Preventive Care in Nursing and Midwifery Journal (Jan 2020)
Investigation of the Effect of ACT-SMART on Nurses’ Perceived Level of Violence Management in Emergency Section
Abstract
Background: Violence in the workplace is a complicated phenomenon, while being a global intricacy which is constantly growing. Upward growth in violence and the acute dangers, are to the extent that the Center of Disease Control and Prevention considers violence in the working environment as an epidemic and the nursing staff have problems in managing violent events because of improper attitude towards violence. Objectives: This study tries to examine effect of an educational program on the perceptions on management and reduction of violence and aggression in the emergency section. Methods: In this interventionist study, 90 nurses, engaged in the emergency sections of selected medication centers in Khorramabad city were selected on simple randomized selection basis and were assigned into two control and experimental groups. The education program, whose content were effective communication, patient’s expected response, peace, impatience, proper relationship and exchange of opinions and controlling behavior in reaction to violence, was implemented and offered to the experimental group every other day for a month and in 16 one-hour sessions. The data were collected through a questionnaire, whose validity and reliability were estimated one month before and after implementation of the educational program through test-retest method and the content validity checking method. Results: Results of this study showed mean score of attitude for the experimental group standing at 36.79 prior and 35.83 after the educational intervention (P=0.402), while the figures for the control group were 36.79 before and 35.52 after the educational intervention (P=0.181). No statistically significance difference was observed in the mean scores of perception improvement in the control and experimental group before and after the educational program. Conclusion: Results of this study showed that implementation of educational program in connection with violence and the way of controlling and encountering violence in the emergency sections cannot affect attitude of nurses towards management of violence alone.
