on workplace violence prevention initiatives. RESULTS:Thirty-eight confidence scores were assessed. Nurses' confidence in coping with patient aggression was significantly higher after behavior management training. Nurse participants described the training as "timely," "helpful," and "beneficial." CONCLUSION:With an increased understanding of violent behavior stages and warning signs, a nurse is better able to manage a potentially violent situation.
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