1. Rutledge, Dana N. PhD, RN
  2. Wickman, Mary E. PhD, RN
  3. Cacciata, Marysol MSN, RN
  4. Winokur, Elizabeth J. PhD, RN
  5. Loucks, Jeannine MSN, RN
  6. Drake, Diane PhD, RN


Disruptive behaviors are common among hospitalized patients with psychiatric and substance abuse behaviors. Nurses working on nonpsychiatric units, however, may lack competencies to care for patients with such behaviors. A survey was developed and administered to 844 nurses across three hospital settings that revealed a lack of nurse confidence to intervene in situations that require de-escalation techniques and crisis communication. This study provides direction for further research and interventions in hospital settings with similar professional development needs.