Simulation-based education for teaching aggression management skills to healthcare providers in acute healthcare settings : A systematic review

Journal article


Mitchell, Marijke, Newall, Fiona, Bernie, Charmaine, Brignell, Amanda and Williams, Katrina. (2024). Simulation-based education for teaching aggression management skills to healthcare providers in acute healthcare settings : A systematic review. International Journal of Nursing Studies. 158, pp. 1-16. https://doi.org/10.1016/j.ijnurstu.2024.104842
AuthorsMitchell, Marijke, Newall, Fiona, Bernie, Charmaine, Brignell, Amanda and Williams, Katrina
Abstract

Background: Behavioural emergencies involving aggression in acute care hospitals are increasing globally. Acute care staff are often not trained or confident in their prevention or management. Of available training options simulation-based education is superior for clinical medical education and is gaining acceptance for teaching clinical aggression management skills.

Objective: The aim of this study was to conduct a systematic review of the effectiveness of simulation-based education for teaching aggression management skills for health professionals working in acute healthcare settings.

Methods: The study protocol was prepared in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P) statement, registered (27/02/2020) and published. We included randomised controlled trials, non-randomised controlled trials, quasi-experimental studies, and observational studies involving healthcare professionals in acute hospital settings or trainee health professionals who received simulation-based training on managing patient aggression. Comprehensive searches were conducted in PubMed, Ovid MEDLINE, PsycINFO, CINAHL and The Cochrane Library. Two reviewers independently screened all records, extracted data and assessed risk of bias. The primary outcomes included patient outcomes, quality of care, and adverse effects. Secondary outcomes included workplace resource use, healthcare provider related outcomes, knowledge (de-escalation techniques), performance, attitudes, and satisfaction. A narrative synthesis of included studies was performed because substantial variation of interventions and outcome measures precluded meta-analyses.

Results: Twenty-five studies were included with 2790 participants, 2585 (93 %) acute care hospital staff and 205 (7 %) undergraduate university students. Twenty-two studies combined simulation-based education with at least one other training modality. Three studies were randomised controlled trials, one was a pilot and feasibility cluster randomised controlled trial, one was a three-group post-test design and twenty were pre-/post-test design. Twenty-four studies were deemed to be high/critical or serious risk of bias. Four studies collected primary outcome data, all using different methods and with inconsistent findings. Twenty-one studies assessed performance in the test situation, seven studies provided objective ratings of performance and eighteen provided self-report data. Twenty-three studies reported objective or subjective improvements in secondary outcomes.

Conclusions: Acute healthcare staff who completed simulation-based education on managing clinical aggression showed statistically significant improvements in knowledge and self-reported confidence. However, there is a lack of evidence about the magnitude of these improvements and impact on patient outcomes.

KeywordsAggression ; Dangerous behaviour; Disruptive behaviour; Health personnel; Hospitals ; Simulation training ; Systematic review
Year01 Jan 2024
JournalInternational Journal of Nursing Studies
Journal citation158, pp. 1-16
PublisherElsevier Ltd. (UK)
ISSN0020-7489
Digital Object Identifier (DOI)https://doi.org/10.1016/j.ijnurstu.2024.104842
Web address (URL)https://www.sciencedirect.com/science/article/pii/S0020748924001548?via%3Dihub
Open accessPublished as non-open access
Research or scholarlyResearch
Page range1-16
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online15 Jun 2024
Publication process dates
Accepted10 Jun 2024
Deposited30 Aug 2024
Additional information

© 2024 The Author(s). Published by Elsevier Ltd.

