Respond to your peer and briefly analyze their articles, commenting on areas where you agree or differ on the findings and why.
ICO Question
In emergency departments and psychiatric inpatient setting, what effect does implementation of crisis management training, compared to the absence of this training, have on the incidence of workplace violence?
Primary Research Article
Evaluating the effectiveness of a CRSCE-based de-escalation training program among psychiatric nurses: a study protocol for a cluster randomized controlled trial. https://doi-org.ezproxy.snhu.edu/10.1186/s12913-020-05506-w
The CRSCE-based de-escalation program was a multi-center, single blinded, cluster randomized controlled trial with a 6-month follow-up assessment (Ye et al., 2020). The cluster randomized controlled trial was performed among psychiatric hospitals in Guangdong, China. The control group participants were assigned to routine Workplace violence (WPV) management training while the intervention group participants underwent the same training in addition to receiving CRSCE-based de-escalation training. The primary data collected to assess the effectiveness of the training program included the incidences of WPV, injuries caused by WPV, and the use of coercion such as physical restraint and seclusion by nurses (Ye et al., 2020). The effect of the trainings on the nurse’s was determined by assessing the nurses’ capacity of de-escalation, confidence, level of job burnout, and professional quality of life (Ye et al., 2020). According to ye et., data was collected at before the training, three months, and six months after the completion of the program.
Was the sample size appropriate and was a power analysis used to estimate sample size needs?
The sample size used for this study was an estimation based on monthly frequency of WPV. Informed consent was obtained from each participant before the completion of surveys. In the participating hospitals, the units we successively coded from 1 to 6 by a statistician not actively involved in the study. An online random number generator was used to assign the participating hospital units to either the intervention or control group on a 1:1 ratio (Ye et al., 2020).
If an instrument was used, was the validity and reliability reported on?
In order to control the quality of the study the instruments utilized in this study were analyzed for their validity and reliability. The study utilized surveys to collect qualitative data and retrieved pertinent data from the hospital information systems and annual reports (Ye et al., 2020). The sample included fulltime nurses working in six different hospitals located in different cities of Guangdong Province to prevent cross contamination of data (Ye et al., 2020). Ye et all also provided monthly refresher courses to the nurses in the intervention group to maintain their accreditation and competency.
What was the statistical or clinical significance of the findings?
The clinical significance of the findings of this study showed that CRSCE-based training was more innovative compared to routine WPV management training (Ye et al., 2020). According to Ye et al, the prominent cause of WPV was the patient’s unmet demands. A solution-oriented and humane approach by healthcare professionals involving appropriate communications and responses was the basis of the CRSCE-based de-escalation. The nurses who were provided with CRSCE training were able to include Communication, Response, Solution, Care, and Environment of the training in de-escalating their patients (Ye et al., 2020).
If the results are generalizable, how can these findings be used in nursing practice?
The findings of this study will provide us with the evidence needed for healthcare providers and policy makers to advocate for the need of CRSCE-based de-escalation training for nurses especially those working in psychiatric settings. According to Ye et al. (2020), data utilized in this study was indicators of WPV extracted from the hospital’s incident data, surveys and questionnaires completed by participating nurses. The above-mentioned data is the key to the evaluation of the effectiveness of the CRSCE training program. These outcomes of this study will inform practitioners and policy makers as to how and to what extent CRSCE improves psychiatric nurses’ ability to cope with workplace violence and utilize appropriate de-escalation (Ye et al., 2020).
Are the best practices of research ethics addressed?
Informed consent was obtained from participants prior to the filling out the questionnaires and surveys. Also, the main aim of this study was to help reduce workplace violence among the psychiatric nurses. The researchers also reported that they had no other undeclared intentions behind this study (Ye et al., 2020)
References
Ye J, Xiao A, Wang C, Xia Z, Yu L, Li S, Lin J, Liao Y, Xu Y, & Zhang YL. (2020). Evaluating the effectiveness of a CRSCE-based de-escalation training program among psychiatric nurses: a study protocol for a cluster randomized controlled trial. BMC Health Services Research, 20(1), 642. https://doi-org.ezproxy.snhu.edu/10.1186/s12913-020-05506-w
