![]() ![]() ![]() All instructors completed the 3-day MOAB® International Management of Aggressive Behavior instructor certification course, which focuses on preventing and diffusing aggressive behavior, managing stages of conflict, addressing physical confrontation, and controlling and restraining aggressive individuals. The initial program instructors included six hospital staff with expertise in nursing education, security, and management as well as two psychiatric mental health experts from the college of nursing. The specific program objectives include establishing a core group of qualified instructors to provide education and training to hospital nurses and healthcare providers, increasing participants’ confidence in managing aggressive patient situations, and decreasing the number of hospital security calls for aggressive patient situations. The MAPS program provides nurses and other healthcare staff with the confidence and skills to recognize aggressive patient behavior and de-escalate potentially hostile situations. To address this issue and answer the American Nurses Association (ANA) call to share interventions that help prevent workplace violence, the University of Tennessee Health Science Center College of Nursing (with approval from the institutional review board) partnered with Regional One Health to develop the Management of Aggressive Patient Situations (MAPS) program. If passed by the Senate, this legislation will require employers to implement comprehensive plans to protect healthcare providers from violence and prohibit retaliation that discourages violent incident reporting. In response to this rise in violence in healthcare settings, the National Institute for Occupational Safety and Health (NIOSH), OSHA, and The Joint Commission published reports and guidelines recognizing the importance of nurses’ and other healthcare providers’ abilities to prevent workplace violence, and the 117th Congress passed The Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. All nurses and other healthcare staff must be equipped with the knowledge to identify agitation and escalating behavior and possess the skills to de-escalate a potentially hostile situation. For example, a study by the Emergency Nurses Association Institute for Emergency Nursing Research involving over 7,000 emergency department nurses found that most participants who were victims of workplace violence didn’t file a formal report.Īge and experience aren’t predictors of a nurse’s ability to de-escalate potentially violent situations, and improvement can’t occur without training. Even more distressing is that these assaults are vastly underreported even at organizations with formal incident-reporting systems. In the 2021 American Nurse Journal Nursing Trends and Salary survey of more than 4,500 nurses, over half reported being verbally assaulted by a patient.Ī 2016 American Nurses Association health risk appraisal reported that 1 in 4 nurses had been physically assaulted by a patient or a patient’s family. Rates of verbal and physical assault correlate with patient contact time, which places nurses in the highest risk category of all healthcare workers. ![]() The BLS notes that workplace violence events, defined as those requiring days off for the injured worker to recuperate, are five times more common in healthcare than in private industries. The Occupational Safety and Health Administration (OSHA) and the Bureau of Labor Statistics (BLS) report that hospitals rank among the most hazardous places to work due to various factors. Workplace violence is a serious and growing global threat in healthcare. Management of aggressive patient situations (MAPS) curriculum incorporates a specific patient and healthcare perspective using adult learning strategies, differentiating it from other programs intended for a more general audience.All healthcare providers should be equipped with the knowledge to identify agitation and escalating behavior and possess the skills to de-escalate a potentially hostile situation.Workplace violence is a growing threat in healthcare worldwide and rates of verbal and physical assault correlate with patient contact time, placing nurses in the highest risk category of all healthcare workers. ![]() Program development, implementation, and evaluation. ![]()
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