Using the Brøset Violence Checklist Beyond Behavioral Health and the ED: A Mixed-Methods Study

Area of Science:

• Nursing
• Patient Safety
• Healthcare Management

Background:

• Patient-initiated violence is a growing concern in hospitals, significantly impacting nurses.
• Workplace violence leads to adverse outcomes, including nurse turnover and attrition from the profession.

Purpose of the Study:

• To assess the correlation between Brøset Violence Checklist (BVC) scores and subsequent violent patient behavior within 12 hours.
• To explore nurses' perceptions of facilitators and barriers to implementing the BVC.

Main Methods:

• A mixed-methods approach combining a retrospective descriptive cohort study with psychometric evaluation.
• Focus groups were conducted to gather nurses' qualitative insights on BVC implementation.

Main Results:

• The BVC demonstrated strong predictive validity for patient violence within 12 hours (AUC=0.89).
• Key themes from nurse focus groups included feasibility, proactive approaches, information dissemination, collaboration, and implementation challenges.

Conclusions:

• The Brøset Violence Checklist (BVC) offers a valuable tool for nurses in adult inpatient settings.
• Implementing the BVC can contribute to creating safer work environments and mitigating workplace violence.