Effect of aggression management and violence prevention training program among nurses working in psychiatric and emergency setting - A mixed method protocol

Aim: The aim of the study is to develop, implement and evaluate the effect of an aggression management and violence prevention training program for nurses working in psychiatric and emergency setting. Background: Aggression is a professional hazard for those who are working in the mental health care setting. It is the duty of the nurse to provide a safe environment for the patient, caregivers and health care providers working in psychiatric setting. The concept of aggression management and violence prevention training program for nurses working in psychiatric setting is not well implemented in Indian setting. Design: Mixed method; (Sequential exploratory design) Method: The study comprises four phases: (i) exploration: assess the violence towards nurses (ii) Focus group discussion: collect the opinion of positive deviant nurses- What are their strength? What is needed for them? How to implement?(iii) Training: Develop an aggression management and violence prevention training program and implement the training to positive deviant nurses and trainee nurses. (iv)Discover: Identify the overall effectiveness of the program by collecting opinion from positive deviant nurses. Discussion: This study will helps to provide new information about methods to deliver safe and secure care in psychiatric and emergency settings for both patients and health care providers. The study also facilitate to develop staff development program on aggression management and violence prevention in psychiatric and emergency setting. Why this study is needed? • There are no much evidence in India observing how aggression management training can be effectively applied in clinical practice of psychiatric setting • Helps to develop a safe and secure nursing care eco system to the clients, care givers and hospital health care providers in the psychiatric setting • Helps to utilize few positive deviant nurses and thereby build the capacity of other nurses working in psychiatric setting to manage aggression and violence.