This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

Place of publicationUnited Kingdom
Permalink -

https://acuresearchbank.acu.edu.au/item/90x69/simulation-based-education-for-teaching-aggression-management-skills-to-healthcare-providers-in-acute-healthcare-settings-a-systematic-review

Download files


Publisher's version
  • 26
    total views
  • 19
    total downloads
  • 6
    views this month
  • 5
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Is language ability associated with behaviors of concern in autism? A systematic review
Chan, Charissa Ying Zhen, Williams, Katrina, May, Tamara, Wan, Wei Herng and Brignell, Amanda. (2023). Is language ability associated with behaviors of concern in autism? A systematic review. Autism Research. 16(2), pp. 250-270. https://doi.org/10.1002/aur.2855
Integrating interprofessional electronic medical record teaching in preregistration healthcare degrees : A case study
Lokmic-Tomkins, Zerina, Gray, Kathleen, Cheshire, Lisa, Parolini, Arno, Sharp, Megan, Tarrant, Bronwyn, Hill, Nicole, Rose, David, Webster, Marilyn, Virtue, Debra, Brignell, Amanda, Waring, Rebecca, Broussard, Fiona, Tsirgialos, Alex and Meng Cham, Kwang. (2023). Integrating interprofessional electronic medical record teaching in preregistration healthcare degrees : A case study. International Journal of Medical Informatics. 169, p. Article 104910. https://doi.org/10.1016/j.ijmedinf.2022.104910
Memantine for autism spectrum disorder
Brignell, Amanda, Marraffa, Catherine, Williams, Katrina and May, Tamara. (2022). Memantine for autism spectrum disorder. Cochrane Database of Systematic Reviews. 2022(8), p. Article CD013845. https://doi.org/10.1002/14651858.CD013845.pub2
Overall prognosis of preschool autism spectrum disorder diagnoses
Brignell, Amanda, Harwood, Rachael C., May, Tamara, Woolfenden, Susan, Montgomery, Alicia, Iorio, Alfonso and Williams, Katrina. (2022). Overall prognosis of preschool autism spectrum disorder diagnoses. Cochrane Database of Systematic Reviews. 2022(9), p. Article CD012749. https://doi.org/10.1002/14651858.CD012749.pub2
Delineating the autistic phenotype in children with neurofibromatosis type 1
Chisholm, Anita K., Haebich, Kristina M., Pride, Natalie A., Walsh, Karin S., Lami, Francesca, Ure, Alex, Maloof, Tiba, Brignell, Amanda, Rouel, Melissa, Granader, Yael, Maier, Alice, Barton, Belinda, Darke, Hayley, Dabscheck, Gabriel, Anderson, Vicki A., Williams, Katrina, North, Kathryn N. and Payne, Jonathon M.. (2022). Delineating the autistic phenotype in children with neurofibromatosis type 1. Molecular Autism. 13, p. Article 3. https://doi.org/10.1186/s13229-021-00481-3
Social motivation a relative strength in DYRK1A syndrome on a background of significant speech and language impairments
Morison, Lottie D., Braden, Ruth O., Amor, David J., Brignell, Amanda, van Bon, Bregje W. M. and Morgan, Angela T.. (2022). Social motivation a relative strength in DYRK1A syndrome on a background of significant speech and language impairments. European Journal of Human Genetics. 30(7), pp. 800-811. https://doi.org/10.1038/s41431-022-01079-w
Sex- and age-related differences in autistic behaviours in children with neurofibromatosis type 1
Chisholm, Anita K., Lami, Francesca, Haebich, Kristina M., Ure, Alex, Brignell, Amanda, Maloof, Tiba, Pride, Natalie A., Walsh, Karin S., Maier, Alice, Rouel, Melissa, Granader, Yael, Barton, Belinda, Darke, Hayley, Fuelscher, Ian, Dabscheck, Gabriel, Anderson, Vicki A., Williams, Katrina, North, Kathryn N. and Payne, Jonathan M.. (2022). Sex- and age-related differences in autistic behaviours in children with neurofibromatosis type 1. Journal of Autism and Developmental Disorders. 53, p. 2835–2850. https://doi.org/10.1007/s10803-022-05571-6
