Interdisciplinary Simulation Training Reduces Restraint Use in the Emergency Department: A Pilot Study

被引:2
作者
Duncan, Gary [1 ]
Gable, Brad [2 ]
Schabbing, Megan [3 ]
机构
[1] OhioHlth, Med Educ & Simulat, Columbus, OH USA
[2] OhioHlth, Emergency Med, Columbus, OH 43214 USA
[3] OhioHlth, Psychiat & Behav Sci, Columbus, OH USA
关键词
workplace violence; interdisciplinary teaching; interdisciplinary simulation; healthcare simulation; deescalation; healthcare worker safety; patient safety and quality improvement;
D O I
10.7759/cureus.39847
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction Safe and effective management of agitated patients poses multiple challenges for healthcare professionals. Patients placed in restraints because of agitated behavior are at a higher risk of complications, including death. This intervention was designed to provide emergency department staff a framework for de-escalation, improve teamwork, and reduce the use of violent physical restraints. Methods Emergency medicine nurses, patient support associates, and protective services officers underwent a 90minute educational intervention in 2017. A 30-minute lecture focusing on communication and early use of medication for agitation was followed by a simulation using standardized participants, then a structured debriefing. A standardized return-on-learning tool determined participants' reactions to and application of the educational intervention. Additionally, data was collected and reported as a ratio of number of restraints applied each month compared to total emergency department visits that month. Data were analyzed comparing the six months before the education and the subsequent six months after the education. Results A pilot group of 30 emergency department staff members completed the educational intervention. The intervention contributed to the overall decrease in restraint use in the department. Most participants (86%) felt more confident in their ability to manage agitated patients. Conclusion An interdisciplinary simulation-enhanced educational intervention successfully reduced use of restraints in the emergency department and improved staff attitudes toward de-escalation techniques for agitated patients.
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页数:7
相关论文
共 21 条
[1]  
Anderson L. W., 2001, TAXONOMY LEARNING TE
[2]   Workplace violence (WPV) in healthcare systems [J].
Dadfar, Mahboubeh ;
Lester, David .
NURSING OPEN, 2021, 8 (02) :527-528
[3]   A Novel Simulation-Based Multidisciplinary Verbal De-escalation Training [J].
Duncan, Gary ;
Schabbing, Megan ;
Gable, Brad D. .
CUREUS JOURNAL OF MEDICAL SCIENCE, 2021, 13 (12)
[4]   Simulation-Based Team Training in Healthcare [J].
Eppich, Walter ;
Howard, Valerie ;
Vozenilek, John ;
Curran, Ian .
SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN HEALTHCARE, 2011, 6 :S14-S19
[5]  
Gelkopf Marc, 2009, Issues Ment Health Nurs, V30, P758, DOI 10.3109/01612840903159777
[6]   The shoulder: taking the strain during restraint [J].
Hollins, L. P. ;
Stubbs, B. .
JOURNAL OF PSYCHIATRIC AND MENTAL HEALTH NURSING, 2011, 18 (02) :177-184
[7]  
Khalid Zaira, 2019, Prim Care Companion CNS Disord, V21, DOI 10.4088/PCC.19m02471
[8]   STAFF PERCEPTION OF INTERPROFESSIONAL SIMULATION FOR VERBAL DE-ESCALATION AND RESTRAINT APPLICATION TO MITIGATE VIOLENT PATIENT BEHAVIORS IN THE EMERGENCY DEPARTMENT [J].
Krull, Wendy ;
Gusenius, Theresa M. ;
Germain, Danyel ;
Schnepper, Lisa .
JOURNAL OF EMERGENCY NURSING, 2019, 45 (01) :24-30
[9]   Agitation Crisis Control [J].
Mason, Jessica ;
Colwell, Christopher B. ;
Grock, Andrew .
ANNALS OF EMERGENCY MEDICINE, 2018, 72 (04) :371-373
[10]   The Characteristics and Prevalence of Agitation in an Urban County Emergency Department [J].
Miner, James R. ;
Klein, Lauren R. ;
Cole, Jon B. ;
Driver, Brian E. ;
Moore, Johanna C. ;
Ho, Jeffrey D. .
ANNALS OF EMERGENCY MEDICINE, 2018, 72 (04) :361-370