Violence Training Program Research Articles

Improving Policy and Legislation Related to Healthcare Workplace Violence

Abstract Our group conducted the first known New Hampshire survey on healthcare staff experience of workplace violence. Study questions focused on experiences of workplace violence, incident reporting mechanisms, and the availability and benefit of workplace violence training programs. Results were consistent with recently published literature: violence against healthcare workers remains a serious public health problem that is under-reported, understudied, “tolerated and largely ignored.” We will discuss the aspects of policy and legislative responses to workplace violence that have been insufficient to address this problem. We also will present some strategies that, if implemented, could lead to improved policy and legislation that may be more proactive in reducing such violence.

Reframing Older Adults’ Violence Toward Staff as Self-Protection

One of the first studies on workplace violence in nursing homes was published in 1985. Forty-five (45) years later, resident violence against staff continues to increase in incidence and severity. At the request of a state senator, a New Hampshire psychiatrist formed a research group to conduct the first New Hampshire survey on staff experience of workplace violence. Study questions focused on experiences of workplace violence and incident reporting, and the availability and benefit of workplace violence training programs. Results were consistent with recently published literature: violence is an expected, normalized element when providing care; potential repercussions and perceived resident lack of intent were major reasons for incident non-reporting. Analysis of study results and review of the literature led to the question: Are older residents’ violent behaviors towards staff an act of self-protection?

Workplace Violence Training Programs for Nursing Students: A Literature Review.

Workplace violence (WPV) is a serious phenomenon affecting nurses in clinical settings around the globe. Like nurses, nursing students are at risk of encountering incidents of WPV, which may lead to negative consequences. WPV training programs are useful in helping nurses and nursing students prevent and manage incidents of WPV. Despite this evidence, the development and implementation of WPV training programs for nursing students pursuing their nursing training in university settings are scarce. The purpose of this literature review was to identify and synthesize the evidence about new training programs on prevention and management of WPV implemented exclusively for undergraduate and graduate nursing students published during the years 2012 to 2018. The literature review utilized five major databases to identify relevant articles containing WPV training programs implemented in university settings to train undergraduate and graduate nursing students. Appraisal of the evidence was conducted using the Mixed Methods Appraisal Tool. Nine articles included WPV training programs imparted to nursing students in university settings. Overall, nursing students increased their knowledge about WPV and learned practical skills that could be helpful in preventing and managing WPV incidents. WPV training programs were positively accepted by nursing students. WPV training programs for nursing students should be mandated in all nursing schools. These trainings are vital in equipping them with proper knowledge and practical skills that could be used to prevent and manage incidents of WPV.

Longitudinal evaluation of a domestic violence training program for midwives

Background: In Australia, 36% of women who experienced violence by a partner reported that this occurred when they were pregnant.1 Around seventeen percent of women experience domestic violence (DV) for the first time during pregnancy. Routine enquiry about domestic violence during pregnancy is now accepted best practice. Training is essential to improve knowledge and practice. Yet very few studies have undertaken a comprehensive evaluation of training impact over time. Aim: This presentation will provide an overview of an evaluation of the longitudinal impact of a domestic violence training and support program to promote midwives’ routine antenatal enquiry for domestic violence using a mixed methods design. Method: Data sources included (1) surveys of midwives at 6 months post-training, (2) interviews with key stakeholders at 12 months, (3) chart audit data of screening, risk, and disclosure rates (for 16 months). Measures included midwives’ knowledge and preparation for routine antenatal enquiry, and perceptions of organisational barriers to routine enquiry. Findings: Forty (out of 83) participant surveys could be matched and responses compared to baseline and post-training scores. Wilcoxon signed-rank test identified that all 6-month follow-up scores were significantly higher than those at baseline. Level of preparedness increased from 42.3 to 51.05 (Z = 4.88, p 90%) reported improved confidence to undertake routine inquiry. A chart audit of screening rates for 16 months post-training revealed of the 6671 women presenting for antenatal care, nearly 90% were screened. Disclosure of domestic violence was low (<2%) with most women at risk or experiencing violence declining referral. Contribution to policy & practice: Training, support processes, and referral pathways, contributed to midwives’ sustained preparedness and knowledge to conduct routine enquiry and support women disclosing domestic violence.

