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Completed

NCT Number: NCT03924141

Evaluation of Training in De-escalation

The purpose of the study is to evaluate one of the chapters in the new national Norwegian training manual (MAP). The chapter that is selected to be evaluated is the chapter on de-escalation. Effective training in this topic should not only lead to changes in the level of knowledge and attitudes, but also changes in behavior and skills. Experiencing better preparedness does not necessarily entail a change in behavior. This study wants to test whether training in de-escalation changes the participants' skills and experience of self-confidence, security and coping in threatening situations.

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Key information

Conditions

De-escalation Skills Aberrant Motor Behavior in Dementia Aggression Behavior Behavioral Symptoms Social Behavior

Age range

18 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Bergen University College

Bergen, Norway

About this study

The theme is:

  • Evaluation of the training program of de-escalation for third-year nursing students

Underlying research questions will be:

  • Will the intervention provide increased de-escalation skills?
  • Will training in de-escalation provide increased confidence in coping with patient aggression?

The design used to answer the research questions is a cluster-randomized controlled study with an intervention group and a control group.

The two study groups with nursing students will be exposed to two different scenarios (A and B) with simulated patient situations. Students will conduct simulation A before the intervention and simulation B the same day after the intervention. A control group will also be included which will review scenarios A and B without intervention. The purpose of this is to see if the scenarios in isolation give any effect on the pre- and post-measurements.

Participants will also be asked to complete a questionnaire (Thackreys, 1987) related to experienced coping security related to aggression management at four different times.

The scenarios will be recorded on video. Following all video data collection, 2 de-escalation experts will independently review the video data and quantify it using the EMDABS instrument. They will be blinded and not aware of whether the video was recorded before or after the intervention. The data that this generates will then be statistically examined.

The selection of participants will be made from three classes with third year nursing students. The classes consist of about 50 students. Participation is voluntary.

It is uncertain how many will participate, but on the basis of practical limits there is an upper limit of 15 participants per class for the intervention group (the selection is recruited from two classes), and 30 participants from the control group (the selection is recruited from a class). A total of n = 30 is desired in both the intervention group and the control group.

The following two outcomes will be analyzed; de-escalating behavior (EMDABS, Mavandadi et al., 2016) and confidence in coping with patient aggression (Thackrey, 1987).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Third year nursing student

Exclusion criteria

  • Has to talk and understand Norwegian

Treatment and study plan

Training in de-escalation

Behavioral

Will receive one hour of de-escalation training

Primary outcomes

  1. Changes in de-escalation skills: Baseline

    Time frame: Immediately before and immediately after intervention (single day, baseline)

    Instrument: "English Modified De-escalating Aggressive Behaviour Scale" (Mavandadi & Bieling, 2016)

  2. Changes in de-escalation skills

    Time frame: Immediately before and immediately after intervention (single day, 6 months post-baseline)

    Instrument: "English Modified De-escalating Aggressive Behaviour Scale" (Mavandadi & Bieling, 2016)

  3. Changes in de-escalation skills

    Time frame: Immediately before and immediately after intervention (single day, 9 months post-baseline)

    Instrument: "English Modified De-escalating Aggressive Behaviour Scale" (Mavandadi & Bieling, 2016)

Secondary outcomes

  1. Changes in coping and confidence

    Time frame: Immediately before and immediately after intervention (single day, baseline)

    Instrument: "Clinicians confidence in coping with patient aggression" (Thackreys, 1987)

  2. Changes in coping and confidence

    Time frame: Immediately before and immediately after intervention (single day, 6 months post-baseline)

    Instrument: "Clinicians confidence in coping with patient aggression" (Thackreys, 1987)

  3. Changes in coping and confidence

    Time frame: Immediately before and immediately after intervention (single day, 9 months post-baseline)

    Instrument: "Clinicians confidence in coping with patient aggression" (Thackreys, 1987)

Sponsors and collaborators

Lead sponsor

Bergen University College

Other

Collaborators

  • Helse-Bergen HF

Registry information

Official study title

Effects of a Brief De-escalation Training Program on Student Nurses' Skills and Confidence Level in Coping With Patient Aggression: a Cluster Randomized Controlled Study

Important dates

Study start
2019
Primary completion
2019
Study completion
2020
First posted
Apr 23, 2019
Registry last updated
Aug 5, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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