Preventing Patient on Nurse Violence Through Education

Preventing Patient on Nurse Violence Through Education by Sandra L. Risoldi MSN Ed., Walden University, 2017 BSN, South University, 2014 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University June 2019 Abstract Many nurses are physically and verbally abused by the patients under their care, with those providing care to patients dealing with mental illness or addition being at particular risk. Leadership of the project site, an urban mental health treatment center, identified a need to provide additional education to improve their nursing staff’s ability to work with combative patients and prevent escalation of violent behaviors. Albert Bandura’s social cognitive theory and adaptation to the environment guided the development of this project to answer the question if an education program for nurses working with potentially combative patients will increase their knowledge of strategies to prevent escalation of violent behavior. The education program was developed using results from an extensive literature review and input from a team of local subject experts, who provided evaluation regarding their satisfaction with the planning process through the completion of an anonymous, 10 questions, Likert-type survey. All team members scored each question with a (5) strongly agree or (4) agree. Project deliverables handed over to the facility included the developed education program, an associated handout, a plan for later implementation, and plans for outcome evaluation through evaluation of learning. This project has the potential to achieve positive social change through less violent encounters between nurses and patients, contributing to an increased culture of safety.Many nurses are physically and verbally abused by the patients under their care, with those providing care to patients dealing with mental illness or addition being at particular risk. Leadership of the project site, an urban mental health treatment center, identified a need to provide additional education to improve their nursing staff’s ability to work with combative patients and prevent escalation of violent behaviors. Albert Bandura’s social cognitive theory and adaptation to the environment guided the development of this project to answer the question if an education program for nurses working with potentially combative patients will increase their knowledge of strategies to prevent escalation of violent behavior. The education program was developed using results from an extensive literature review and input from a team of local subject experts, who provided evaluation regarding their satisfaction with the planning process through the completion of an anonymous, 10 questions, Likert-type survey. All team members scored each question with a (5) strongly agree or (4) agree. Project deliverables handed over to the facility included the developed education program, an associated handout, a plan for later implementation, and plans for outcome evaluation through evaluation of learning. This project has the potential to achieve positive social change through less violent encounters between nurses and patients, contributing to an increased culture of safety. Preventing Patient on Nurse Violence Through Education by Sandra L. Risoldi MSN Ed., Walden University, 2017 BSN, South University, 2014 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University June 2019 Dedication This project is dedicated to my children, without you, I wouldn’t be where I am today. My Grandmother, I know you are smiling from heaven, and thank you for being there for me, I miss you every day. Finally, but not least, my nursing family. Nursing is a caring profession that welcomed me into its arms 29 years ago as a nurse’s aide-assistant. This project is a symbol of my love for what we do and dedicate my life to help us stay safe and promote healthy coping mechanisms. Together we can do this! Acknowledgments I would like to acknowledge my project committee chair Dr. Cassandra Taylor, committee member, Dr. Mary Martin, and university research reviewer, Dr. Jonas Nguh. Thank you for all your time, hard work, and dedication throughout my DNP project. I would also like to thank with great gratitude, my preceptors Dr. Leslie Rainaldi, and Dr. Selman Manual. Thank you for the guidance, encouragement, laughs, and support with achieving my doctorate, this has been a dream come true!