Date of Conferral

12-10-2024

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Annie Hubbard

Abstract

This doctor of nursing staff education project focused on training health care staff members who lack knowledge of de-escalation techniques at a living facility. The practice-focused question centered on whether staff education on using de-escalation techniques can increase staff knowledge, with the overall goal to reduce the use of physical restraints in a living facility. Twenty health care workers, including nurses, support staff, and managers, voluntarily participated in the project. I created a PowerPoint presentation with input from experts and then created a 10-question, multiple choice, pre- and posttest. I presented an in-person 60-minute education training to the voluntary participants. The analytical strategies involved pre- and postintervention analysis, whereby the knowledge of staff was compared before and after the education program. The data were analyzed with a paired t test. The pretest demonstrated that 100% of participants lacked knowledge of evidence-based de-escalation techniques because all 20 participants scored below 60%. After the education, all the staff members involved in the education program scored 70% or higher on the posttest, demonstrating the success of the project. The implications for nursing practice include improving patient outcomes and enhancing competence of staff towards managing patients during behavioral crisis or episodes, focusing on a culture of safety. This project has broader implications for positive social change by promoting respect for patient autonomy and dignity.

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