Journal of Clinical NursingVolume 20, Issue 17-18 p. 2584-2586 RESEARCH IN BRIEF Sensitivity, specificity and predictive value of Confidence in Managing Patient Aggression Scale on de-escalating behaviour Johannes Nau, Johannes Nau Authors: Johannes Nau, PhD, MA, RN, Lecturer, EBZ – Protestant Centre of Health Care Professions Stuttgart, Stuttgart; Theo Dassen, PhD, Professor, Department of the Education of Nurse and Paramedic Teachers and Nursing Science, Charité Universitätsmedizin Berlin, Berlin, Germany; Ian Needham, PhD, MNSc, Professor, Center of Education & Research (COEUR) Psychiatric Hospital Wil, Wil, Switzerland; Ruud Halfens, PhD, Professor, Caphri, Department of Health Care and Nursing Science, Maastricht University, Maastricht, The NetherlandsSearch for more papers by this authorTheo Dassen, Theo Dassen Authors: Johannes Nau, PhD, MA, RN, Lecturer, EBZ – Protestant Centre of Health Care Professions Stuttgart, Stuttgart; Theo Dassen, PhD, Professor, Department of the Education of Nurse and Paramedic Teachers and Nursing Science, Charité Universitätsmedizin Berlin, Berlin, Germany; Ian Needham, PhD, MNSc, Professor, Center of Education & Research (COEUR) Psychiatric Hospital Wil, Wil, Switzerland; Ruud Halfens, PhD, Professor, Caphri, Department of Health Care and Nursing Science, Maastricht University, Maastricht, The NetherlandsSearch for more papers by this authorIan Needham, Ian Needham Authors: Johannes Nau, PhD, MA, RN, Lecturer, EBZ – Protestant Centre of Health Care Professions Stuttgart, Stuttgart; Theo Dassen, PhD, Professor, Department of the Education of Nurse and Paramedic Teachers and Nursing Science, Charité Universitätsmedizin Berlin, Berlin, Germany; Ian Needham, PhD, MNSc, Professor, Center of Education & Research (COEUR) Psychiatric Hospital Wil, Wil, Switzerland; Ruud Halfens, PhD, Professor, Caphri, Department of Health Care and Nursing Science, Maastricht University, Maastricht, The NetherlandsSearch for more papers by this authorRuud Halfens, Ruud Halfens Authors: Johannes Nau, PhD, MA, RN, Lecturer, EBZ – Protestant Centre of Health Care Professions Stuttgart, Stuttgart; Theo Dassen, PhD, Professor, Department of the Education of Nurse and Paramedic Teachers and Nursing Science, Charité Universitätsmedizin Berlin, Berlin, Germany; Ian Needham, PhD, MNSc, Professor, Center of Education & Research (COEUR) Psychiatric Hospital Wil, Wil, Switzerland; Ruud Halfens, PhD, Professor, Caphri, Department of Health Care and Nursing Science, Maastricht University, Maastricht, The NetherlandsSearch for more papers by this author Johannes Nau, Johannes Nau Authors: Johannes Nau, PhD, MA, RN, Lecturer, EBZ – Protestant Centre of Health Care Professions Stuttgart, Stuttgart; Theo Dassen, PhD, Professor, Department of the Education of Nurse and Paramedic Teachers and Nursing Science, Charité Universitätsmedizin Berlin, Berlin, Germany; Ian Needham, PhD, MNSc, Professor, Center of Education & Research (COEUR) Psychiatric Hospital Wil, Wil, Switzerland; Ruud Halfens, PhD, Professor, Caphri, Department of Health Care and Nursing Science, Maastricht University, Maastricht, The NetherlandsSearch for more papers by this authorTheo Dassen, Theo Dassen Authors: Johannes Nau, PhD, MA, RN, Lecturer, EBZ – Protestant Centre of Health Care Professions Stuttgart, Stuttgart; Theo Dassen, PhD, Professor, Department of the Education of Nurse and Paramedic Teachers and Nursing Science, Charité Universitätsmedizin Berlin, Berlin, Germany; Ian Needham, PhD, MNSc, Professor, Center of Education & Research (COEUR) Psychiatric Hospital Wil, Wil, Switzerland; Ruud Halfens, PhD, Professor, Caphri, Department of Health Care and Nursing Science, Maastricht University, Maastricht, The NetherlandsSearch for more papers by this authorIan Needham, Ian Needham Authors: Johannes Nau, PhD, MA, RN, Lecturer, EBZ – Protestant Centre of Health Care Professions Stuttgart, Stuttgart; Theo Dassen, PhD, Professor, Department of the Education of Nurse and Paramedic Teachers and Nursing Science, Charité Universitätsmedizin Berlin, Berlin, Germany; Ian Needham, PhD, MNSc, Professor, Center of Education & Research (COEUR) Psychiatric Hospital Wil, Wil, Switzerland; Ruud Halfens, PhD, Professor, Caphri, Department of Health Care and Nursing Science, Maastricht University, Maastricht, The NetherlandsSearch for more papers by this authorRuud Halfens, Ruud Halfens Authors: Johannes Nau, PhD, MA, RN, Lecturer, EBZ – Protestant Centre of Health Care Professions Stuttgart, Stuttgart; Theo Dassen, PhD, Professor, Department of the Education of Nurse and Paramedic Teachers and Nursing Science, Charité Universitätsmedizin Berlin, Berlin, Germany; Ian Needham, PhD, MNSc, Professor, Center of Education & Research (COEUR) Psychiatric Hospital Wil, Wil, Switzerland; Ruud Halfens, PhD, Professor, Caphri, Department of Health Care and Nursing Science, Maastricht University, Maastricht, The NetherlandsSearch for more papers by this author First published: 14 June 2011 https://doi.org/10.1111/j.1365-2702.2010.03597.xCitations: 8 Johannes Nau, Lecturer, EBZ – Protestant Centre of Health Care Professions Stuttgart, Stöckachstraße 48, 70190 Stuttgart, Germany. Telephone: +49 711 997992402.E-mail:nau@ebz-pflege.de Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Citing Literature Volume20, Issue17-18Special Issue: European Doctoral Conference in NursingSeptember 2011Pages 2584-2586 RelatedInformation