Memantine for autism spectrum disorder
Brignell, Amanda, Prakash, Chidambaram, Marraffa, Catherine, Williams, Katrina and May, Tamara. (2021). Memantine for autism spectrum disorder. Cochrane Database of Systematic Reviews. 2021(1), p. Article CD013845. https://doi.org/10.1002/14651858.CD013845
Identifying and supporting autistic preschoolers and their families
Brignell, Amanda, Cox, Georgina, Ure, Alexandra, Bernie, Charmaine and Williams, Katrina. (2021). Identifying and supporting autistic preschoolers and their families. Australian Journal of General Practice. 50(3), pp. 115-119. https://doi.org/10.31128/AJGP-11-20-5744
Interventions for children and adolescence who stutter : A systematic review, meta-analysis, and evidence map
Brignell, Amanda, Krahe, Michelle, Downes, Martin, Kefalianos, Elaina, Reilly, Sheena and Morgan, Angela. (2021). Interventions for children and adolescence who stutter : A systematic review, meta-analysis, and evidence map. Journal of Fluency Disorders. 70, p. Article 105843. https://doi.org/10.1016/j.jfludis.2021.105843
A modeling-guided case study of disordered speech in minimally verbal children with autism spectrum disorder
Chenausky Karen, V., Brignell, Amanda, Morgan Angela, T., Norton Andrea, C., Tager-Flusberg Helen, B., Schlaug, Gottfried and Guenther Frank, H.. (2021). A modeling-guided case study of disordered speech in minimally verbal children with autism spectrum disorder. American Journal of Speech-Language Pathology. 30(3S), pp. 1542-1557. https://doi.org/10.1044/2021_AJSLP-20-00121
A systematic review of interventions for adults who stutter
Brignell, Amanda, Krahe, Michelle, Downes, Martin, Kefalianos, Elaina, Reilly, Sheena and Morgan, Angela T.. (2020). A systematic review of interventions for adults who stutter. Journal of Fluency Disorders. 64, p. 105766. https://doi.org/10.1016/j.jfludis.2020.105766
Speech and language phenotype in Phelan-McDermid (22q13.3) syndrome
Brignell, Amanda, Gu, Conway, Holm, Alison, Carrigg, Bronwyn, Sheppard, Daisy A., Amor, David J. and Morgan, Angela T.. (2020). Speech and language phenotype in Phelan-McDermid (22q13.3) syndrome. European Journal of Human Genetics. 29(4), pp. 564-574. https://doi.org/10.1038/s41431-020-00761-1
Predicting speech-sound disorder outcomes in school-age children with hearing loss : The VicCHILD experience
St John, Miya, Columbus, Georgie, Brignell, Amanda, Carew, Peter, Skeat, Jemma, Reilly, Sheena and Morgan, Angela T.. (2020). Predicting speech-sound disorder outcomes in school-age children with hearing loss : The VicCHILD experience. International Journal of Language and Communication Disorders. 55(4), pp. 537-546. https://doi.org/10.1111/1460-6984.12536
No differences in code-related emergent literacy skills in well-matched 4-year-old children with and without ASD
Westerveld, Marleen F., Paynter, Jessica, Brignell, Amanda and Reilly, Sheena. (2020). No differences in code-related emergent literacy skills in well-matched 4-year-old children with and without ASD. Journal of Autism and Developmental Disorders. 50(8), pp. 3060-3065. https://doi.org/10.1007/s10803-020-04407-5
Factor analysis of signs of childhood apraxia of speech
Chenausky, Karen V., Brignell, Amanda, Morgan, Angela, Gagné, Danielle, Norton, Andrea, Tager-Flusberg, Helen, Schlaug, Gottfried, Shield, Aaron and Green, Jordan R.. (2020). Factor analysis of signs of childhood apraxia of speech. Journal of Communication Disorders. 87, p. 106033. https://doi.org/10.1016/j.jcomdis.2020.106033
Autism spectrum disorder prevalence in children aged 12–13 years from the longitudinal study of Australian children
