The capstone project discusses alternative intervention methods to reduce patient aggression in the acute psychiatric setting. Patient aggression signifies physical violence towards oneself, others, and property or the occurrence of verbal threats (Mavandadi, Bieling, & Madsen, 2016). Alternative intervention methods include non-coercive approaches, in particular beta de-escalation techniques. These methods do not involve the application of practices such as restraint, emergency medication, or seclusion. The theory of modeling and role modeling chosen for the capstone project relates to the application of alternative intervention methods since it may be used by nurses to decrease patient aggression in the acute psychiatric setting. The project is relevant to nursing and psychiatric patients in an acute setting because nurses should apply the most effective preventive approaches to decrease aggression for improved patient outcomes, patient safety, and enhanced quality of care.
One of the reasons why the theory of modeling and role modeling was chosen is that the provision of holistic care enables nurses to view the world through the eyes of the patients. According to the theory, self-awareness and recognition are anchored in patients’ view of the universe, in addition to their adaptation to stressors (Price, Baker, Bee, & Lovell, 2018). Another reason is that the theory allows nurses to give care and nurture every client with an understanding of and respect for the patient’s distinctiveness. The theory of modeling and role modeling makes nurses accept patients unconditionally irrespective of the situation (Price, Baker, Bee, & Lovell, 2015). The third reason is that the theory enables nurses to successfully facilitate patients in realizing, maintaining, and upholding health. Patients are specialists in their own care and understand how they need to be assisted (Mavandadi, Bieling, & Madsen, 2016). The theory of modeling and role modeling aligns with the capstone project since it is employed in the eradication of unwanted behaviors such as aggression and enhances the learning of social behaviors in the acute psychiatric setting. The theory might be used either to reinforce or weaken earlier acquired behaviors.
In line with the theory of modeling and role modeling, which behavioral enhancers should be used to improve the possibility of successful reduction of aggression and ensure that patients will continue to employ the learned behaviors?
Mavandadi, V., Bieling, P. J., & Madsen, V. (2016). Effective ingredients of verbal de‐escalation: Validating an English modified version of the ‘de‐escalating aggressive behavior scale’. Journal of Psychiatric and Mental Health Nursing, 23(7), 357-368.
Price, O., Baker, J., Bee, P., & Lovell, K. (2015). Learning and performance outcomes of mental health staff training in de-escalation techniques for the management of violence and aggression. The British Journal of Psychiatry, 206(6), 447-455.
Price, O., Baker, J., Bee, P., & Lovell, K. (2018). The support-control continuum: An investigation of staff perspectives on factors influencing the success or failure of de-escalation techniques for the management of violence and aggression in mental health settings. International Journal of Nursing Studies, 77, 197-206.