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Increasing Understanding and Perceived Confidence of Nurses Working in an Emergency Department in Assessing Patients
Blossom Inuenwi1, Lisa Lommel, Swapna B Peter
1Author Affiliations: Clinical Nurse Specialist (Dr Inuenwi), Emergency Department, Alta Bates Summit Medical Center, Oakland; Clinical Professors (Drs Lommel and Carley), Department of Family Health Care Nursing, University of California, San Francisco School of Nursing; and Administrative Nurse II (Ms Peter), Emergency Department, University of California, Davis Medical Center, Sacramento.
Purpose:
The aims of this quality improvement project were to improve understanding and perceived confidence in using a tool that assesses patients at risk of violence.
Project Description:
The Brøset Violence Checklist is valid at assessing patients at risk of violence. Participants were given access to an e-learning module that demonstrated how to use the tool. Improvement in understanding and perceived confidence in using the tool were assessed preintervention and postintervention via an investigator-developed survey. Analysis of the data was conducted using descriptive statistics, and open-ended survey responses were analyzed using content analysis.
Outcome:
Participants did not demonstrate an increase in understanding and perceived confidence after introduction of the e-learning module. Nurses reported that the Brøset Violence Checklist was easy to use, clear, reliable, and accurate and could be used to standardize assessments of at-risk patients.
Conclusion:
Emergency department nursing staff were educated in use of a risk assessment tool for identifying patients at risk of violence. This supported the implementation and integration of the tool into emergency department workflow.
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