Impact of Behavior Management Training on Nurses' Confidence in Managing Patient Aggression.

Journal Article (Journal Article)


The aim of this study was to evaluate the impact of behavior management training on nurses' confidence in managing aggressive patients.


Nurses are at a high risk of experiencing violence directed toward them by patients.


This quality improvement project used a pre-and-post study design. A survey was administered within 1 month before behavior management training and 1 month after training, capturing participants' demographic and work characteristics, as well as their experiences with patient/visitor-perpetrated violence. Confidence was measured using the Confidence in Coping with Patient Aggression Instrument. Open-ended questions sought participants' thoughts on workplace violence prevention initiatives.


Thirty-eight confidence scores were assessed. Nurses' confidence in coping with patient aggression was significantly higher after behavior management training. Nurse participants described the training as "timely," "helpful," and "beneficial."


With an increased understanding of violent behavior stages and warning signs, a nurse is better able to manage a potentially violent situation.

Full Text

Duke Authors

Cited Authors

  • de la Fuente, M; Schoenfisch, A; Wadsworth, B; Foresman-Capuzzi, J

Published Date

  • February 2019

Published In

Volume / Issue

  • 49 / 2

Start / End Page

  • 73 - 78

PubMed ID

  • 30633062

Electronic International Standard Serial Number (EISSN)

  • 1539-0721

International Standard Serial Number (ISSN)

  • 0002-0443

Digital Object Identifier (DOI)

  • 10.1097/nna.0000000000000713


  • eng