title: Transforming the culture of caring.
abstract: Direct care staff struggle with the decision of when to physically intervene with patients. There is a widely held belief that they are expected to place themselves in danger of harm to prevent patients from hurting themselves or others. In this acute mental health care setting, an educational program was developed, using principles of adult and transformational learning, to dispel the idea that getting hurt is part of the job. The Staying Safe program strongly discourages staff from physically intervening alone and promotes staff getting enough help and having a plan. Staff are encouraged to interact with patients in helpful ways and to respond to patient requests in ways that do not increase frustration or evoke anger. There has been a positive response to the training program, evidenced by changes in the way staff think about their jobs and a reduction in the number of assaults and injuries to staff.
authors.affiliation: New Hampshire Hospital, Concord, NH 03301, USA. dallen@dhhs.state.nh.us
authors.forename: Diane E
authors.initials: DE
authors.lastname: Allen
authors.forename: Alexander
authors.initials: A
authors.lastname: de Nesnera
authors.forename: Kathleen
authors.initials: K
authors.lastname: Cummings
authors.forename: Frank E
authors.initials: FE
authors.lastname: Darling
mesh_terms: D004509:Education, Nursing, Continuing / Q000458:organization & administration*; D004645:Empathy; D006801:Humans; D009513:New Hampshire; D024802:Nurse's Role / Q000523:psychology; D009723:Nurse-Patient Relations; D015402:Nursing Education Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology; D016272:Occupational Health; D015279:Organizational Culture; D009936:Organizational Innovation; D009937:Organizational Objectives; D016730:Program Development; D015397:Program Evaluation; D011568:Psychiatric Nursing / Q000193:education / Q000458:organization & administration; D017751:Safety Management / Q000458:organization & administration*; D014754:Violence / Q000517:prevention & control* / Q000523:psychology; D017132:Workplace / Q000458:organization & administration / Q000523:psychology