Implementing the Brøset Violence Checklist in the ED.

Area of Science:

• Implementation Science
• Healthcare Management
• Clinical Practice Improvement

Background:

• Evidence-based practices are crucial for quality healthcare but often face challenges in consistent application.
• Sustaining interventions in clinical settings requires structured approaches beyond initial implementation.
• Violence against healthcare staff in emergency departments (EDs) is a significant concern impacting safety and care quality.

Purpose of the Study:

• To describe the implementation of the Brøset Violence Checklist (BVC) in adult EDs within a multisite health system.
• To demonstrate the application of implementation science (IS) principles and tools by a nurse-led team.
• To reduce the incidence of patient violence toward staff in ED settings.

Main Methods:

• A nurse-led implementation science team was formed within a multisite health system.
• The Brøset Violence Checklist, a validated tool for predicting patient violence, was selected for implementation.
• Key implementation science concepts, methods, and tools were leveraged to guide the process in adult EDs.

Main Results:

• The study details the process of integrating the BVC into routine clinical workflows.
• The implementation focused on overcoming common barriers to evidence-based practice adoption in EDs.
• The overarching goal was to decrease staff-reported incidents of patient-to-staff violence.

Conclusions:

• Implementation science provides a robust framework for embedding evidence-based tools like the BVC into clinical practice.
• Nurse-led initiatives are effective in driving the adoption of safety-focused interventions.
• Successful implementation of the BVC has the potential to enhance staff safety and improve the ED environment.