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Enhancing Nurses' Knowledge and Self-Efficacy in Managing Agitation and Aggressive Behaviors in Geriatric Unit Patients Using DICE (Describe, Investigate, Create, Evaluate) Approach
Enhancing Nurses' Knowledge and Self-Efficacy in Managing Agitation and Aggressive Behaviors in Geriatric Unit Patients Using DICE (Describe, Investigate, Create, Evaluate) Approach
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202103544
- ISBN
- 9798315795674
- DDC
- 610.73
- 저자명
- Kang, Young.
- 서명/저자
- Enhancing Nurses Knowledge and Self-Efficacy in Managing Agitation and Aggressive Behaviors in Geriatric Unit Patients Using DICE (Describe, Investigate, Create, Evaluate) Approach
- 발행사항
- [Sl] : University of California, Los Angeles, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 66 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 86-12, Section: B.
- 주기사항
- Advisor: Clark, Lauren.
- 학위논문주기
- Thesis (D.N.P.)--University of California, Los Angeles, 2025.
- 초록/해제
- 요약Background: Agitation and aggression in hospitalized older adults, especially those with dementia, delirium, or psychiatric conditions, pose serious challenges to patient care. These behaviors increase safety risks, prolong hospital stays, and contribute to workplace violence. The healthcare organization's intervention strategy for agitation and aggression is broadly applied to all hospitalized patients and lacks a structured, specific framework for older adults. Objectives: Educating Nurses on the DICE (Describe, Investigate, Create, Evaluate) approach enhanced their knowledge and self-efficacy in managing agitation and aggressive behaviors in geriatric unit patients. Methods: Nurses received structured training on the DICE approach through group or individual sessions. Pre- and post-intervention assessments using DKAT 2 (Dementia Knowledge Assessment Tool 2) and GSE 6 (General Self-Efficacy Scale 6) measured changes in dementia knowledge and self-efficacy. Agitation and aggression incidents were monitored for two months post-intervention to evaluate effectiveness. Results: Nurses demonstrated statistically significant improvements in dementia knowledge and self-efficacy, as the results showed in increased DKAT 2 scores (p .001) and GSE 6 scores (p .05). There were also significant positive correlations between geriatric experience and self-efficacy on GSE 6 items Q1, Q3, Q4, Q5, and Q6 (p .05). Additionally, a 54.8% reduction in agitation and aggression incidents was observed in the geriatric unit between the eight weeks before and after the intervention, indicating significant improvement post-training. Conclusion: This quality improvement project initiative demonstrated that structured education on the DICE approach effectively improves nurses' dementia knowledge and confidence in managing agitation and aggression in older adults. Future steps include integrating this training into standard onboarding for geriatric unit staff and expanding its application to other units.
- 일반주제명
- Nursing
- 일반주제명
- Behavioral psychology
- 키워드
- Agitation
- 키워드
- Dice approach
- 기타저자
- University of California, Los Angeles Nursing 0597
- 기본자료저록
- Dissertations Abstracts International. 86-12B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■00520260202103544
■006m o d
■007cr#unu||||||||
■020 ▼a9798315795674
■035 ▼a(MiAaPQ)AAI32041114
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a610.73
■1001 ▼aKang, Young.
■24510▼aEnhancing Nurses' Knowledge and Self-Efficacy in Managing Agitation and Aggressive Behaviors in Geriatric Unit Patients Using DICE (Describe, Investigate, Create, Evaluate) Approach
■260 ▼a[Sl]▼bUniversity of California, Los Angeles▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a66 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 86-12, Section: B.
■500 ▼aAdvisor: Clark, Lauren.
■5021 ▼aThesis (D.N.P.)--University of California, Los Angeles, 2025.
■520 ▼aBackground: Agitation and aggression in hospitalized older adults, especially those with dementia, delirium, or psychiatric conditions, pose serious challenges to patient care. These behaviors increase safety risks, prolong hospital stays, and contribute to workplace violence. The healthcare organization's intervention strategy for agitation and aggression is broadly applied to all hospitalized patients and lacks a structured, specific framework for older adults. Objectives: Educating Nurses on the DICE (Describe, Investigate, Create, Evaluate) approach enhanced their knowledge and self-efficacy in managing agitation and aggressive behaviors in geriatric unit patients. Methods: Nurses received structured training on the DICE approach through group or individual sessions. Pre- and post-intervention assessments using DKAT 2 (Dementia Knowledge Assessment Tool 2) and GSE 6 (General Self-Efficacy Scale 6) measured changes in dementia knowledge and self-efficacy. Agitation and aggression incidents were monitored for two months post-intervention to evaluate effectiveness. Results: Nurses demonstrated statistically significant improvements in dementia knowledge and self-efficacy, as the results showed in increased DKAT 2 scores (p .001) and GSE 6 scores (p .05). There were also significant positive correlations between geriatric experience and self-efficacy on GSE 6 items Q1, Q3, Q4, Q5, and Q6 (p .05). Additionally, a 54.8% reduction in agitation and aggression incidents was observed in the geriatric unit between the eight weeks before and after the intervention, indicating significant improvement post-training. Conclusion: This quality improvement project initiative demonstrated that structured education on the DICE approach effectively improves nurses' dementia knowledge and confidence in managing agitation and aggression in older adults. Future steps include integrating this training into standard onboarding for geriatric unit staff and expanding its application to other units.
■590 ▼aSchool code: 0031.
■650 4▼aNursing
■650 4▼aBehavioral psychology
■653 ▼aAggressive behaviors
■653 ▼aAgitation
■653 ▼aBehavioral management
■653 ▼aDice approach
■653 ▼aNon-pharmacological interventions
■690 ▼a0569
■690 ▼a0769
■690 ▼a0384
■71020▼aUniversity of California, Los Angeles▼bNursing 0597.
■7730 ▼tDissertations Abstracts International▼g86-12B.
■790 ▼a0031
■791 ▼aD.N.P.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17357670▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
