eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution：China Association for Science and Technology
Sponsor：Chinese Nursing Association
中华急危重症护理杂志

Chinese Journal of Emergency and Critical Care Nursing >

2026 , Vol. 7 >Issue 6: 748 - 754

DOI: https://doi.org/10.3761/j.issn.2096-7446.2026.06.019

Evidence Synthesis Research

Evidence summary of de-escalation measures for patient-nurse violence in emergency departments

  • CHEN Ruoxi ,
  • LIU Lihong ,
  • FAN Luo ,
  • WANG Huixia ,
  • JIA Qianhui ,
  • YANG Zhen ,
  • FAN Kaisheng ,
  • WANG Yuanyunzi
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  • Nursing Department， the First Hospital of Lanzhou University， Lanzhou 730000， China

Received date: 2025-09-23

  Online published: 2026-06-02

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Abstract

Objective To summarize evidence on de-escalation strategies for nurse-patient violence in emergency departments and provide a basis for clinical practice. Methods Evidence on de-escalation strategies for nurse-patient violence in emergency departments was systematically retrieved from guideline websites，professional association websites，and domestic and international databases，from inception to March 20，2025. Eligible evidence included guidelines，evidence summaries，clinical decision support，best practice recommendations，systematic reviews，and expert consensus. Two researchers independently conducted quality appraisal，evidence extraction，and synthesis. Results Twelve literature were included，including two guidelines，a clinical decision，an expert consensus，and eight systematic reviews. Evidence was categorized into 38 findings across five dimensions：communication strategies，emotion regulation and support，risk identification and assessment，intervention actions，and safety maintenance. Conclusion This study summarizes evidence-based de-escalation strategies for nurse-patient violence in emergency departments，offering guidance for clinical practice. In practical application，it should be combined with the departmental context and nurses’ competence，supported by systematic training and institutional guarantees，so as to improve the feasibility of implementation.

Key words： Emergency Department; Nurse-Patient Conflict; Violence De-escalation; Evidence Synthesis; Evidence-Based Nursing

Cite this article

CHEN Ruoxi , LIU Lihong , FAN Luo , WANG Huixia , JIA Qianhui , YANG Zhen , FAN Kaisheng , WANG Yuanyunzi . Evidence summary of de-escalation measures for patient-nurse violence in emergency departments[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026 , 7(6) : 748 -754 . DOI: 10.3761/j.issn.2096-7446.2026.06.019

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