ORCID

0000-0002-7204-0533 (Hawkins)

College

College of Health Sciences

Department

Nursing

Graduate Level

Doctoral

Graduate Program/Concentration

Nurse Executive

Publication Date

2023

DOI

10.25883/azpf-8w28

Abstract

Workplace violence is a growing concern for US nurses, especially in the context of COVID-19 and patient incivility. De-escalation training can help mitigate high-risk incidents, but its psychological benefits are not well understood. This study aimed to determine if de-escalation training for emergency department nurses provided psychological benefit. This pre-experimental pre-test, post-test study evaluated nurse confidence in coping with patient aggression, caregiver resiliency, professional quality of life, and intention to stay with the organization. Participants completed a pretest survey, attended a two-hour verbal de-escalation training via zoom, and then completed the posttest survey. The study showed that attending the two-hour verbal de-escalation training resulted in a statistically significant decrease in reported nurse burnout on the professional quality of life scale (p = .016). However, there was no significant differences in overall nurse resilience (p = .714), professional quality of life compassion subscale (p = .172), professional quality of life secondary traumatic stress subscale (p = .14), confidence in coping with patient aggression (p = .066), and intention to stay (p = 1). These findings suggest that healthcare organizations should prioritize de-escalation training for their nurses to equip them with the skills and confidence needed to handle high-risk situations effectively. Further research is needed to examine the long-term psychological effects of de-escalation training.

Keywords

Burnout, De-escalation, Workplace violence

Disciplines

Critical Care Nursing | Nursing Administration

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Examining the Impact of De-escalation Training Among Emergency Department Nurses


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