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Evaluating the Impact of a Modified AVADE Program on Health Care Workers’ Confidence in Managing Patient Agitation

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Abstract
Background: In a one-year period (2021-2022) a Massachusetts hospital reported an increase from 283 assaults on staff to 360 assaults. Assaults on health care workers are associated with increased turnover rates, job dissatisfaction, emotional trauma, and incomplete tasks. Purpose: The purpose of this DNP proposal was to evaluate the effectiveness of a multifaceted program intended to increase healthcare worker knowledge and confidence in managing agitation and violence among patients. Methods: The project used a pre and post one-group design to evaluate an educational intervention, a modified AVADE program, using Thackery's (1987) Confidence in Coping with Patient Aggression, a 30-day post-intervention follow-up, and a post-violent incident follow-up. Quantitative data were analyzed using descriptive statistics and paired t-test, and qualitative data were analyzed using content analysis of an open response question on the post violence survey and the 30 day follow up survey. Results: The modified AVADE program was found to increase confidence in coping with patient aggression. The education was reportedly used in practice within one month of taking the course and during violent events. Discussion: An educational intervention that focuses on de-escalation, awareness, defense, proper restrain use, legal components, and case studies increased healthcare workers' confidence in coping with patient aggression. The educational intervention was found to be used in violent events, and in practice within one month of taking the course. Conclusion: Providing education to healthcare workers in managing patient aggression increases their confidence in coping with patient aggression and offers tools they can use in practice.
Type
Capstone Project
Date
2024-05
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Attribution-ShareAlike 4.0 International
License
http://creativecommons.org/licenses/by-sa/4.0/
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