STOP School Violence Training and Technical Assistance Program (DOJ)

Federal Grants & ContractsVolume 43, Issue 11 p. 4-4 Grant Alerts STOP School Violence Training and Technical Assistance Program (DOJ) First published: 02 May 2019 https://doi.org/10.1002/fgc.30412Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume43, Issue112 May 2019Pages 4-4 RelatedInformation

The effect of a workplace violence training program for generalist nurses in the acute hospital setting: A quasi-experimental study

BackgroundWorkplace violence prevalence has attracted significant attention within the international nursing literature. Little attention to non-mental health settings and a lack of evaluation rigor have been identified within review literature. ObjectivesTo examine the effects of a workplace violence training program in relation to risk assessment and management practices, de-escalation skills, breakaway techniques, and confidence levels, within an acute hospital setting. DesignA quasi-experimental study of nurses using pretest-posttest measurements of educational objectives and confidence levels, with two week follow-up. SettingA 440 bed metropolitan tertiary referral hospital in Sydney, Australia. ParticipantsNurses working in specialties identified as a ‘high risk’ for violence. MethodA pre-post-test design was used with participants attending a one day workshop. The workshop evaluation comprised the use of two validated questionnaires: the Continuing Professional Development Reaction questionnaire, and the Confidence in Coping with Patient Aggression Instrument. Descriptive and inferential statistics were calculated. The paired t-test was used to assess the statistical significance of changes in the clinical behaviour intention and confidence scores from pre- to post-intervention. Cohen's d effect sizes were calculated to determine the extent of the significant results. ResultsSeventy-eight participants completed both pre- and post-workshop evaluation questionnaires. Statistically significant increases in behaviour intention scores were found in fourteen of the fifteen constructs relating to the three broad workshop objectives, and confidence ratings, with medium to large effect sizes observed in some constructs. A significant increase in overall confidence in coping with patient aggression was also found post-test with large effect size. ConclusionsPositive results were observed from the workplace violence training. Training needs to be complimented by a multi-faceted organisational approach which includes governance, quality and review processes.

Longitudinal evaluation of a training program to promote routine antenatal enquiry for domestic violence by midwives.

Routine enquiry about domestic violence during pregnancy is accepted best practice. Training is essential to improve knowledge and practice. Few studies have undertaken a comprehensive evaluation of training impact over time. To evaluate the longitudinal impact of a domestic violence training and support program to promote midwives' routine antenatal enquiry for domestic violence using a mixed methods design. Data sources included (1) surveys of midwives at 6 months post-training, (2) interviews with key stakeholders at 12 months, (3) chart audit data of screening, risk, and disclosure rates (for 16 months). Measures included midwives' knowledge, preparation for routine enquiry, knowledge of domestic violence and perceptions of impact of the training and support for practice change. Forty (out of 83) participant surveys could be matched and responses compared to baseline and post-training scores. Wilcoxon signed-rank test identified that all 6-month follow-up scores were significantly higher than those at baseline. Level of preparedness increased from 42.3 to 51.05 (Z=4.88, p<.001); and knowledge scores increased from a mean of 21.15 to 24.65 (Z=4.9, p<.001). Most participants (>90%) reported improved confidence to undertake routine inquiry. A chart audit of screening rates revealed that of the 6671 women presenting for antenatal care, nearly 90% were screened. Disclosure of domestic violence was low (<2%) with most women at risk or experiencing violence declining referral. Training, support processes, and referral pathways, contributed to midwives' sustained preparedness and knowledge to conduct routine enquiry and support women disclosing domestic violence.

Corrigendum.

Arbury, S., Zankowski, D., Lipscomb, J., & Hodgson, M. (2017). Workplace violence training programs for health care workers: an analysis of program elements. Workplace Health & Safety, 65(6), 266-272. (Original DOI: 10.1177/2165079916671534) In this article, the author list was incorrectly ordered in the OnlineFirst and print versions. It should have appeared as follows: Sheila Arbury, MPH, RN, Donna Zankowski, MPH, RN, COHN, Jane Lipscomb, PhD, RN, FAAN, and Michael Hodgson, MPH, MD. This error has been corrected in the online article.

Workplace Violence Training Programs for Health Care Workers: An Analysis of Program Elements

Workplace Violence Training Programs for Health Care Workers: An Analysis of Program Elements

Workplace Violence Training Programs for Health Care Workers: An Analysis of Program Elements.

Commercial workplace violence (WPV) prevention training programs differ in their approach to violence prevention and the content they present. This study reviews 12 such programs using criteria developed from training topics in the Occupational Safety and Health Administration's (OSHA) Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers and a review of the WPV literature. None of the training programs addressed all the review criteria. The most significant gap in content was the lack of attention to facility-specific risk assessment and policies. To fill this gap, health care facilities should supplement purchased training programs with specific training in organizational policies and procedures, emergency action plans, communication, facility risk assessment, and employee post-incident debriefing and monitoring. Critical to success is a dedicated program manager who understands risk assessment, facility clinical operations, and program management and evaluation.

