The effect of aggression management training programmes for nursing staff and students working in an acute hospital setting. A narrative review of current literature

B. Heckemann, A. Zeller, S. Hahn, T. Dassen, J.M.G.A. Schols, R.J.G. Halfens

Research output: Contribution to journalArticleAcademicpeer-review

5 Citations (Scopus)

Abstract

BACKGROUND: Patient aggression is a longstanding problem in general hospital nursing. Staff training is recommended to tackle workplace aggression originating from patients or visitors, yet evidence on training effects is scarce. AIMS: To review and collate current research evidence on the effect of aggression management training for nurses and nursing students working in general hospitals, and to derive recommendations for further research. DESIGN: Systematic, narrative review. DATA SOURCES: Embase, MEDLINE, the Cochrane library, CINAHL, PsycINFO, pubmed, psycArticles, Psychology and Behavioural Sciences Collection were searched for articles evaluating training programs for staff and students in acute hospital adult nursing in a 'before/after' design. Studies published between January 2000 and September 2011 in English, French or German were eligible of inclusion. REVIEW METHODS: The methodological quality of included studies was assessed with the 'Quality Assessment Tool for Quantitative Studies'. Main outcomes i.e. attitudes, confidence, skills and knowledge were collated. RESULTS: Nine studies were included. Two had a weak, six a moderate, and one a strong study design. All studies reported increased confidence, improved attitude, skills, and knowledge about risk factors post training. There was no significant change in incidence of patient aggression. CONCLUSION: Our findings corroborate findings of reviews on training in mental health care, which point to a lack of high quality research. Training does not reduce the incidence of aggressive acts. Aggression needs to be tackled at an organizational level.
Original languageEnglish
Pages (from-to)212-219
Number of pages8
JournalNurse Education Today
Volume35
Issue number1
DOIs
Publication statusPublished - 1 Jan 2015

Keywords

  • Aggression
  • Violence
  • Review
  • Acute general hospital
  • Staff training
  • Staff-patient relationship
  • CROSS-SECTIONAL SURVEY
  • VISITOR VIOLENCE
  • GENERAL HOSPITALS
  • WORKPLACE VIOLENCE
  • PATIENT AGGRESSION
  • NURSES ATTITUDES
  • HEALTH-CARE
  • EMERGENCY
  • INTERVENTIONS
  • CONFIDENCE

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