Doctor of Nursing Practice (DNP) Projects

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Doctor of Nursing Practice

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Psychiatric Mental Health Nurse Practitioner (PMHNP)

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workplace violence prevention, healthcare workers, violence prevention program


Karen Kalmakis, PhD, MPH, FNP-BC, FAANP

DNP Project Chair

Karen Kalmakis, PhD, MPH, FNP-BC, FAANP


Background: Violence in healthcare is a growing problem. Health care workers are being physically and psychologically assaulted by patients and their families. This is particularly a problem in emergency departments, psychiatric units, waiting rooms and geriatric facilities.

Purpose: This project focused on the creation of an educational toolkit for the prevention of violence against healthcare workers.

Methods: This quality improvement project used Kotter’s 8-step change model to guide the evaluation of a toolkit incorporating evidence-based nonviolent crisis prevention strategies with Crisis Prevention Institute’s top 10 de-escalation tips. The project was implemented at a psychiatric hospital in Illinois. Healthcare workers reviewed the educational material in the toolkit. Questionnaire were used to collect data using the Confidence in Coping with Patient Aggression Instrument pre- and post-education. Descriptive statistics were used to analyze the data.

Results: Eleven healthcare workers participated. The mean score from the questionnaire was higher post-education (Mean= 27.52, SD= 3.32) compared to pre-education (Mean=22.83, SD=4.31). Additionally, there was an estimated 9% decrease in violence post educational intervention.

Conclusion: An educational toolkit has shown some promising results in increasing self perceived confidence in coping with/managing patient aggression and reducing violence against healthcare workers.

Keywords: workplace violence, healthcare workers, violence prevention program

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This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

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