Agitated Patient Simulation Training BACKGROUND This agitated patient simulation training project aims to reduce harm and injuries to staff and patients by addressing workplace violence. This project’s goal is to increase staff competency and confidence, maintain patient dignity, and improve patient outcomes. 1,2 • Focuses on workplace violence through simulation training3 • Gaps in current practices are highlighted to support the need for standardized training • Structured simulation focusing on safety interventions • Aims to improve staff confidence and competency when managing agitated patients • Project success could lead to a broad application across healthcare specialties METHODS This project will be using the McKinsey 7S Framework:4,5 • Pre- and post- simulation assessment • Qualitative and quantitative data analysis • Effectiveness and confidence 5 Spencer Christopherson, RN, BSN, MSN Student Trish Gibbs, RN, DNP, CNE Amanda Patton, RN, BSN, MSN INTERVENTIONS This project consists of quarterly, two-hour in-person simulation training for staff members to practice de-escalation, with pre- and post-simulation survey assessments and scenario-based hands-on training.6 • • • • • • • • • • Pre-simulation assessment Low, medium, and high-risk scenarios Post-simulation assessment Administration approval and support Multidisciplinary collaboration Curriculum development/ scenario creation Debriefing sessions Data collection and analysis Ethical considerations Project evaluation and project dissemination IMPACTS Simulation trainings can immediately lead to:1,3 • Reduction of workplace violence • Improved patient safety • Increase in staff confidence and competency • Standardizing approach to managing agitated patients • Enhanced interdisciplinary team collaboration Over time, simulation trainings can also lead to: • A broad application across other healthcare settings • A sustainable training program • Reduction in patient length of stay • National standard development • Continuous quality improvement (Altmann, 2025) CONCLUSIONS • • REFERENCES 1DeSouza, F., & Bleich, M. (2023). A quality improvement approach to violence reduction: Standardizing the risk identification process. Journal of Nursing Care Quality, 38(4), 361-366. https://doi.org/10.1097/NCQ.0000000000000713 2Cant, R. P., Cooper, S. J., & Lam, L. L. (2020). Hospital nurses' simulation-based education regarding patient safety: A scoping review. Clinical Simulation in Nursing, 44, 19-34. https://doi.org/10.1016/j.ecns.2019.11.006 3Jones, N., Decker, V. B., & Houston, A. (2023). De-escalation training for managing patient aggression in high-incidence care areas. Journal of Psychosocial Nursing and Mental Health Services, 61(8), 17-24. https://doi.org/10.3928/0279369520230221-02 4Jain, N., & Kansal, J. (2023). Application of McKinsey 7S framework as a strategic tool for a knowledge-based organizational development. IEEE Engineering Management Review, 1-41. https://doi.org/10.1109/EMR.2023.3338966 5Kabandize, I. (2023). McKinsey7S Framework [Photograph]. Begenius Thoughts. https://www.ivankabandize.com/randomthoughts/leveraging-the-mckinsey-7s-framework-for-organizational-and-businessgrowth/ 6Staffurth, I., Hoque, R., Duric, B., Rogowska, M., & Posporelis, S. (2024). A quality improvement project to improve staff confidence in managing incidences of patient violence and aggression on the neurosciences wards. BJPsych Open, 10(S1), S134-S135. https://doi.org/10.1192/bjo.2024.361 • • (Tumisu, 2025) This project addresses the critical issue of workplace violence in behavioral health settings by implementing frequent, standardized simulation training for managing agitated patients. The simulation program, grounded in a comprehensive literature review and utilizing the McKinsey 7S framework, aims to enhance staff competency in safety interventions, prioritizing patient dignity and privacy. Successful implementation of this structured guideline and hands-on training has the potential for broader application across all healthcare specialties, establishing a universal approach to managing agitated patients and mitigating workplace violence. Project evaluation, utilizing pre- and post-simulation assessments and facility charting data, will measure the program's effectiveness in improving staff confidence and reducing the frequency of agitated patient events, contributing to a safer healthcare environment.