EVALUATION OF AGGRESSION MANAGEMENT TRAINING FOR NURSING STUDENTS: A QUASI-EXPERIMENTAL STUDY

Year 2022, Volume: 8 Issue: 16, 78 - 87, 27.10.2022

Elvan Emine Ata , Emel Bahadır Yılmaz

https://doi.org/10.48121/jihsam.1167359

Abstract

Background: Aggression is a significant problem for nursing students in clinical settings.
Purpose: To determine the effects of the education given to nursing students on the management of aggressive individuals.
Method: This quasi-experimental study was carried out using a nonrandomized, controlled pretest/posttest design with a 3-month follow-up. The study sample comprised 180 students who volunteered to participate in the study. The experimental group participated in an aggression management training program. The Perception of Aggression Scale (PAS) and knowledge of aggression management tests was applied before and after the intervention (immediately and at 3 months).
Results: Most of the participants in the experimental group (65.2%) and the control group (54.1%) were aged 19-21 years and most were female. Nearly all of the participants in the experimental group (96.6%) and most of the control group (83.6%) reported having cared for aggressive patients; 49.4% of the participants in the experimental group and 39.3% of those in the control group stated that they had difficulty caring for aggressive patients due to lack of relevant information. The mean posttest PAS functional subscale score was significantly higher in the experimental group than the control group (p < .05). The training significantly improved aggression management knowledge test scores in the experimental group (p < .05).
Conclusion: Aggression management training had a positive effect on nursing students’ perceptions of aggression and increased their knowledge about the management of aggressive individuals.

