The Effects of Aggression Management Training for Mental Health Care and Disability Care Staff: A Systematic Review
Published 1 January 2006
Dirk Richter, Ian Needham, Stefan Kunz
Citations35
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Although the results on the number of violent incidents remain unclear, it is recommended to conduct comprehensive aggression management trainings in mental health and disability care institutions.
Abstract
Sensitisation effects in staff after getting trained probably lead to reporting bias. Although the results on the number of violent incidents remain unclear, it is recommended to conduct comprehensive aggression management trainings in mental health and disability care institutions.
Keywords
PsychologySocial Sciences
BMJAbsence of evidence is not evidence of absence
249 Citations2004Phil Alderson
This editorial considered the dangers of misinterpreting differences that do not reach significance, criticising use of the term “negative” to describe studies that had not found statistically significant differences.
Journal of Advanced NursingImplementation and evaluation of a practical intervention programme for dealing with violence towards health care workers
190 Citations2000Judith E. Arnetz, Bengt B. Arnetz
Staff at the intervention work sites reported 50% more violent incidents than the control work sites during the year, and the structured feedback programme seems to have improved staff knowledge of risks for violence in the intervention group.
BMJWhy certain systematic reviews reach uncertain conclusions
178 Citations2003Mark Petticrew
The “stainless steel” law of evaluation states that the better designed the outcome evaluation, the less effective the intervention seems.
Professional Psychology Research and PracticeClinician confidence in coping with patient aggression: Assessment and enhancement.
117 Citations1987Michael Thackrey
Training programs intended to enhance clinician confidence in coping with patient aggression have been only cursorily researched and ad hoc instrumentation and control conditions and follow-up assessment are omitted.
International Journal of Mental Health NursingNurses under threat: A comparison of content of 28 aggression management programs
115 Citations2005Gerry Farrell, Katrina Cubit
Psychiatric ServicesAssauks and Injuries Among Staff With and Without Training in Aggression Control Techniques
113 Citations1985Joseph A. Infantino, Sen-Yoni Musingo
Findings support the implementation of aggression control training to provide staff with techniques to defuse potentially violent situations.
Journal of Gerontological NursingAGGRESSIVE BEHAVIOR: Educating Nursing Assistants
98 Citations1992Karen S. Feldt, Muriel B. Ryden
The use of the clinical nurse specialist to teach and assist in role modeling direct care of residents was effective in improving nursing assistant skill in working with aggressive cognitively impaired residents.
Journal of Gerontological NursingWHEN CARING LEAVES BRUISES: The Effects of Staff Education on Resident Aggression
88 Citations1995Brad Hagen, Dorie Sayers
The authors found a 50% reduction in reported physical aggression from elderly residents after a staff education program on dementia and aggression was implemented.
Journal of Clinical NursingAn evaluation of staff training in psychological techniques for the management of patient aggression
83 Citations1996Richard Whittington, Til Wykes
In this longitudinal study 47 nurses attending a training day to learn strategies for coping with violent psychiatric patients were compared with 108 non-attending control group subjects, and the rate of assaults on staff on wards taking part in the study was 31% lower after implementation.
Archives of Psychiatric NursingA multinational study of psychiatric nursing staffs' beliefs and concerns about work safety and patient assault
82 Citations1996Elizabeth C. Poster
Significant differences were found among the nurses with regard to beliefs about adequacy of staffing, safety of the physical environment, admission of assaultive patients, expectations about being victims of assault, overall level of safety, and taking legal action against a patient.
Research in Developmental DisabilitiesChanging care staff approaches to the prevention and management of aggressive behaviour in a residential treatment unit for persons with mental retardation and challenging behaviour
76 Citations1997David Allen, Lindsay McDonald +2 more
There was some evidence to support the notion that the training reduced the number of behavioural incidents for most residents, and the rates of major reactive strategy use declined over time, as did rates of staff and resident injury.
Issues in Mental Health NursingEVALUATION OF TRAINING DESIGNED TO PREVENT AND MANAGE PATIENT VIOLENCE
71 Citations2002Karen S. Calabro, Thomas A. Mackey +1 more
Evaluation of programs that train mental health care workers to prevent and manage patient violence demonstrated improvements in posttest scores that were significant for knowledge, attitude, self-efficacy, and behavioral intention.
Mental RetardationResponding to Aggressive Behavior: Impact of Training on Staff Members' Knowledge and Confidence
70 Citations2000David G. Allen, Hannah Tynan
Results indicated that the training significantly improved participants' knowledge of reactive behavior management and their confidence to work with aggressive individuals.
EpidemiologyWork-Related Assault Injuries among Nurses
62 Citations1999Su-hsing S. Lee, Susan Goodwin Gerberich +3 more
The purpose of this case-control study was to identify risk factors for work-related assault injuries among nurses and used unconditional logistic regression to model the dependence of work- related assault injuries on each exposure of interest and the respective confounders.
