Effect of a suite of aggression management modules on health professions student knowledge, skills and confidence: an investigator-blinded, parallel-group randomised controlled trial protocol

Authors

  • Steven Lau Department of Physiotherapy, Monash University, Frankston Australia
  • Katrina Recoche Department of Nursing and Midwifery, Monash University, Frankston Australia
  • Robyn Fairhall Department of Nursing and Midwifery, Monash University, Frankston Australia
  • Cameron Gosling Department of Paramedicine, Monash University, Frankston Australia
  • Bernadette Hayman Department of Occupational Health and Safety, Monash University, Frankston Australia
  • Primrose Lentin Department of Occupational Therapy, Monash University, Frankston Australia
  • Jim Snipe Five arcs, Australia
  • Shelley Turner Department of Social Work, Monash University, Caulfield Australia
  • Caroline Wright Department of Medical Imaging, Radiation Therapy and Radiation Sciences, Monash University, Frankston Australia
  • Allie Ford Education Academy, Monash University, Frankston Australia
  • Kristin Lo Department of Physiotherapy, Monash University, Frankston Australia

DOI:

https://doi.org/10.18203/2349-3259.ijct20214110

Keywords:

Aggression, Health professions student, Clinical education, Risk management

Abstract

Background: Incidents of aggression are increasing in healthcare. Students are at higher risk of being on the receiving end of client aggression due to their lack of experience. Students also do not feel prepared to manage these situations.

Methods: Students of health professions in the School of Primary and Allied Health Care will be eligible and contacted within lectures/via the learning management system Moodle. A randomised controlled trial (RCT) will be conducted to evaluate a suite of online aggression management modules for health professions students prior to entering their clinical years of study. If students are able to undertake face to face simulations they will be assessed by academic staff members using the English modified de-escalating aggressive behaviour scale (EMDABS). Mock clients will assess the students using the consultation and relational empathy (CARE) measure. Students will complete a self-assessment using the confidence with coping with patient aggression instrument and a knowledge questionnaire.

Conlusions: This RCT will provide novel information on the effectiveness of delivering a suite of online aggression management modules to health professions students. There are three separate modules each of approximately 30 minutes duration such that the attention of students is maintained. The three modules are: 1. Recognising and preventing aggression-the basics, 2. Responding to aggression-the basics, 3. Aggression in healthcare-the basics (Case study).

Trial registration number: This trial has been registered with the Australian and New Zealand clinical trials registry (ANZCTR) ACTRN12621000382875.

Author Biographies

Steven Lau, Department of Physiotherapy, Monash University, Frankston Australia

Department of Physiotherapy

Katrina Recoche, Department of Nursing and Midwifery, Monash University, Frankston Australia

Department of Nursing and Midwifery

Robyn Fairhall, Department of Nursing and Midwifery, Monash University, Frankston Australia

Department of Nursing and Midwifery

Cameron Gosling, Department of Paramedicine, Monash University, Frankston Australia

Department of Paramedicine

Bernadette Hayman, Department of Occupational Health and Safety, Monash University, Frankston Australia

Occupational Health and Safety

Primrose Lentin, Department of Occupational Therapy, Monash University, Frankston Australia

Department of Occupational Therapy

Shelley Turner, Department of Social Work, Monash University, Caulfield Australia

Department of Social Work

Caroline Wright, Department of Medical Imaging, Radiation Therapy and Radiation Sciences, Monash University, Frankston Australia

Department of Medical Imaging, Radiation Therapy and Radiation Sciences

Kristin Lo, Department of Physiotherapy, Monash University, Frankston Australia

Department of Physiotherapy

References

Morphet J, Griffiths D, Beattie J, Reyes DV, Innes K. Prevention and management of occupational violence and aggression in healthcare: a scoping review. Collegian. 2018;25(6):621-32.

Schablon A, Wendeler D, Kozak A, Nienhaus A, Steinke S. Prevalence and consequences of aggression and violence towards nursing and care staff in Germany-A survey. Int j environmental res public health. 2018;15(6):1274.

Morrison JL, Lantos JD, Levinson W. Aggression and violence directed toward physicians. J general internal med. 1998;13(8):556.

Baxter E, Hafner RJ, Holme G. Assaults by patients: the experience and attitudes of psychiatric hospital nurses. Aus N Zea J Psychiatry. 1992;26(4):567-73.

Lo K, Storr M. Physiotherapy Students' Exposure to Confronting Clinical Situations-A Qualitative Review. J Allied Health. 2020;49(4):153E-60E.

Lau S, Nicholls R, Tse Y. Effect of curriculum on students’ management of aggression: a meta-analysis. 2020;2021.

Schulz KF, Altman DG, Moher D, Group C. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. Trials. 2010;11(1):32.

Chan A-W, Tetzlaff JM, Altman DG. SPIRIT 2013 statement: defining standard protocol items for clinical trials. Ann internal med. 2013;158(3):200-7.

Braun V, Clarke V. Using thematic analysis in psychology. Qualitative res psychol. 2006;3(2):77-101.

van den Brink-Muinen A. The role of gender in healthcare communication. Patient Education Counseling. 2002;48(3):199-200.

Nau J, Halfens R, Needham I, Dassen T. The de‐escalating aggressive behaviour scale: development and psychometric testing. J Adv Nursing. 2009;65(9):1956-64.

Nau J, Halfens R, Needham I, Dassen T. Student nurses’ de-escalation of patient aggression: A pretest–posttest intervention study. Int j nursing studies. 2010;47(6):699-708.

Nau J, Walter G, Oud N. Measuring de-escalation by using the De- escalating Aggressive Behaviour Scale (DABS). J Adv Nurs. 2019:65(9)263-6.

Mavandadi V, Bieling P, Madsen V. Effective ingredients of verbal de‐escalation: validating an English modified version of the ‘De‐Escalating Aggressive Behaviour Scale’. J psychiatric mental health nursing. 2016;23(6-7):357-68.

Mercer SW, Maxwell M, Heaney D, Watt G. The consultation and relational empathy (CARE) measure: development and preliminary validation and reliability of an empathy-based consultation process measure. Family practice. 2004;21(6):699-705.

Thackrey M. Clinician confidence in coping with patient aggression: Assessment and enhancement. Professional Psychol Res Practice. 1987;18(1):57.

Zhao F. Enhancing the quality of online higher education through measurement. Quality assurance in Education. 2003;26(1):84-6.

Chua A, Lam W. Quality assurance in online education: The Universitas 21 Global approach. Bri J Educational Technol. 2007;38(1):133-52.

Grenyer BF, Grenyer BF, Ilkiw-Lavalle O. Safer at work: development and evaluation of an aggression and violence minimization program. Aus N Zea J Psychiatry. 2004;38(10):804-10.

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Published

2021-10-22