Keywords

nurse practitioners, student, agression management

Supporting Institution

Giresun University Scientific Research Projects Coordination Unit

Project Number

SAĞ-BAP-A-140316-81

Thanks

We would like to thank all nursing students who participated in the study

References

• Beech, B., 2008. Aggression prevention training for student nurses: differential responses to training and the interaction between theory and practice. Nurse Educ. Pract. Mar; 8(2),94-102. https://doi.org/10.1016/j.nepr.2007.04.004
• Bilgin, H., Keser, Özcan N., Tulek, Z., Kaya, F., Boyacioglu, N.E., Erol, O., Arguvanli Coban, S., Pazvantoglu, O., Gümüş, K., 2016. Student nurses' perceptions of aggression: An exploratory study of defensive styles, aggression experiences, and demographic factors. Nurs Health Sci. 18(2),216-22. https://doi.org/10.1111/nhs.12255
• Budden, L. M., Birks, M., Cant, R., Bagley, T., Park, T., 2017. Australian nursing students’ experience of bullying and/or harassment during clinical placement. Collegian 24(2),125-133. https://doi.org/10.1016/j.colegn.2015.11.004
• Calabro, K., Mackey, T.A, Williams, S., 2002. Evaluation of training designed to prevent and manage patient violence. Issues Ment Health Nurs. 23,3–15. https://doi.org/10.1080/01612840252825446
• Çelebioğlu, A., Akpinar, R.B., Küçükoglu, S., Engin, R., 2010. Violence experienced by Turkish nursing students in clinical settings: Theire motions and behaviors. Nurse Education Today 30, 687–691. https://doi.org/10.1016/j.nedt.2010.01.006
• De Looff, P., Didden, R., Embregts, P., & Nijman, H., 2019. Burnout symptoms in forensic mental health nurses: Results from a longitudinal study. International Journal Of Mental Health Nursing 28(1), 306-317. https://doi.org/10.1111/inm.12536
• Gerdtz, M.F., Daniel, C., Dearie, V., Prematunga, R., Bamert, M., Duxbury, J., 2013. The outcome of a rapid training program on nurses' attitudes regarding the prevention of aggression in emergency departments: a multi-site evaluation. Int J Nurs Stud. 50(11), 1434-45. https://doi.org/10.1016/j.ijnurstu.2013.01.007
• Hahn, S., Needham, I., Abderhalden, C., Duxbury, J.A.D., Halfens, R.J.G., 2006. The Effect of an training course on mental health nurses’ attitudes on the reason of patient aggression and its management. J. Psychiatr Ment. Health Nurs. 13, 197-204. https://doi.org/10.1111/j.1365-2850.2006.00941.x
• Heckemann, B., Breimaier, H.E., Halfens, R.J., Schols, J.M., Hahn, S., 2016. The participant's perspective: learning from an aggression management training course for nurses.Insights from a qualitative interview study. Scand. J. Caring Sci. 30(3), 574-85. https://doi.org/10.1111/scs.12281
• Heckemann, B., Zeller, A., Hahn, S., Dassen, T., Schols, J.M.G.A., 2015. The effect of aggression management training programmes for nursing staff and students working in an acute hospital setting. A narrative review of current literature. Nurse Education Today 35(1), 212 – 219. https://doi.org/10.1016/j.nedt.2014.08.003
• Hills, D., 2008. Relationships between aggression management training, perceived self-efficacy and rural general hospital nurses' experiences of patient aggression. Contemporary Nurse 31(1), 20-31. https://doi.org/10.5172/conu.673.31.1.20
• Hopkins, M., Fetherston, C.M., and Morrison, P., 2014. Prevalence and characteristics of aggression and violence experienced by Western Australian nursing students during clinical practice. Contemporary Nurse 5026–5046.
• Hopkins, M., Fetherston, C.M., and Morrison, P., 2018. Aggression and violence in healthcare and its impact on nursing students: A narrative review of the literatüre. Nurse Education Today, 62, 158-163. https://doi.org/10.1016/j.nedt.2017.12.019
• Jansen, G.J., Dassen, W.N., Jebbink, G.G., 2005. Staff attitudes towards aggression in healthcare: a review of the literature. J. Psychiatr. Ment. Health Nurs. 12, 3–13. https://doi.org/10.1111/j.1365-2850.2004.00772.x
• Kazdin, A.E., 2000. Encyclopedia of psychology. American Psychological Association (Ed.). Washington, DC: American Psychological Association.
• Keser Özcan, N., Bilgin, H., Tülek, Z., Boyacıoğlu, N., 2014. Nursing Students' Experiences of Violence: A Questionnaire Survey. Journal Of Psychiatric Nursing 5(1), 49-56. https://doi.org/10.5505/phd.2014.91886
• Machingura, T., Lloyd, C., 2019. What Causes Patient Aggressive Behaviours in Healthcare Settings?. Psychol. Behav. Sci. Int. J. 10(5), 555796. https://doi.org/ 10.19080/PBSIJ.2019.10.555796.
• Magnavita, N., Heponiemi, T., 2012. Violence towards health care workers in a Public Health Care Facility in Italy: a repeated cross-sectional study. BMC health services research. 12(1), 1-9. https://doi.org/10.1186/1472-6963-12-108
• Magnavita, N., Heponiemi, T., 2011. Workplace violence against nursing students and nurses: an Italian experience. J Nurs Scholarsh. 43(2), 203-10. https://doi.org/10.1111/j.1547-5069.2011.01392.x
• Nau, J., Dassen, T., Halfens, R., Needham, I., 2007. Nursing students' experiences in managing patient aggression. Nurse Education Today 27(8),:933-46. https://doi.org/10.1016/j.nedt.2007.01.007
• Nau, J., Dassen, T., Needham, I., Halfens, R., 2009. The development and testing of a training course in aggression for nursing students: A pre- and post-test study. Nurse Education Today 29,196–207. https://doi.org/10.1016/j.nedt.2008.08.011
• Nau, J., Halfens, R., Needham, I., Dassen, T., 2010. Student nurses' de-escalation of patient aggression: a pretest-posttest intervention study. Int. J. Nurs. Stud. 47(6),699-708. https://doi.org/10.1016/j.ijnurstu.2009.11.011
• Needham, I., Abderhalden, C., Halfens, R., Fischer, J.E., Dassen, T., 2005. Non-somatic effects of patient aggression on nurses: a systematic review. Journal of Advanced Nursing 49, 283–296. https://doi.org/10.1111/j.1365-2648.2004.03286.x
• Needham, I., Abderhalden, C., Zeller, A., Dassen, T., Haug, H.J., Fischer, J.E., & Halfens, R.J., 2005. The effect of a training course on nursing students' attitudes toward, perceptions of, and confidence in managing patient aggression. The Journal of Nursing Education, 44(9), 415–420. https://doi.org/10.3928/01484834-20050901-06
• Price, O., Baker, J., Bee, P., Lovell, K., 2015. Learning and performance outcomes of mental health staff training in de-escalation techniques for the management of violence and aggression. Br. J. Psychiatry. 206(6),447-55. https://doi.org/10.1192/bjp.bp.114.144576
• Ramacciati, N., Ceccagnoli, A., Addey, B., Lumini, E., Rasero, L., 2016. Interventions to reduce the risk of violence toward emergency department staff: current approaches. Open Access Emerg. Med. 21(8)17-27. https://doi.org/10.2147/OAEM.S69976
• Ridley, J., Leitch, S., 2019. Restraint reduction network: Training standards. Ethical training standards to protect human rights and minimise restrictive practices. BILD Publications, Birmingham.
• Spector, P. E., Zhou, Z. E., Che, X. X., 2014. Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: a quantitative review. International journal of nursing studies 51(1), 72-84. https://doi.org/10.1016/j.ijnurstu.2013.01.010
• Taylor, D., 2000. Student preparation in managing violence and aggression. Nursing Standard: official newspaper of the Royal College of Nursing 14 (30), 39–41. https://doi.org/10.7748/ns2000.04.14.30.39.c2815
• Tee, S., Üzar Özçetin, Y.S., Russell-Westhead, M., 2016. Workplace violence experienced by nursing students: A UK survey. Nurse Education Today 41, 30-5. https://doi.org/10.1016/j.nedt.2016.03.014