Managing patient aggression in healthcare: Initial testing of a communication accommodation theory intervention

Patient-perpetrated workplace violence (WPV) in healthcare is common. Although communication skills trainings are helpful, they may be strengthened by having a theoretical framework to improve replicability across contexts. This study developed and conducted an initial test of a training framed by C...

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Main Authors:	Pines Rachyl, Giles Howard, Watson Bernadette
Format:	article
Language:	EN
Published:	Sciendo 2021
Subjects:	communication accommodation theory workplace violence de-escalation healthcare intervention Oral communication. Speech P95-95.6 Psychology BF1-990
Online Access:	https://doaj.org/article/fe85216d263d4e2e82648e772b59ca91
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spelling	oai:doaj.org-article:fe85216d263d4e2e82648e772b59ca912021-12-05T14:11:09ZManaging patient aggression in healthcare: Initial testing of a communication accommodation theory intervention2083-850610.2478/plc-2021-0004https://doaj.org/article/fe85216d263d4e2e82648e772b59ca912021-01-01T00:00:00Zhttps://doi.org/10.2478/plc-2021-0004https://doaj.org/toc/2083-8506Patient-perpetrated workplace violence (WPV) in healthcare is common. Although communication skills trainings are helpful, they may be strengthened by having a theoretical framework to improve replicability across contexts. This study developed and conducted an initial test of a training framed by Communication Accommodation Theory (CAT) using longitudinal mixed-methods surveys of healthcare professionals in an American primary care clinic to increase their self-efficacy, patient cooperation, and use of CAT strategies to de-escalate patient aggression. Results of the intervention indicate that the CAT training significantly increased professionals’ efficacy and reported patient cooperation over time. Findings showed that those who reported using more of the five CAT strategies also reported situations that they were able to de-escalate effectively. This initial test of a CAT training to prevent WPV demonstrates promise for the applicability of CAT strategies to de-escalate patient aggression, and the need to scale and test these trainings in settings that experience high WPV levels.Pines RachylGiles HowardWatson BernadetteSciendoarticlecommunication accommodation theoryworkplace violencede-escalationhealthcareinterventionOral communication. SpeechP95-95.6PsychologyBF1-990ENPsychology of Language and Communication, Vol 25, Iss 1, Pp 62-81 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	communication accommodation theory workplace violence de-escalation healthcare intervention Oral communication. Speech P95-95.6 Psychology BF1-990
spellingShingle	communication accommodation theory workplace violence de-escalation healthcare intervention Oral communication. Speech P95-95.6 Psychology BF1-990 Pines Rachyl Giles Howard Watson Bernadette Managing patient aggression in healthcare: Initial testing of a communication accommodation theory intervention
description	Patient-perpetrated workplace violence (WPV) in healthcare is common. Although communication skills trainings are helpful, they may be strengthened by having a theoretical framework to improve replicability across contexts. This study developed and conducted an initial test of a training framed by Communication Accommodation Theory (CAT) using longitudinal mixed-methods surveys of healthcare professionals in an American primary care clinic to increase their self-efficacy, patient cooperation, and use of CAT strategies to de-escalate patient aggression. Results of the intervention indicate that the CAT training significantly increased professionals’ efficacy and reported patient cooperation over time. Findings showed that those who reported using more of the five CAT strategies also reported situations that they were able to de-escalate effectively. This initial test of a CAT training to prevent WPV demonstrates promise for the applicability of CAT strategies to de-escalate patient aggression, and the need to scale and test these trainings in settings that experience high WPV levels.
format	article
author	Pines Rachyl Giles Howard Watson Bernadette
author_facet	Pines Rachyl Giles Howard Watson Bernadette
author_sort	Pines Rachyl
title	Managing patient aggression in healthcare: Initial testing of a communication accommodation theory intervention
title_short	Managing patient aggression in healthcare: Initial testing of a communication accommodation theory intervention
title_full	Managing patient aggression in healthcare: Initial testing of a communication accommodation theory intervention
title_fullStr	Managing patient aggression in healthcare: Initial testing of a communication accommodation theory intervention
title_full_unstemmed	Managing patient aggression in healthcare: Initial testing of a communication accommodation theory intervention
title_sort	managing patient aggression in healthcare: initial testing of a communication accommodation theory intervention
publisher	Sciendo
publishDate	2021
url	https://doaj.org/article/fe85216d263d4e2e82648e772b59ca91
work_keys_str_mv	AT pinesrachyl managingpatientaggressioninhealthcareinitialtestingofacommunicationaccommodationtheoryintervention AT gileshoward managingpatientaggressioninhealthcareinitialtestingofacommunicationaccommodationtheoryintervention AT watsonbernadette managingpatientaggressioninhealthcareinitialtestingofacommunicationaccommodationtheoryintervention
_version_	1718371336502378496

Managing patient aggression in healthcare: Initial testing of a communication accommodation theory intervention

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