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Verbal deescalation training is lacking in nurse residency programs. This results in inability to mediate violent events, increased staff injury, and decreased job satisfaction. Training in verbal deescalation promotes confidence, satisfaction, and safety. Nurses participated in didactic and simulated verbal deescalation training resulting in an increase in verbal deescalation confidence of 1.6 on a 1-10 Likert scale. Meaningful verbal deescalation training increases confidence and could reduce workplace violence as well as improve workplace safety and job satisfaction.
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http://dx.doi.org/10.1097/NND.0000000000001104 | DOI Listing |
Issues Ment Health Nurs
September 2025
Faculty of Health, Southern Cross University, Coffs Harbour, Australia.
Understanding the drivers of seclusion and physical restraint supports the work towards minimising their use in acute mental health units. However, evidence on their most important drivers remains limited and is focused mainly on individual-level features. Employing 249 days of 917 contemporaneous records of nurse de-escalation events in one adult inpatient unit in regional Australia, from January 2019 to March 2020, twenty-three features other than individual demographic, dispositional, and diagnostic factors were extracted.
View Article and Find Full Text PDFJAMA Netw Open
August 2025
Department of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus.
Importance: Hospital-based security teams assist emergency department (ED) staff when there is a risk to staff or patient safety.
Objective: To describe the current practice of hospital security assistance during emergency mental health care.
Design, Setting, And Participants: This qualitative study with mixed methods was a secondary analysis of a retrospective cohort study of patients in the ED for mental health concerns who received involuntary sedation from 2020 to 2021.
J Psychiatr Res
September 2025
Institute of Mental Health, Hospital Del Mar, Passeig Marítim de La Barceloneta 25-29, 08019, Barcelona, Spain; Centro de Investigación Biomédica en Red de Salud Mental, Instituto de Salud Carlos III, Av. Monforte de Lemos, 3-5. Pabellón 11, Planta 0, 28029, Madrid, Spain; Department de Salut, S
Mechanical restraint (MR) is a significant ethical and clinical concern in psychiatric care and should be avoided whenever possible. A commonly recommended strategy to avoid MR, which is not yet strongly evidence-based, is verbal de-escalation (VD). This naturalistic observational study included individuals with schizophrenia who were involuntarily transferred from their homes to the emergency room by a specialized psychiatric home care team between 2008 and 2020.
View Article and Find Full Text PDFOrv Hetil
June 2025
2 Heim Pál Országos Gyermekgyógyászati Intézet Budapest, Üllői út 86., 1089 Magyarország.
Introduction: Violence against healthcare workers is a frequently researched topic because of its impact on hospital quality. However, studies focusing specifically on children’s hospitals are rarer. Workplace violence reduces the effectiveness of hospital services and the perception of aggression is a social psychological process that becomes particularly complex when a sick child is involved in the interaction.
View Article and Find Full Text PDFBMC Med Educ
April 2025
University Hospital of North Norway HF (UNN), SIFER Nord, Tromsø, Norway.
Introduction: Staff working at inpatient psychiatric hospitals are at greater risk of being exposed to workplace aggression, with an incidence rate over 32% worldwide. Workplace aggression includes behaviours or actions that are meant to inflict harm or injury, verbally or physically, to another person. Exposure to aggressive behaviour is associated with negative work-related outcomes and higher levels of coercive measures in mental health care facilities.
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