Psychiatric ServicesCost-effective communication skills training for state hospital employees
62 Citations1995Sharene L. Smoot, José L. Gonzáles
The results suggested that training in empathic communication skills for direct care staff is a promising proactive, cost-effective approach to coping with staff stress and turnover and may also improve patient outcomes.
Journal of Forensic PsychiatryControl and restraint training: A study of its effectiveness in a medium secure psychiatric unit
55 Citations1996Jon Parkes
In incidents involving manual restraint of patients prior to and after training in control and restraint techniques, there were more staff injuries while restraining patients and there was no change in the number of injuries during other phases of an incident.
Nurse Education TodayAn evaluation of a training course in the short-term management of violence
52 Citations1992Brodie Paterson, John Turnbull +1 more
American Journal of Community PsychologyCrisis prevention and intervention training for psychiatric hospital staff
49 Citations1985Mamie E. Rice, Manuel F. Helzel +2 more
Compared to no-treatment controls, experimental subjects improved significantly on four tests of crisis-related tests and knowledge and questionnaire and self-report measures from staff and patients on the training wards indicated positive course effects.
Archives of Psychiatric NursingImproving staff safety through an aggression management program
46 Citations1995Kimberly Martin
There was a decrease in the severity of aggression-related staff injuries after institution of the formal Aggression Management Program, as well as a reduction in time missed from work and cost to the system.
Journal of Gerontological NursingTRAINING STAFF TO PREVENT AGGRESSIVE BEHAVIOR of Cognitively Impaired Elderly Patients During Bathing and Grooming
46 Citations1996Maxcine C Maxfield, Robert E. Lewis +1 more
In addition to training, observation of performance and consultation are important steps in enabling caregivers to apply and maintain their skills.
Psychiatric ServicesEffect of nonviolent self-defense training on male psychiatric staff members' aggression and fear
44 Citations1995David R. Phillips, Kjell Erik Rudestam
Geriatric NursingTesting an intervention to reduce assaults on nursing assistants in nursing homes: A pilot study
43 Citations2002Evelyn Fitzwater, Donna Gates
A pilot study focused an educational intervention to reduce resident assaults on certified nursing assistants in nursing homes and found it supported education and training as effective in reducing resident physical assaults and enhancing nursing home safety.
Psychiatric BulletinReducing violence on a secure ward
42 Citations1995Ann Mortimer
Incidents on a secure ward fell substantially in number and severity over 31 months during which staff were trained in control and restraint techniques (C&R) and a monthly audit of incidents was carried out.
Journal of Applied Research in Intellectual DisabilitiesA Pilot Study of the Use of Physical Intervention in the Crisis Management of People with Intellectual Disabilities who present Challenging Behaviour
38 Citations2000Peter Baker, Dianne Bissmire
The use of physical intervention in response to challenging behaviour in a nonspecialized intellectual disability service setting was found to be extremely high and staff confidence in their ability to prevent and respond to crisis situations involving challenging behaviour was extremely low.
European PsychiatryViolence and its prediction at a psychiatric hospital
36 Citations2001Nils Sjöström, Derek N. Eder +2 more
One interesting finding was a lower reporting on the SOAS of perceived aggressive incidents after the training course in comparison with the SDAS, which indicates directed verbal aggressiveness and violence towards things were found to be predictors of violence.
International Journal of Mental Health NursingDoes prior training and staff occupation influence knowledge acquisition from an aggression management training program?
25 Citations2002Olga Ilkiw‐Lavalle, Brin F. S. Grenyer +1 more
Results suggest previously trained staff would be better suited to shorter, more frequent, on ward skills-based refresher training.
PubMedThe effects of an aggressive behavior management program on nurses' levels of knowledge, confidence, and safety.
23 Citations1997Hurlebaus Ae, S Link
This project was developed to provide a program titled, "Managing Aggressive Behavior," to nurses and to measure and compare the differences in levels of knowledge and feelings of safety and confidence among nurses who attended the workshop versus a group who did not.
Emotional and Behavioural DifficultiesAn evaluation of aggression management training in a special educational setting
19 Citations2002Jennyfer Perkins, David Leadbetter
Community Mental Health JournalBrief Report: Violence Prevention and Safety Training for Case Management Services
18 Citations2002Robert L. Weisman, J. Steven Lamberti
An overview of the SAVE curriculum and its development is presented, as well as results from a preliminary evaluation of trainee satisfaction, to reduce jail and hospital recidivism among severely mentally ill adults with histories of criminal justice system involvement.
PubMedWorkplace assault management training: an outcome evaluation.
10 Citations2002Timothy Ore
Surprisingly, those with training had a higher number of reported injuries and a per capita worker's compensation payout double that received by those without training.