Workplace violence in health care is pervasive—and it's unacceptable. How can workers provide safe, effective care when their own safety is at risk?
Picture this scenario:
A patient is stomping wildly around the waiting room. Screaming accusations. Cursing staff. Calling people names. Scaring families. Scaring staff.
A triage nurse approaches him. The patient strikes the nurse. The patient breaks her nose.
Now imagine this same scenario in a hospital that trains every staff member in prevention strategies, de-escalation skills, and personal safety techniques.
Now all staff are better equipped to recognize the early warning signs of a potential crisis that could result in assault. In addition to using verbal and nonverbal de-escalation strategies, staff have also been trained in how to block and move away from strikes.
Now, as the nurse approaches that patient, she’s able to prevent an assault because she’s careful with how she positions herself. She recognizes that this individual is in a heightened state of anxiety. She speaks calmly to the patient, allows him enough personal space, and gives him clear directives.
The patient is less upset and less anxious, and does not strike out.
Without prevention skills, the nurse would have been hurt.
There would have been a worker comp claim. And after at least a day of lost time, the nurse would likely have been afraid to come back to work.
As for the patient, he or staff might have gotten hurt in a struggle to move him away from the nurse. If that had happened, there would have been more liability. More worker comp claims. The other patients would have been even more frightened. And bad press would have been an issue too.
With prevention skills, everyone is safer.
A nurse educator in L.A. puts it like this:
"I believe Nonviolent Crisis Intervention® training is a great program to keep employees and patients safe. It brings awareness and education about how we as staff can aggravate or improve a situation.”
— Laura DelVal, Nurse Educator, Rancho Los Amigos National Rehabilitation Center
You can't reduce workplace violence without skill.
Just as intravenous insertion is a skill, violence prevention is a skill. To build that skill, you and your colleagues must have a comprehensive workplace violence prevention policy that addresses the entire workplace violence continuum. You must also be equipped with strategies that work for preventing, managing, and debriefing the very challenging situations you face.
The key to that? 94% of surveyed hospital staff agree: CPI improves staff de-escalation skills and overall safety.
Health care pros have success with CPI because Nonviolent Crisis Intervention℠ training focuses on prevention and de-escalation. As a result, staff suffer fewer injuries. They feel safer. Patients feel safer. Staff stick around. And your patient satisfaction scores soar.
There’s a study that proves it:
Chief Nursing Officer Dr. Sally Gillam measured the effectiveness of CPI training with the first quantitative quality improvement study published on workplace violence in health care.
Not only did the training help lower assaults, Dr. Gillam's study proved that investing in CPI training reduces workplace violence.
"If someone needed a study to help ascertain whether or not they wanted to invest in Nonviolent Crisis Intervention® training for their staff, this study is actually what can prove that 2% of payroll reduces 23% of violence.”
Everyone contributes to safety.
That's why everyone who comes into contact with patients and visitors benefits from de-escalation training. Not everyone faces the same level of risk, so not everyone needs the same level of training. But without basic awareness training, a staff member can miss an opportunity to de-escalate early. With training, staff work together, using a cohesive, proactive approach to keep everyone safe.
What about time and budget costs?
The truth is that it costs more when staff don't have the prevention skills they need. But time is not easy to find. And shifts are not easy to cover. That's why we created our blended-learning option, which combines online and classroom learning. It allows you to train more staff in less time.
“Slowly but surely, our whole hospital community is integrating CPI into their daily toolkit.”
—Carola Hauer, Ph.D., Licensed Psychologist, Tri City Medical Center
Enhance your trauma-informed culture of care.
We’ll help you incorporate person-centred, trauma-sensitive best practices into your staff trainings, policies, and procedures. Combining your trauma-informed care initiatives with training will give you even more tools for helping your patients cope and thrive.
Balance care with security.
Our clients who work in security tell us that we help them bridge the gap between meeting compliance regulations and managing violence. Our training also helps security directors marry their departments with clinical departments. It helps them balance healing with protecting.
“For my staff, CPI is a great program because we’re able to manage the violence, minimize risks, and minimize injury.” — Robert Whiteside, Security Director, Mission Health
Manage the violence and reduce restraint.
Restraint is a sticky issue, because sometimes it’s needed for a patient's safety. But sometimes it can be prevented. With CPI, 58% of facilities report reducing restraint use by 50–99%. Your facility can even go as far as Eastside Medical Center, where nurse Julie Ekunwe reports that they’ve reduced the use of physical restraint and seclusion by 100%.
Comply with regulations and standards.
With its trauma-sensitive, person-centred focus, CPI will help you meet the standards that apply to your facility, including restraint reduction standards and training requirements. We’re here to help you comply with state, provincial, and federal legislation, CMS and Joint Commission requirements, CARF standards, OSHA guidelines, and more. See how: Alignments | Legislation
Reduce violence among staff too.
Especially in a hospital environment, workplace bullying comes in many forms. It occurs at every level, and it can lead to devastating consequences. We offer seminars, training programs, and a policy & procedure template to help you see it, call it, and STOP it.
So what's the ROI on CPI?
The bottom line is that by reducing injuries, turnover, restraint, and worker compensation claims—and by helping you boost your HCAHPS score and staff confidence—CPI will save you money.
“You’ll see the financial gain because you’ll have less injury, less worker comp, and you’ll leave your clients with a better experience.” —Robert Whiteside, Security Director, Mission Health
Think that’s impressive?
After the CentraCare Health system of central Minnesota implemented CPI training:
- Work days lost due to aggressive incidents dropped by 81%.
- Work days modified due to aggressive incidents dropped by 69%.
- Worker compensation costs due to aggressive incidents dropped by 61%.
You CAN make your facility safer for everyone.
There is no acceptable level of violence in health care. If your hospital needs a comprehensive approach to preventing and managing violence, we’re the premier experts to help.