May, Tamara, Brignell, Amanda and Williams, Katrina. (2020). Autism spectrum disorder prevalence in children aged 12–13 years from the longitudinal study of Australian children. Autism Research. 13(5), pp. 821-827. https://doi.org/10.1002/aur.2286
Preliminary evidence supports a range of speech sound interventions, but higher-quality studies are needed
Sanchez, Katherine, Brignell, Amanda and Morgan, Angela. (2019). Preliminary evidence supports a range of speech sound interventions, but higher-quality studies are needed. Evidence-based Communication Assessment and Intervention. 13(4), pp. 181-186. https://doi.org/10.1080/17489539.2019.1645982
Predictors and growth in receptive vocabulary from 4 to 8 years in children with and without autism spectrum disorder : A population-based study
Brignell, Amanda, May, Tamara, Morgan, Angela T. and Williams, Katrina. (2019). Predictors and growth in receptive vocabulary from 4 to 8 years in children with and without autism spectrum disorder : A population-based study. Autism: the international journal of research and practice. 23(5), pp. 1322-1334. https://doi.org/10.1177/1362361318801617
Inhibition of Upf2-dependent nonsense-mediated decay leads to behavioral and neurophysiological abnormalities by activating the immune response
Johnson, Jennifer L., Stoica, Loredana, Liu, Yuwei, Zhu, Ping Jun, Bhattacharya, Abhisek, Buffington, Shelly A., Huq, Redwan, Eissa, N. Tony, Larsson, Ola, Porse, Bo T., Domingo, Deepti, Nawaz, Urwah, Carroll, Renee, Jolly, Lachlan, Scerri, Tom S., Kim, Hyung-Goo, Brignell, Amanda, Coleman, Matthew J., Braden, Ruth, ... Costa-Mattioli, Mauro. (2019). Inhibition of Upf2-dependent nonsense-mediated decay leads to behavioral and neurophysiological abnormalities by activating the immune response. Neuron. 104(4), pp. 665-679. https://doi.org/10.1016/j.neuron.2019.08.027
A systematic review and meta-analysis of the prognosis of language outcomes for individuals with autism spectrum disorder
Brignell, Amanda, Morgan, Angela T., Woolfenden, Susan, Klopper, Felicity, May, Tamara, Sarkozy, Vanessa and Williams, Katrina. (2018). A systematic review and meta-analysis of the prognosis of language outcomes for individuals with autism spectrum disorder. Autism & Developmental Language Impairments. 3, pp. 1-9. https://doi.org/10.1177/2396941518767610
Trends in the overlap of autism spectrum disorder and attention deficit hyperactivity disorder : Prevalence, clinical management, language and genetics
May, T., Brignell, A., Hawi, Z., Brereton, A., Tonge, B., Bellgrove, M. A. and Rinehart, N. J.. (2018). Trends in the overlap of autism spectrum disorder and attention deficit hyperactivity disorder : Prevalence, clinical management, language and genetics. Current Developmental Disorders Reports (online). 5(1), pp. 49-57. https://doi.org/10.1007/s40474-018-0131-8
Communication interventions for autism spectrum disorder in minimally verbal children
Brignell, A., Chenausky, K. V., Song, H., Zhu, J., Suo, C. and Morgan, A. T.. (2018). Communication interventions for autism spectrum disorder in minimally verbal children. Cochrane Database of Systematic Reviews. 2018(11), p. CD012324. https://doi.org/10.1002/14651858.CD012324.pub2
Patterns and predictors of language development from 4 to 7 years in verbal children with and without autism spectrum disorder
Brignell, Amanda, Williams, Katrina, Jachno, Kim, Prior, Margot, Reilly, Sheena and Morgan, Angela T.. (2018). Patterns and predictors of language development from 4 to 7 years in verbal children with and without autism spectrum disorder. Journal of Autism and Developmental Disorders. 48(10), pp. 3282-3295. https://doi.org/10.1007/s10803-018-3565-2
Characterization of speech and language phenotype in children with NRXN1 deletions
