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摘要
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Background: Workplace violence negatively affects nurses' psychological well-being and job performance and the
quality of patient care. Traditional workplace violence prevention training programs are not typically theorydriven
and do not typically allow participants to apply practical skills. To address this gap, this study conducted
a self-defense training intervention involving Brazilian jiu-jitsu training and elements of experiential
learning theory. The primary outcome was self-efficacy in managing workplace violence. The secondary outcomes
of interest were perceptions of and attitudes toward workplace violence management.
Methods: This multicenter, quasiexperimental study recruited 280 nurses from several health-care institutions.
Participants were divided into an intervention group (n = 133), which completed a Brazilian jiu-jitsu-based selfdefense
training intervention, and a control group (n = 147), which received traditional classroom-based
workplace violence prevention training. Outcomes were assessed using the General Self-Efficacy Scale, Perception
of Aggression Scale, and Management of Aggression and Violence Attitude Scale. Assessments were conducted
at baseline and after the intervention. Generalized estimating equations were used to examine the effects
of the intervention.
Results: At immediate post-intervention, the intervention group exhibited significantly greater improvements in
self-efficacy (β = 3.02; 95 % CI 1.47–4.57) and workplace violence perceptions (β = 6.94; 95 % CI 4.90–8.98)
than did the control group. The intervention did not lead to a statistically significant improvement in attitudes
toward workplace violence management (β = 0.83; 95 % CI 0.23–1.89). Covariate analysis revealed that sex
(higher in men), work location (higher at medical centers), and work unit (lower in psychiatry units) significantly
influenced outcomes.
Conclusions: Theory-driven Brazilian jiu-jitsu-based self-defense training significantly enhance nurses' perceptions
and self-efficacy in handling workplace violence, highlighting the value of experiential learning in nursing
workplace violence prevention programs. |
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