Preventing Workplace Injuries Among Perinatal Nurses

Many aspects of perinatal nursing put nurses at risk for injuries, including frequent repetitive bending, lifting of clients, and exposure to potentially large amounts of body fluids such as blood and amniotic fluid. Violence is also a potential risk with stressful family situations that may arise around childbirth. Workplace injuries put a health care facility at risk for staff turnover, decreases in the number of skilled nurses, client dissatisfaction, workers’ compensation payouts, and employee lawsuits. Through the use of safety equipment, improved safety and violence training programs, “no manual lift” policies, reinforcement of personal protective equipment usage, and diligent staff training to improve awareness, these risks can be minimized.

Simulation as a Training Tool for Intimate Partner Violence Screenings

BackgroundThis project developed an intimate partner violence (IPV) training program that included a simulation experience for a Midwestern nursing school's undergraduate curriculum. The IPV training program incorporated both traditional teaching modalities and experiential learning through simulation. MethodsThe study examined the effect of the IPV training program on three domains: (a) perceived preparation, (b) perceived knowledge, and (c) actual knowledge. The survey instrument was an adapted version of the Physician Readiness to Manage Intimate Partner Violence Survey modified with language that focused on students in the health care arena. The survey was administered to participants at three points during the training program: (a) before the training program; (b) after the didactic lecture, but before the simulation; and (c) after the simulation experience with a standardized patient. ResultsResults indicated that IPV training had significant effect on the perceived preparation, perceived knowledge, and actual knowledge. Results in all three domains also revealed a significant positive change between traditional lecture and simulation (p < .05). ConclusionsThe results of this study showed comprehensive IPV training program is effective in increasing nursing student's confidence and competence in addressing IPV. In addition, this study found simulation as a teaching modality is a more powerful tool than lecture alone.

Herramientas para prevenir la violencia de género : implicaciones de un registro diario de situaciones de desigualdad de género.

En El Salvador, la violencia contra las mujeres y los feminicidios son los problemas más graves que azotan el país. Aunque en los últimos años se han promovido algunos cambios legislativos y diferentes políticas públicas, la sensibilización y conciencia sobre las desigualdades de género en la sociedad en su conjunto han avanzado más lentamente que los cambios estructurales. Por esto, se hace urgente el diseño y la validación de programas de formación y prevención de violencia de género, así como el uso de herramientas útiles para la interiorización de estos cambios. En el presente trabajo se propone una herramienta de registro de situaciones cotidianas de desigualdad de género que fue empleada en un programa de prevención de violencia de género, cuya evaluación se hizo a través de un diseño cuasi-experimental (De Lemus, Navarro, Megías, Velásquez y Ryan, 2014), y que buscaba cumplir con el primero de sus objetivos: incrementar la conciencia sobre las desigualdades de género en la vida cotidiana. Se discuten los resultados cualitativos obtenidos a partir de dicha metodología basada en otros estudios (Becker y Swim, 2011) y al tenor de los resultados obtenidos en la aplicación del programa, con el fin de reducir las creencias sexistas y la discriminación de género.

Results of a multifaceted Intimate Partner Violence training program for pediatric residents

Objective To evaluate the efficacy of a multifaceted Intimate Partner Violence (IPV) intervention on knowledge, attitudes, and screening practices of pediatric residents. Methods The intervention included: an on-site IPV counselor, IPV training for attending physicians, residents and social workers, and screening prompts. Evaluation included baseline and post-training surveys of residents, assessing their knowledge, attitudes, and comfort with IPV screening, patient chart reviews at baseline, 3 months, and 8 months for documentation of IPV screening, and review of the IPV counselor's client charts. Results Baseline chart review showed screening rates of less than 1%. Screening rates were 36.2% at 3 months and 33.1% at 8 months. After training, residents were more likely to know: IPV screening questions (47.1% vs. 100%); referral sources (34.3% vs. 82.9%); and the relationship between child abuse and IPV (52.9% vs. 97.1%). At baseline, barriers to IPV screening included time (50%), lack of knowledge of how to screen (26.5%) and where to refer (23.5%). Post-training, barriers were time (44%), presence of children (25.9%) or other adults (18.5%) in the room, and inappropriate location (18.5%). Post-training, none of the residents listed “lack of knowledge” or “lack of referral sources” as barriers to IPV screening. After 12 months, 107 victims of IPV were identified; most referred from inpatient units and subspecialty clinics. Conclusion A multifaceted IPV intervention increased identification of IPV victims and markedly improved attitudes, comfort, and IPV screening practices of pediatric residents. IPV screening rates were sustainable with minimal ongoing training. Practice implications Consideration should be given to the training and practice supports necessary to encourage IPV screening in the pediatric setting. Educational efforts that familiarize pediatricians with the content surrounding the risk and potential impact of IPV to children and families along with practice supports that make incorporating screening for IPV as easy as possible have the potential to increase the identification of this problem and promote referrals to IPV agencies for follow-up and intervention where needed.

