None listed
Conditions
Brief summary
De-escalation skills are highly regarded by staff and patients as a tactical approach to Occupational Violence (OV) prevention and response. De-escalation refers to a range of communication techniques (non-verbal and verbal communication) to help a person (e.g. patients, consumers) regain control of their emotions (e.g. agitation, distress, frustration, anger) and assist them to calm reducing the likelihood and severity of OV by defusing emotions before they escalate to aggression or violence. This study we will evaluate a VR-based de-escalation training of Emergency Department staff.
Interventions
IVADE is a virtual reality (VR) training package co-designed with clinicians and health system stakeholders for verbal de-escalation training specific to the Australian health context, including nursing students. With IVADE, participants will complete virtual tutoring to familiarise themselves with the VR system and controllers, including information on de-escalation techniques. Participants consolidate all their de-escalation training (e-learning and face-to-face) by applying them in these IV
IVADE is a virtual reality (VR) training package co-designed with clinicians and health system stakeholders for verbal de-escalation training specific to the Australian health context, including nursing students. With IVADE, participants will complete virtual tutoring to familiarise themselves with the VR system and controllers, including information on de-escalation techniques. Participants consolidate all their de-escalation training (e-learning and face-to-face) by applying them in these IVADE scenarios once a week until completion: 1. Aggressive patient due to long wait time; can turn violent (de-escalation possible) 2. Alcohol-fuelled aggression; can turn violent (de-escalation possible) 3. Alcohol-fuelled aggression; will turn violent (de-escalation not possible) 4. Elderly dementia patient; can turn violent (de-escalation possible) 5. Mental health patient; can turn violent (de-escalation possible) 6. Adolescent patient; can turn violent (de-escalation possible) IVADE scenarios involve interactions between the participant and a patient, with user-choices determining potential different outcomes for each scenario. As an example, a scenario may have up to 38 decision options leading to six different potential outcomes, including the ability to call for security at any time. Each participant will spend about 15 minutes per scenario where they can choose different options and explore alternative scenario outcomes. Each research site will have an educator or facilitator to administer IVADE. It is expected that IVADE training sessions are held in a room that should be safe for a learner to participate in IVADE training. These are adequately sized rooms with good ventilation and lighting, equipped with computer workstation, a clear open area for the learner to move during scenarios, and seating. Each site educator or facilitator will keep a logbook of participant IDs that will record date, time in, time out, side-effects such as dizziness, headaches, nausea, and incidents (e.g. trips, falls). The incident rate should be low based on prior studies that showed that 1 in 10 experienced mild motion sickness and no trips and falls reported
Sponsors
Emergency Medicine Foundation
Study design
Allocation
Randomised controlled trial
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Are a registered health practitioner (e.g. nurses, doctors, allied health personnel) in Australia by the Australian Health Practitioner Regulation Agency; Completed their occupational violence (OV) e-learning in the last 12 months; Have completed any in-house face-to-face education or training for OV in the last 6 months; Work permanent part-time, full-time or >12-month contract in participating emergency departments (ED); AND If they do not suffer from severe motion sickness, vertigo, or any other stated contraindication by the person.
Exclusion criteria
Are NOT a registered health practitioner in Australia; Have NOT completed their OV e-learning in the last 12 months; Have NOT completed any in-house face-to-face education or training for OV in the last 6 months; Work on a casual or contractual basis (less than 12 months) in a participating study ED; OR If they suffer from severe motion sickness, vertigo, or any other stated contraindication by the person.
Outcome results
None listed