Table 3. MAVAS statements with statistically significant changes pre- and post-simulation.

MAVAS: Management of Aggression and Violence Attitude Scale.

Statement	Pre-sim	Post-sim	P-value
Patients are aggressive because of the environment they are in	2.55	2.92	.001
Patients commonly become aggressive because staff do not listen to them	2.76	3.24	.001
It is difficult to prevent patients from becoming violent or aggressive	2.14	2.51	.003
Patients are aggressive because they are ill	2.61	2.94	.003
Poor communication between staff and patients leads to patient aggression	3.14	3.43	.004
Different approaches are used on this ward to manage patient aggression and violence	2.93	3.13	.026
Medication is a valuable approach for treating aggressive and violent behavior	2.94	3.38	< .001
The use of negotiation could be used more effectively when managing aggression and violence	2.97	3.17	.040
Expressions of aggression do not always require staff intervention	2.7	2.41	.018
It is largely situations that contribute toward the expression of aggression by patients	2.85	3.03	.045
Prescription medication should be used more frequently to help patients who are aggressive and violent	2.48	3.19	< .00001