Brignell, Amanda, St John, Miya, Boys, Amber, Bruce, Amanda, Dinale, Carla, Pigdon, Lauren, Hildebrand, Michael S., Amor, David J. and Morgan, Angela T.. (2018). Characterization of speech and language phenotype in children with NRXN1 deletions. American Journal of Medical Genetics Part B : Neuropsychiatric Genetics. 177(8), pp. 700-708.
Childhood apraxia of speech in autism spectrum disorder
Brignell, Amanda, Dodd, Barbara, Sykes, Carolyn and Morgan, Angela. (2017). Childhood apraxia of speech in autism spectrum disorder. In In Dodd, Barbara and Morgan, Angela (Ed.). Intervention Case Studies of Child Speech Impairment pp. 137 J&R Press.
Parent-reported patterns of loss and gain in communication in 1- to 2-year-old children are not unique to autism spectrum disorder
Amanda Brignell, Katrina Williams, Margot Prior, Susan Donath, Sheena Reilly, Edith Bavin, Patricia Eadie and Angela Morgan. (2017). Parent-reported patterns of loss and gain in communication in 1- to 2-year-old children are not unique to autism spectrum disorder. Autism: the international journal of research and practice. 21(3), pp. 344-356. https://doi.org/10.1177/1362361316644729
Overall prognosis of preschool autism spectrum disorder diagnoses (Protocol)
Amanda Brignell, Natalia Albein-Urios, Susan Woolfenden, Andrew Hayen, Alfonso Iorio and Katrina Williams. (2017). Overall prognosis of preschool autism spectrum disorder diagnoses (Protocol). Cochrane Database of Systematic Reviews. 2017(8), pp. 1-18. https://doi.org/10.1002/14651858.CD012749
Autism spectrum disorder: Updated prevalence and comparison of two birth cohorts in a nationally representative Australian sample
Tamara May, Emma Sciberras, Amanda Brignell and Katrina Williams. (2017). Autism spectrum disorder: Updated prevalence and comparison of two birth cohorts in a nationally representative Australian sample. BMJ Open. 7(5), pp. 1-9. https://doi.org/10.1136/bmjopen-2016-015549
Communication intervention for autism spectrum disorders in minimally verbal children
Brignell, A., Song, H., Zhu, J., Suo, C., Lu, D. and Morgan, A. T.. (2016). Communication intervention for autism spectrum disorders in minimally verbal children. Cochrane Database of Systematic Reviews. 2016(11), p. Article CD012324. https://doi.org/10.1002/14651858.CD012324
Diagnosing autism : Australian paediatric research network surveys
Randall, Melinda, Albein-Urios, Natalia, Brignell, Amanda, Gulenc, Alisha, Hennel, Sabine, Coates, Cathy, Symeonides, Christos, Hiscock, Harriet, Marraffa, Catherine, Silove, Natalie, Bayl, Vivian, Woolfenden, Susan and Williams, Katrina. (2016). Diagnosing autism : Australian paediatric research network surveys. Journal of Paediatrics and Child Health. 52(1), pp. 11-17. https://doi.org/10.1111/jpc.13029
Regression in autism spectrum disorders
Williams, Katrina, Brignell, Amanda, Prior, Margot, Bartak, Lawrence and Roberts, Jacqueline. (2015). Regression in autism spectrum disorders. Journal of Paediatrics and Child Health. 51(1), pp. 61-64. https://doi.org/10.1111/jpc.12805
How relevant is the framework being used with autism spectrum disorders today?
Amanda Brignell, Angela Morgan, Susan Woolfenden and Katrina Williams. (2014). How relevant is the framework being used with autism spectrum disorders today? International Journal of Speech-Language Pathology. 16(1), pp. 43-49. https://doi.org/10.3109/17549507.2013.861870
Selective serotonin reuptake inhibitors (SSRIs) for autism spectrum disorders (ASD)
Williams, Katrina, Brignell, Amanda, Randall, Melinda Joy, Silove, Natalie and Hazell, Philip. (2013). Selective serotonin reuptake inhibitors (SSRIs) for autism spectrum disorders (ASD). The Cochrane Database of Systematic Reviews. 8, pp. 1 - 51. https://doi.org/10.1002/14651858.CD004677.pub3