Table of Contents

Abstract Cover Story Workplace violence training covers whole spectrum of violence Workplace violence training program covers entire spectrum of bad behavior, not just worst‐case scenarios Workplace violence program is delivered in 2 parts to ensure everything's being covered Bright Idea Ask questions to better assess possibility of violence News Briefing Man robs English class at gunpoint Student arrested in throat slashing case UC Davis researchers put on alert Charges filed against Greek groups Leaders &amp; Innovators MICHAEL ALSUP, CHIEF OF POLICE, WILLIAM RAINEY HARPER COLLEGE Upping education requirements, providing training turn unit around Word of Advice Treat your constituents like your family Policies &amp; Procedures Pay attention to details, work with others to ensure a safe commencement Model Policy Prepare guests for emergencies Crisis Management New documents reveal Va. Tech's shortcomings in dealing with shooter Managing Your Office Understand the process for successful, fair hiring Resources Prevent, deal with identity theft more effectively Lawsuits &amp; Rulings FREE SPEECH University's sexual harassment policy held unconstitutional POLICIES &amp; PROCEDURES Warrantless search in dorm room ends in suppression of evidence Lawsuits &amp; Rulings PERSONNEL University stops former employee from relitigating in federal court University can't introduce new argument during trial Legislative Watch Legislative Watch: State legislative bills Texas bill would curb cell phone use by teen drivers N. Dakota bill hopes to make sexual orientation protected class

Training Adult Protective Services Workers About Domestic Violence

Many cases of elder abuse involve instances of partner abuse. In this study, attention is given to whether adult protective services supervisors think their workers know enough about specific aspects of domestic violence. Attention is also given to the strategies that the supervisors think would be most useful to teach about domestic violence. According to the supervisors, workers need to know more about intervening with perpetrators, planning for their own safety, and dealing with frustrations. The supervisors rated the importance of understanding theoretical perspectives as low. Results also show that agencies with domestic violence training policies participate in domestic violence training programs more often.

Helping Child Victims of Family Violence through School Personnel: An Evaluation of a Training Program

ABSTRACT This study sought to evaluate the effects of a domestic violence training program for school professionals. The training was presented in 18 locations throughout rural Western New York. The training included information about the dynamics of domestic violence, the effects on children, interventions, and community resources. Pretest and posttest surveys (N = 644) were used to monitor changes in knowledge and attitudes regarding domestic violence. Dependant samples t-tests, repeated measures ANOVA, and descriptive analyses were used to examine the results. The training helped dispel myths about domestic violence and increase attendees' confidence in their abilities to identify and help children affected by domestic violence. The data identified a lack of understanding of school safety policies and procedures.

The ACT Against Violence Training Program: A preliminary investigation of knowledge gained by early childhood professionals.

The ACT Against Violence Training Program: A preliminary investigation of knowledge gained by early childhood professionals.

Early Violence Prevention Programs

This chapter considers violence prevention programs in light of aggression and violence directed toward girls and women. More specifically, current violence prevention programs, directed toward young children and/or their caregivers, are discussed with a special consideration for the Adults and Children Together (ACT) Against Violence Training Program developed by the American Psychological Association (APA) and the National Association of Education of Young Children (NAEYC). Data supporting ACT is presented, with implications for further program development and evaluation. Finally, parent education, theory and research, and professional services related to violence prevention are discussed.

Evaluation of a Health Care Provider Training Program to Identify and Help Partner Violence Victims

This study tested four hypotheses about the impact of a 3-h domestic violence training program with 752 health care providers on attitudes and values related to screening and helping partner violence victims. Hypotheses 1, 2, and 3 were that training would be related to: 1) increased self-efficacy to identify and help partner violence victims, 2) increased endorsement of the role of health care providers and settings for helping partner violence victims, and 3) increased comfort making appropriate community referrals to help partner violence victims. Hypothesis 4 was that training effects would be moderated by prior training and by prior experience with helping a victim. Following training, health care providers reported increased self-efficacy, increased comfort making appropriate community referrals, and increased valuation of health care providers and the health care system as having an important role in stopping domestic violence. Hypothesis 4 was also supported. Prior training and/or experience with an abuse victim predicted smaller changes in the dependent variables. These gains held at a 6-month follow-up. Implications for training curriculum design are discussed, in addition to institutional policy implications for determining the benefits versus costs of universal training, including staff who demonstrate prior training or experience with battered victims. Study limitations and future research directions, including the need to measure performance and policy compliance will also be outlined.