{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T05:19:59Z","timestamp":1777785599535,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,11,19]],"date-time":"2023-11-19T00:00:00Z","timestamp":1700352000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["K23DA043049"],"award-info":[{"award-number":["K23DA043049"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Am Psychiatr Nurses Assoc"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Little is known about reducing the challenges for caregivers and patients with Huntington\u2019s disease (HD). HD creates behavioral disturbances, cognitive decline, and motor disorder progression over the lifetime requiring some individuals to need long-term facility care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>AIMS:<\/jats:title>\n                    <jats:p>There are concerns about safety and confidence of employees caring for residents with HD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>Nursing staff, administrators, and auxiliary employees were recruited from a long-term care (LTC) facility in rural Iowa, from July 2020 to August 2020. A de-escalation training intervention was delivered. The 1-day intervention included resident behaviors, planning and safety, teamwork, communication, and included role play and simulation. A pre- and post-survey measured confidence and competence in caring for people with HD before and after a training intervention. A resident medical record audit explored challenging behaviors before and after the training intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>Of 25 participants, six were registered nurses\/licensed practical nurses (RNs\/LPNs; 24%), four administrators (16%), eight nursing assistants (32%), and seven auxiliary employees (28%). There was improvement in employees perceived safety (33.3%), co-workers enjoyment working with HD residents (54%), understanding symptoms of HD (44.4%), confidence in job abilities (21.0%), and confidence in ability to care for patients with HD (26.3%). A medical record audit showed decreased documentation of resident aggression and care refusal post-intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>These findings suggest de-escalation training in LTC facilities increased perception of job safety, co-workers\u2019 enjoyment, understanding HD symptoms, confidence in ability to care for patients with HD, and decreased resident agitation and care refusal.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10783903231211558","type":"journal-article","created":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T02:05:34Z","timestamp":1700445934000},"page":"76-82","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating De-Escalation Training for Direct and Indirect Employees Caring for Residents With Huntington\u2019s Disease"],"prefix":"10.1177","volume":"31","author":[{"given":"Brandon","family":"Rogers","sequence":"first","affiliation":[{"name":"Brandon Rogers, DNP, ARNP, PMHNP-BC, University of Iowa Hospitals & Clinics, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0231-9464","authenticated-orcid":false,"given":"Barbara","family":"St. Marie","sequence":"additional","affiliation":[{"name":"Barbara St. Marie, PhD, AGPCNP, FAANP, FAAN, University of Iowa, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6635-9188","authenticated-orcid":false,"given":"Daniel","family":"Wesemann","sequence":"additional","affiliation":[{"name":"Daniel Wesemann, DNP, MSW, PMHNP-BC, FAANP, University of Iowa, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peg","family":"Nopoulos","sequence":"additional","affiliation":[{"name":"Peg Nopoulos, MD, University of Iowa Hospitals & Clinics, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,11,19]]},"reference":[{"key":"bibr1-10783903231211558","doi-asserted-by":"publisher","DOI":"10.3233\/JHD-2012-120002"},{"key":"bibr2-10783903231211558","doi-asserted-by":"publisher","DOI":"10.3233\/JHD-190380"},{"key":"bibr3-10783903231211558","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2000.01322.x"},{"key":"bibr4-10783903231211558","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.856153"},{"key":"bibr5-10783903231211558","unstructured":"Centers for Disease Control and Prevention. 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Worker injuries in nursing homes: Is safe patient handling legislation the solution? Journal of Nursing Home Research Science, 2, 110\u2013117. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7278261\/pdf\/nihms-1591648.pdf","DOI":"10.14283\/jnhrs.2016.17"},{"key":"bibr16-10783903231211558","doi-asserted-by":"publisher","DOI":"10.7249\/RR3148"},{"key":"bibr17-10783903231211558","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939-3938.2009.01061.x"},{"key":"bibr18-10783903231211558","doi-asserted-by":"publisher","DOI":"10.1111\/ene.13413"},{"key":"bibr19-10783903231211558","doi-asserted-by":"publisher","DOI":"10.1177\/2165079916680366"},{"key":"bibr20-10783903231211558","unstructured":"National Institute of Nursing Research\/National Institutes of Health. 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