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Clinical trial information and results are updated daily from ClinicalTrials.gov. The latest data update was conducted on 06/15/2021.

Evaluation of Training in De-escalation

Clinicaltrials.gov identifier NCT03924141

Recruitment Status Completed

First Posted April 23, 2019

Last update posted August 5, 2020

Study Description

Brief summary:

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.

  • Condition or Disease:De-escalation Skills
  • Intervention/Treatment: Behavioral: Training in de-escalation
  • Phase: N/A
Detailed Description

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).

Study Design
  • Study Type: Interventional
  • Actual Enrollment: 45 participants
  • Allocation: Randomized
  • Intervention Model: Parallel Assignment
  • Masking: Single (Outcomes Assessor)
  • Primary Purpose: Prevention
  • Official 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
  • Actual Study Start Date: February 2019
  • Actual Primary Completion Date: November 2019
  • Actual Study Completion Date: June 2020
Arms and interventions
Arm Intervention/treatment
Experimental: Third year nursing students - intervention
Third year nursing students will receive the intervention in de-escalation training
Behavioral: Training in de-escalation
Will receive one hour of de-escalation training
Outcome Measures
  • Primary Outcome Measures: 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 Outcome Measures: 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)
Eligibility Criteria
  • Ages Eligible for Study: 18 to 60 Years (Adult)
  • Sexes Eligible for Study: All
  • Accepts Healthy Volunteers: No
Criteria

Inclusion Criteria:

- Third year nursing student

Exclusion Criteria:

- Has to talk and understand Norwegian

Contacts and Locations
Contacts
Locations

Norway
Bergen University College
Bergen

Sponsors and Collaborators

Bergen University College

Helse-Bergen HF

Investigators

Study Chair: Kjersti Alsaker, PhD Bergen University College

More Information
  • Responsible Party: Bergen University College
  • ClinicalTrials.gov Identifier: NCT03924141 History of Changes
  • Other Study ID Numbers: 716537
  • First Posted: April 23, 2019 Key Record Dates
  • Last Update Posted: August 5, 2020
  • Last Verified: August 2020
  • Individual Participant
    Data (IPD) Sharing
    Statement:
  • Plan to Share IPD: No
  • Studies a U.S. FDA-regulated Drug Product: No
  • Studies a U.S. FDA-regulated Device Product: No
  • Keywords provided by Bergen University College: De-escalation
    Aggression
    Violence prevention
  • Additional relevant MeSH terms: Aggression