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CATEGORIES:College of Nursing and Health Sciences,Lectures and Seminars,The
 sis/Dissertations
DESCRIPTION:Title: An Evidence-Based Training Program to Improve Communicat
 ion and De-escalation Skills in Medical-Surgical Nurses Student: David Hee
 ps, BS, ADN, RN Faculty Mentor: Mark Adelung, PhD, RN, CPH Committee Membe
 r: Michelle Glowny, PhD, RN, CNE Clinical Site Mentor: Carolyn Harding, DN
 P, RN Ìı Date: April 29, 2026 Time: 10:00AM Zoom: Please contact dhoffman@
 umassd.edu for link. Ìı Abstract Background: Medical-surgical nurses frequ
 ently care for patients with mental health conditions yet often feel unpre
 pared to manage escalating behaviors, which can contribute to decreased co
 nfidence, increased workplace violence, and poorer patient outcomes. The p
 urpose of this Doctor of Nursing Practice (DNP) project was to implement a
 nd evaluate a brief, evidence-based educational intervention focused on co
 mmunication and verbal de-escalation skills to improve nursesâ€™ mental he
 alth knowledge and perceived competence in managing escalating behavioral 
 health events. Methods: This project used a quantitative, quasi-experiment
 al one-group pretestâ€“posttest design with a qualitative component. Medic
 al-surgical nurses (N = 11) participated in an online, asynchronous, narra
 ted PowerPoint training module. Outcomes were measured using the validated
  Behavioral Health Care Competency (BHCC) survey before and after the inte
 rvention. Data were analyzed using paired samples t-tests and effect sizes
 . Results: Results demonstrated a statistically significant improvement in
  overall BHCC scores, with a 16.7% increase from pretest to posttest (p = 
 .005) and a large effect size (d = 1.10). Significant improvements were al
 so observed across all four subscales, with the greatest improvement in pr
 actice/intervention competency (d = 1.24). Qualitative feedback supported 
 these findings, with participants reporting increased confidence, improved
  ability to recognize early signs of agitation, and greater use of de-esca
 lation strategies. Participants also identified ongoing educational needs,
  particularly related to psychotropic medications and managing delirium. C
 onclusions: Despite limitations such as a small sample size, single-site d
 esign, and short-term evaluation, findings suggest that a brief educationa
 l intervention can meaningfully improve nursesâ€™ behavioral health knowle
 dge and confidence. This project supports integrating structured communica
 tion and de-escalation training into orientation and ongoing education for
  medical-surgical nurses to support safer patient care and reduce workplac
 e risk.\nEvent page: /events/cms/college-of-nursing-
 and-health-sciences-dnp--defense---david-heeps-bs-adn-rn.php
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</script><p>Title: An Evidence-Based Traini
 ng Program to Improve Communication and De-escalation Skills in Medical-Su
 rgical Nurses</p>\n<p>Student: David Heeps\, BS\, ADN\, RN</p>\n<p>Faculty
  Mentor: Mark Adelung\, PhD\, RN\, CPH</p>\n<p>Committee Member: Michelle 
 Glowny\, PhD\, RN\, CNE</p>\n<p>Clinical Site Mentor: Carolyn Harding\, DN
 P\, RN</p>\n<p>Ìı</p>\n<p>Date: April 29\, 2026</p>\n<p>Time: 10:00AM</p>\
 n<p>Zoom: Please contact  for link.</p>\n<p>Ìı</p>\n<p>Abstract</p>\n<p>Backgroun
 d: Medical-surgical nurses frequently care for patients with mental health
  conditions yet often feel unprepared to manage escalating behaviors\, whi
 ch can contribute to decreased confidence\, increased workplace violence\,
  and poorer patient outcomes. The purpose of this Doctor of Nursing Practi
 ce (DNP) project was to implement and evaluate a brief\, evidence-based ed
 ucational intervention focused on communication and verbal de-escalation s
 kills to improve nursesâ€™ mental health knowledge and perceived competenc
 e in managing escalating behavioral health events.</p>\n<p>Methods: This p
 roject used a quantitative\, quasi-experimental one-group pretestâ€“postte
 st design with a qualitative component. Medical-surgical nurses (N = 11) p
 articipated in an online\, asynchronous\, narrated PowerPoint training mod
 ule. Outcomes were measured using the validated Behavioral Health Care Com
 petency (BHCC) survey before and after the intervention. Data were analyze
 d using paired samples t-tests and effect sizes.</p>\n<p>Results: Results 
 demonstrated a statistically significant improvement in overall BHCC score
 s\, with a 16.7% increase from pretest to posttest (p = .005) and a large 
 effect size (d = 1.10). Significant improvements were also observed across
  all four subscales\, with the greatest improvement in practice/interventi
 on competency (d = 1.24). Qualitative feedback supported these findings\, 
 with participants reporting increased confidence\, improved ability to rec
 ognize early signs of agitation\, and greater use of de-escalation strateg
 ies. Participants also identified ongoing educational needs\, particularly
  related to psychotropic medications and managing delirium.</p>\n<p>Conclu
 sions: Despite limitations such as a small sample size\, single-site desig
 n\, and short-term evaluation\, findings suggest that a brief educational 
 intervention can meaningfully improve nursesâ€™ behavioral health knowledg
 e and confidence. This project supports integrating structured communicati
 on and de-escalation training into orientation and ongoing education for m
 edical-surgical nurses to support safer patient care and reduce workplace 
 risk.</p><p>Event page: <a href="/events/cms/college
 -of-nursing-and-health-sciences-dnp--defense---david-heeps-bs-adn-rn.php">
 /events/cms/college-of-nursing-and-health-sciences-d
 np--defense---david-heeps-bs-adn-rn.php</a></a></p></body></html>
DTSTAMP:20260421T172524
DTSTART;TZID=America/New_York:20260429T100000
DTEND;TZID=America/New_York:20260429T110000
LOCATION:Zoom
SUMMARY;LANGUAGE=en-us:College of Nursing and Health Sciences DNP  Defense 
 - David Heeps, BS, ADN, RN
UID:b2f4a8f2c66a21d319870456a4fde606@www.umassd.edu
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