Situational Teaching in Nursing Effectiveness of Workplace Violence Prevention

Monday, 19 September 2016

Jin-Lain Ming, MSN, RN1
Hei-Mei Huang, MSN, RN2
Shiao-Pei Hung, MSN, RN2
(1)Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan
(2)Nursing Department, Taipei Veterans General Hospital, Taipei, Taiwan

Workplace violence (WPV) is a serious issue in nursing in the healthcare setting. Healthcare workers are nearly four times more likely to be injured and require time away from work as a result of workplace violence (WPV) than all workers in the private sector combined. Prevention focused education is an important strategy to reduce the risk of violence. Patient violence against nurses in their work environments is a widespread global concern. A high prevalence of violent events impacts the well-being of nurses and may also impair overall ward climate. However, it has been proposed that nurses’ use limited techniques to prevent patient violence, and, therefore, more comprehensive methods for dealing with patient violence are needed. There is still restricted understanding of the ward climate during the occurrence of a violent event as well as how these incidents could be more effectively prevented. Nurses' attitudes toward workplace violence are still inadequately explored, and possess an impact in preventing, and managing the violent incidents and the quality of nursing care. Creating a demand for an effective intervention program to improve nurses' knowledge of and attitudes toward workplace violence. The aim of this study was constructed a situational teaching  prevention training for WPV and a quasi-experimental design was used to determine the perception, attitudes and confidence in dealing WPV following an educational intervention. Sixty-six nurses that completed the WPV prevention program were enrolled in the study. Data were l and statistically analyzed by Generalized Estimating Equation (GEE). The results revealed that overall, the participants had improve significantly in their perception, attitudes and confidence in dealing WPV at post-test (p<0.01). Meanwhile, after training with the program, the participants showed considerable improvements.

   In conclusion, using the WPV prevention training can improved the perception, attitudes and confidence in dealing WPV significantly Suggest the WPV prevention situational teaching education may be used as a regular training program for nurse. Specific training program for different department of healthcare setting and future studies were also suggested.