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Self-Report Tests of Personality

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The Risk for Violence Screening Tool: a psychometric validation and reliability study.

Sheila Mallett-Smith¹, Alirio Olmedo¹, Catherine P Canamar¹

¹Los Angeles General Medical Center, Los Angeles, CA, United States.

International Journal of Nursing Studies Advances

|January 14, 2025

Summary

This summary is machine-generated.

The Risk for Violence Screening Tool (RVST) is a valid and reliable instrument for identifying emergency department patients at high risk for violence. This tool aids in developing effective violence prevention strategies within healthcare settings.

Keywords:

Emergency department Psychometric testing Reliability Risk for violence screening tool Sensitivity & specificity Validity Workplace violence

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Area of Science:

Emergency Medicine
Psychiatric Nursing
Healthcare Risk Management

Background:

Limited high-quality evidence exists for violence risk screening tools in emergency departments.
Existing screening methods lack validated instruments for patient violence risk assessment.

Purpose of the Study:

To establish the content validity, predictive validity, and inter-rater reliability of the novel Risk for Violence Screening Tool (RVST).
To identify emergency department patients at risk for exhibiting violent behavior.

Main Methods:

A retrospective study involving subject matter experts and 22,583 adult emergency department patients.
Content validity was assessed using Content Validity Index/Average Content Validity and Universal Agreement.
Predictive validity was determined via logistic regression comparing RVST results with a violence incidence registry.
Inter-rater reliability was evaluated by three independent nurses assessing the same patients.

Main Results:

The RVST demonstrated excellent content validity (CVI=0.84) and perfect item relevance consensus.
Patients screening positive on the RVST were 27.55 times more likely to commit violence (95% CI: 24.73-30.70).
The tool showed strong predictive ability (AUC=0.843) and high inter-rater reliability (Kappa=0.86).

Conclusions:

The Risk for Violence Screening Tool is a valid and reliable instrument for emergency departments.
The RVST can be integrated into violence prevention programs to enhance safety for staff and patients.