Date of Conferral
1-3-2025
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Cheryl Holly
Abstract
Mental health nurses frequently face physical and emotional challenges due to the high prevalence of violence in psychiatric settings. A 2023 survey by the American Nurses Association revealed that 62% of nurses reported abuse from patients, underscoring the need for improved training on managing violent behaviors without excessive reliance on restraint and seclusion. This project addressed a critical knowledge gap in de-escalation techniques among mental health nurses by developing and implementing an educational program for violence prevention. The training included de-escalation strategies and alternative management practices aimed at reducing patient aggression while enhancing nurse safety and confidence. Forty-five of sixty nurses (75%) participated in the training sessions, conducted over three days. Outcome data showed a significant reduction in violent incidents, emergency calls, and restrictive interventions following the program, with further improvements over successive quarters. Admission assessments and communication rates also increased, contributing to better patient outcomes and reduced material losses. Organizational benefits include potential reductions in legal costs, staff injuries, and turnover. Despite limitations, such as scheduling conflicts and the need for hybrid learning formats, the project highlights the value of embedding violence management training into standard nurse orientation and annual reviews. Future dissemination will target psychiatric hospitals, recovery centers, and emergency rooms to promote a safer, more inclusive, and equitable mental healthcare environment.
Recommended Citation
OZURUMBA-OMOREGIE, IRENE, "Education of Nursing Staff on Management of Aggression and Violence in Mental Health Patients Using Less Restrictive Measures." (2025). Walden Dissertations and Doctoral Studies. 16772.
https://scholarworks.waldenu.edu/dissertations/16772