Behavioral skills training for teaching safety skills to mental health service providers compared to training-as-usual: a pragmatic randomized control trial Article Swipe
Elizabeth Lin
,
Mais Malhas
,
Emmanuel Bratsalis
,
Kendra Thomson
,
Fabienne Hargreaves
,
Kayle Donner
,
Heba Baig
,
Rhonda Boateng
,
R A Swain
,
Mary Benisha Benadict
,
Louis Busch
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1186/s12913-024-10994-1
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1186/s12913-024-10994-1
Background Violence in the healthcare workplace has been a global concern for over two decades, with a high prevalence of violence towards healthcare workers reported. Workplace violence has become a healthcare quality indicator and embedded in quality improvement initiatives of many healthcare organizations. The Centre for Addiction and Mental Health (CAMH), Canada’s largest mental health hospital, provides all clinical staff with mandated staff safety training for self-protection and team-control skills. These skills are to be used as a last resort when a patient is at imminent risk of harm to self or others. The purpose of this study is to compare the effectiveness of two training methods of this mandated staff safety training for workplace violence in a large psychiatric hospital setting. Methods Using a pragmatic randomized control trial design, this study compares two approaches to teaching safety skills CAMH’s training-as-usual (TAU) using the 3D approach (description, demonstration and doing) and behavioural skills training (BST), from the field of applied behaviour analysis, using instruction, modeling, practice and feedback loop. Staff were assessed on three outcome measures (competency, mastery and confidence), across three time points: before training (baseline), immediately after training (post-training) and one month later (follow-up). This study was registered with the ISRCTN registry on 06/09/2023 (ISRCTN18133140). Results With a sample size of 99 new staff, results indicate that BST was significantly better than TAU in improving observed performance of self-protection and team-control skills. Both methods were associated with improved skills and confidence. However, there was a decrease in skill performance levels at the one-month follow-up for both methods, with BST remaining higher than TAU scores across all three time points. The impact of training improved staff confidence in both training methods and remained high across all three time points. Conclusions The study findings suggest that BST is more effective than TAU in improving safety skills among healthcare workers. However, the retention of skills over time remains a concern, and therefore a single training session without on-the-job-feedback or booster sessions based on objective assessments of skill may not be sufficient. Further research is needed to confirm and expand upon these findings in different settings.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1186/s12913-024-10994-1
- https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-024-10994-1
- OA Status
- gold
- Cited By
- 3
- References
- 67
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4396996683
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4396996683Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1186/s12913-024-10994-1Digital Object Identifier
- Title
-
Behavioral skills training for teaching safety skills to mental health service providers compared to training-as-usual: a pragmatic randomized control trialWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-05-17Full publication date if available
- Authors
-
Elizabeth Lin, Mais Malhas, Emmanuel Bratsalis, Kendra Thomson, Fabienne Hargreaves, Kayle Donner, Heba Baig, Rhonda Boateng, R A Swain, Mary Benisha Benadict, Louis BuschList of authors in order
- Landing page
-
https://doi.org/10.1186/s12913-024-10994-1Publisher landing page
- PDF URL
-
https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-024-10994-1Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-024-10994-1Direct OA link when available
- Concepts
-
Medicine, Mental health, Nursing, Health administration, Randomized controlled trial, Health care, Harm, Poison control, Occupational safety and health, Suicide prevention, Patient safety, Public health, Psychology, Psychiatry, Medical emergency, Economic growth, Social psychology, Economics, Pathology, SurgeryTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
3Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 2, 2024: 1Per-year citation counts (last 5 years)
- References (count)
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67Number of works referenced by this work
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-
10Other works algorithmically related by OpenAlex
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