De-escalation Training for Obstetric/Neonatal Health Care Workers to Improve Confidence in Managing Workplace Violence
Year: 2025
Type: article
Study design: Clinical Trial
Abstract: OBJECTIVE: To improve the confidence level of obstetric/neonatal health care staff in managing episodes of workplace violence. DESIGN: Quality improvement project with a pretest/posttest survey design. SETTING/LOCAL PROBLEM: A large, urban, academic medical center where an increase in episodes of workplace violence was observed in the obstetric/neonatal department. PARTICIPANTS: Eighty-seven staff members from the interdisciplinary health care team in the obstetric/neonatal department participated in the quality improvement initiative. INTERVENTION/MEASUREMENTS: Crisis Prevention Institute de-escalation training was customized with scenarios commonly seen in obstetric/neonatal settings. Fourteen training sessions were offered to obstetric/neonatal staff during a 4-month period. Measurable outcomes included participant satisfaction, number of security calls to the obstetric/neonatal units, and clinician confidence in coping with patient aggression at baseline, 2 weeks posttraining, and 3 months postintervention. RESULTS: In the obstetric/neonatal department there was an increase in rates of completion of Crisis Prevention Institute de-escalation training from 1.7% to 19% during the study period. Scores for overall clinician confidence in coping with patient aggression significantly improved from baseline at 2 weeks posttraining (from 43.51 to 68.50 [p < .001]) and at 3 months posttraining (from 43.51 to 71.54 [p < .001]). CONCLUSION: Customized de-escalation training sessions can contribute to active participation in de-escalation training and improvement in clinician confidence in coping with patient aggression.
Source: Nursing for Women s Health
Language: English
Subfield: Sociology and Political Science
Field: Social Sciences
Domain: Social Sciences
Open Access status: hybrid
Estimated APC paid: $3,000
OpenAlex ID: W4411198556