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Area of Science:

  • Public Health
  • Emergency Medicine
  • Healthcare Management

Background:

  • Emergency departments (EDs) are critical points for addressing violence-related health risks.
  • Hospital-based violence intervention programmes (HVIPs) aim to reduce patient exposure to violence.
  • Implementing HVIPs can present challenges and additional burdens for healthcare staff.

Purpose of the Study:

  • To explore practitioners' views on the design and delivery of nurse-led HVIPs.
  • To assess HVIPs' response to patient needs and engagement with ED health professionals.
  • To understand the adaptation of HVIPs to local contexts and analyze relevant documentation.

Main Methods:

  • Qualitative process evaluation of two nurse-led HVIPs in UK hospitals (Jan-Sep 2023).
  • Interviews with 49 participants involved in HVIP commissioning, implementation, or the broader violence-prevention ecology.
  • Documentary analysis of 46 local/national policies and guidance related to HVIPs, with thematic and content analysis.

Main Results:

  • HVIPs were established due to a recognized gap in services for patients attending EDs for violence-related reasons.
  • HVIP nurses utilized clinical records for patient identification and provided patient-centered care via referrals.
  • Over 60% of eligible patients engaged; nurses were perceived as credible champions supporting ED staff, though the intervention's short-term nature posed limitations.

Conclusions:

  • Nurse-led HVIPs facilitate patient engagement through access to clinical records.
  • These programs offer valuable additional services within emergency care, supporting both patients and ED staff.
  • Successful integration of HVIPs into usual care requires time and careful consideration of intervention duration.