Effects of the Anger Management Program for Nurses

The Effect of Anger Management Training on Nurses' Anger, Psychological Resilience, and Quality of Care: A Randomized Controlled Trial

The present study sought to examine the impact of anger management training on nurses' anger, psychological resilience, and the quality of care they provide. A randomized controlled experimental design with pre-test, post-test, and one-month follow-up was employed in this study. The sample consisted of 40 nurses (experimental group: 20; control group: 20). Data were collected using the following instruments: the Personal Information Form, the State-Trait Anger Scale, the Connor-Davidson Resilience Scale Short Form, and the Nurses' Quality of Care Assessment Scale. The study established that the mean post-test and follow-up scores on the State-Trait Anger Scale for the experimental group were significantly lower than those for the control group (p < 0.05). Furthermore, the experimental group exhibited considerably higher mean scores on the Connor-Davidson Resilience Scale and the Quality of Care Assessment Scale in both the post-test and follow-up measurements in comparison to the control group (p < 0.05). The findings indicate that anger management training is associated with a reduction in nurses' anger levels and with enhancement of their psychological resilience and the quality of the care they provide.

The mediator role of mindfulness in the relationship between the listening skills and anger management skills of emergency health care professionals

BACKGROUND

Effective communication plays a crucial role in establishing strong relationships and providing essential support in clinical situations. This study was conducted to investigate the mediator role of mindfulness in the relationship between the listening skills and anger management skills of healthcare professionals working in the emergency department (ED).

METHOD

This was a cross-sectional study, which was conducted with 230 emergency department healthcare professionals (EHCPs) working in adult EDs in Turkey. Sociodemographic Characteristics Data Collection Form, Mindful Attention Awareness Scale (MAAS), Listening Skills Assessment Scale (LSAS), and Anger Management Scale (AMS) were used for data collection. Descriptive statistics included frequency and percentage; t test and ANOVA test were used for statistical analyses, as was "Process Macro 3.5 Model 4", which was used to study the effect of mediator variables.

RESULTS

The participants had a mean MAAS score of 57.71 ± 12.38, a mean LSAS score of 45.36 ± 6.23, and a mean AMS score of 17.93 ± 3.39. There were significant positive correlations between LSAS and MAAS (r = 0.197, p < 0.001), between AMS and MAAS (r = 0.233p < 0.001), and between AMS and LSAS r = 0.24p < 0.001). In addition, the process model analysis results supported that MAAS had a partial mediator role in the correlation between LSAS and AMS, and that its indirect effects were predicted by LSAS and AMS. It was determined that 5.75 % of total change on AMS was predicted by LSAS (F = 13.918; p < 0.001).

CONCLUSION

The results of this study indicate that as the mindfulness level of EHCPs increases, their listening and anger management skills increased. Therefore, reinforcing mindfulness by integrating mindfulness interventions into in-service training and applying strategies that promote EHCPs' listening skills and anger management skills would make it possible to provide quality health care with employees who are more efficient in conflict management and enjoy a higher level of satisfaction.

Effectiveness of anger-focused emotional management training in reducing aggression among nurses

AIM

The aim of this study was to conduct a 5-h training programme on anger-focused emotional management for nurses and verify its effectiveness.

DESIGN

The study used a one-group pretest-posttest design.

METHODS

Participants (N = 283) attended a programme comprising lectures and exercises. The Japanese version of the Buss-Perry Aggression Questionnaire was administered pre-, post- and 3-month posttraining. Regression analyses were used to assess the effects of the programme by gender.

RESULTS

For the total aggression score, the difference between the pre- and posttraining scores was -2.827 points and remained at -1.602 points 3-month posttraining. Physical aggression scores decreased posttraining, but the scores increased after 3 months. There were statistically significant gender differences in hostility scores; pre-training scores were slightly higher for men than for women and lower for men after 3 months. Total and physical aggression scores were higher for men than for women. The training programme decreased aggression, and the effect persisted after 3 months.

Effect of Anger Management Education on Aggression in Bipolar Disorder Hospitalized Patients: A Pilot Study

Background:

Aggression is one of the symptoms of bipolar disorder. This expression can be associated with negative personal and social effects

Objective:

This study aimed to determine the effect of anger management education on aggression in bipolar disorder.

Method:

This semi-experimental study with a repeated measures design was conducted in Hamadan, Iran, 2018. Fifty-two bipolar type-1 disorder patients were randomly selected from the Psychiatric Ward of Farshian Hospital through the convenience sampling method. The anger management education intervention included four sessions. Also, the State-Trait Anger Expression Inventory-2 (STAXI-2) was completed by the subjects before, immediately, and two weeks after the educational intervention. Data analysis was performed in SPSS16, using Mauchly’s sphericity test and the least significant difference.

Results:

The mean aggression score was 61.38±11.59 before the intervention, which reduced to 27.18±8.61 and 18.86±6.45 immediately and two weeks after the intervention, respectively. The repeated measures test showed that the decreasing trend of scores was statistically significant (P<0.001). Moreover, pairwise comparison of study stages demonstrated a significant difference between the first and second stages (P<0.001) and the second and third stages (P<0.001).

Conclusion:

Anger management education reduced the level of aggression in bipolar type-1 disorder. Therefore, it can be incorporated into nursing care programs