Häufig kommt es in Einrichtungen des Gesundheits- und Sozialwesens zu angespannten und aggressiven Situationen mit Patienten, Klienten und Besuchern. Das Pflegepersonal ist besonders davon betroffen. Bisher fand aber nur in Ausnahmefällen eine entsprechende Qualifizierung des Personals statt. Die Autoren prüfen, ob es sinnvoll ist, bereits in einer Pflegegrundausbildung für solche aggressiven Situationen zu schulen.

Background Experts recommend staff training to prevent and manage aggressive situations Involving patients or their relatives However, in many countries this subject is not coveted in pre-registration nut sing education. In addition, the evidence regal ding its impact on practical placements remains weakObjective This study examines the influence of an aggression management training programme for nursing students on their performance in de-escalating aggressive patientsDesign Pretest-posttest within-and-between-groups designSetting A School of Nursing in GermanyParticipants Convenience sample out of six classes of nursing students at differing educational levels (10th to 28th month of nursing education, n = 78. mean age = 22)Methods. In a cross-sectional and longitudinal two groups before and after design nursing students encountered two scenarios (A or B) with simulation patients After completing the training, each student was confronted with the unknown other scenario De-escalation experts nom three German-speaking countries evaluated 156 video scenes using the De-escalating Aggressive Behaviour Scale (DABS), not knowing whether the videos had been recorded before or after the training Mean values and statistical significance tests wet e computed to compare the JesuitsResults The performance levels of students who had been trained lose significantly from 274 to 3.65 as measured by the DABS on a 5-point Likert scale (Wilcoxon test p < 001) The trained students managed scenario A significantly better than the untrained students (untrained 2 50, named 3.70, Mann-Whitney-U-test p < 001.) Similar results wet e found for scenario 13 (untrained 3 01. trained 361, Mann-Whitney-U-test p < 001) No significant differences were found in the pretest results irrespective the students' age or duration of previous nursing educationConclusions. Aggression management training is able to improve nursing students' performance in de-escalating aggressive behaviour A maturation-effect on the de-escalating performance due to general nursing education or age is unlikely (C) 2009 Elsevier Ltd All rights reserved

