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Selecting an Instrument for Assessing the Risk of Patient Violence Across a Healthcare System
Sheryl A Emmerling1, Jennifer A Croland, Kelly L Nimtz-Rusch
1Author Affiliations: Director of Clinical Practice and Research (Dr Emmerling) and Vice President of Nursing and Clinical Education (Dr Nimtz-Rusch), OSF HealthCare, Peoria, IL; and Chief Nursing Officer and Vice President of Patient Care Services (Dr Croland), OSF HealthCare Saint Francis Medical Center, Peoria, IL.
Physical violence is a major cause of nurse injuries, often initiated by patients. Identifying at-risk patients upon admission requires accurate, user-friendly screening tools for diverse populations.
Area of Science:
- Nursing
- Healthcare Safety
- Violence Prevention
Background:
- Physical violence is a significant cause of workplace injuries among nurses.
- Patient and organizational factors contribute to workplace violence incidents.
- Early identification of patients at risk for violent behavior is recommended.
Purpose of the Study:
- To highlight the need for objective screening instruments.
- To guide organizations in selecting accurate and user-friendly tools.
- To ensure selected tools are appropriate for diverse patient populations.
Main Methods:
- Review of existing literature on workplace violence in nursing.
- Analysis of factors contributing to patient-incited violence.
- Criteria for evaluating screening instruments for accuracy and usability.
Main Results:
- Patient-incited violence is a primary concern in healthcare settings.
- A need exists for validated screening tools for risk assessment.
- Screening instruments must be adaptable across various patient demographics.
Conclusions:
- Implementing effective screening tools is crucial for reducing nurse injuries.
- Objective selection of validated instruments is essential for successful intervention.
- Standardized assessment upon admission can mitigate risks associated with workplace violence.
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