Effekte von mitarbeiterbezogenen Trainingsprogrammen zum Aggressionsmanagement in Einrichtungen der Psychiatrie und Behindertenhilfe - Systematische Literaturübersicht

Zusammenfassung

Hintergrund Über die Effektivität von mitarbeiterbezogenen Trainingsprogrammen zum Aggressionsmanagement in der Psychiatrie ist bisher wenig bekannt. Methode Systematische Literaturübersicht. Ergebnisse Es ergab sich kein eindeutiger Trend für die Minderung von aggressiven Vorfällen durch die Trainingsprogramme, jedoch positive Effekte auf das Wissen sowie auf die Zuversicht, schwierige Situationen besser bewältigen zu können. Schlussfolgerungen Trotz der nicht eindeutigen Ergebnisse hinsichtlich der Gewaltvorfälle wird die Durchführung von umfassenden Trainingsprogrammen empfohlen.

Abstract

Background Aggression management trainings for staff have been implemented in many organizations of mental health care and disability care. The efficacy of such programmes has rarely been analysed. Methods A systematic review was conducted which contains all published evaluation studies on aggression management trainings. Inclusion criteria were before-and-after-comparisons or control group designs. Results 39 published studies were included. Study quality has to be regarded as low. Concerning the results of the studies, no clear trend emerged in direction of minimising violent incidents. However, studies revealed clear positive effects on knowledge about violence and on staff's confidence to cope with difficult situations. Conclusions Sensitisation effects in staff after getting trained probably lead to reporting bias. Although the results on the number of violent incidents remain unclear, it is recommended to conduct comprehensive aggression management trainings in mental health and disability care institutions.

Schlüsselwörter

Gewalt - Training - systematische Literaturübersicht

Key words

violence - trainings - systematic review

Literatur

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1 Der ausführliche Bericht mit zusätzlicher, nicht veröffentlichter Literatur und weiteren methodischen Details ist erhältlich unter http://miami.uni-muenster.de/servlets/DerivateServlet/Derivate-2473/richter.pdf oder vom Erstautor.