AIM:This paper is a report of a study to develop and test the psychometric properties of a scale measuring nursing students' performance in de-escalation of aggressive behaviour.BACKGROUND:Successful training should lead not merely to more knowledge and amended attitudes but also to improved performance. However, the quality of de-escalation performance is difficult to assess.METHOD:Based on a qualitative investigation, seven topics pertaining to de-escalating behaviour were identified and the wording of items tested. The properties of the items and the scale were investigated quantitatively. A total of 1748 performance evaluations by students (rater group 1) from a skills laboratory were used to check distribution and conduct a factor analysis. Likewise, 456 completed evaluations by de-escalation experts (rater group 2) of videotaped performances at pre- and posttest were used to investigate internal consistency, interrater reliability, test-retest reliability, effect size and factor structure. Data were collected in 2007-2008 in German.FINDINGS:Factor analysis showed a unidimensional 7-item scale with factor loadings ranging from 0.55 to 0.81 (rater group 1) and 0.48 to 0.88 (rater group 2). Cronbach's alphas of 0.87 and 0.88 indicated good internal consistency irrespective of rater group. A Pearson's r of 0.80 confirmed acceptable test-retest reliability, and interrater reliability Intraclass Correlation 3 ranging from 0.77 to 0.93 also showed acceptable results. The effect size r of 0.53 plus Cohen's d of 1.25 indicates the capacity of the scale to detect changes in performance.CONCLUSION:Further research is needed to test the English version of the scale and its validity.

BACKGROUND:The nursing profession has one of the highest assault risks. Managing patient aggression is therefore a challenge for nurses, especially for nursing students. This longitudinal pre-post-test study set out to test the outcome of a training course tailored to the special needs of nursing students on their confidence in coping with patient aggression. METHODS:Sixty-three nursing students in four groups attended three-day training courses designed specially to meet their needs. Thackrey's confidence in coping with patient aggression scale was used before the training, immediately after the training, and after two weeks in practical placement. Questionnaires about perceived changes were completed two weeks into practical placements and were analyzed by qualitative content analysis. RESULTS:A significant enhancement of students' self-reported confidence in dealing with patient aggression was found. The overall mean score changed significantly from 2.5 in the pre-test to 3.6 after the training. No significant decrease in the score was found after two weeks in the practical placement. Regarding managing aggression almost half of the students became aware of perceived changes in daily practice. CONCLUSION:The three-day training course is able to support nursing students' self reported capacities to manage patient aggression.

Gewalt gegen Pflegende — In Krankenhäusern, Pflegeheimen oder in der ambulanten Pflege gibt es nicht nur erfreuliche Situationen. Pflegende erleben auch, dass sie von Patienten oder Bewohnern angegriffen werden. Ein Tabuthema, dem sich jetzt Wissenschaftler angenommen haben – erste Ergebnisse der internationalen Forschungsarbeit.

Background: Nursing students are at high risk to become a victim of patient aggression. There is little evidence that training programmes developed for post-registered nurses or nurses in psychiatric or forensic settings can meet the needs of nursing students. To gain more insight into student nurses' educational outcomes in Germany the view of the target group was explored.Methods: Twelve nursing students participated in semi-structured interviews. Data were evaluated by qualitative content analysis.Results: Managing patient aggression is a general challenge for nursing students and is not confined to psychiatric settings. Specific problems of beginners became evident. Additionally, general issues were addressed on control of causes of aggression, interpretation aggressive situations, dealing with the aggressive patient, coping with stress, and organizational issues.Conclusion: Nursing students need preparation and training in handling patient aggression. They should acquire knowledge about aggression, awareness of contributing problems, self-confidence in dealing with aggressive patients, assertiveness and empathy in communication and the ability to cope in an appropriate manner. In addition the safety policy of hospital placements should be examined for appropriateness to support nursing students. (c) 2007 Elsevier Ltd. All rights reserved.