暴力风险查工具:一个心理测量验证和可靠性研究.
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
概括
暴力风险查工具 (RVST) 是一种有效和可靠的工具,用于识别暴力风险高的急诊室患者. 该工具有助于在医疗保健机构中制定有效的暴力预防策略.
科学领域:
- 紧急医疗 紧急医疗
- 精神病学护理 精神病学护理
- 医疗保健风险管理 医疗保健风险管理
背景情况:
- 有限的高质量的证据存在于紧急部门的暴力风险选工具.
- 现有的查方法缺乏验证的工具来评估患者暴力风险.
研究的目的:
- 建立新的暴力风险选工具 (RVST) 的内容有效性,预测有效性和评级者之间的可靠性.
- 为了识别急诊室的患者,他们可能会表现出暴力行为.
主要方法:
- 一项回顾性研究,涉及主题专家和22583名成年急诊室患者.
- 使用内容有效性指数/平均内容有效性和通用协议来评估内容有效性.
- 通过逻辑回归来确定预测有效性,将RVST结果与暴力发生率注册表进行比较.
- 评估者之间的可靠性由三个独立的护士评估相同的患者来评估.
主要成果:
- RVST显示出优异的内容有效性 (CVI=0.84) 和完美的项目相关性共识.
- 在RVST检查结果呈阳性的患者犯下暴力行为的可能性增加了27.55倍 (95%CI:24.73-30.70).
- 该工具显示出强大的预测能力 (AUC=0.843) 和高的评级者间可靠性 (Kappa=0.86).
结论:
- 暴力风险选工具是紧急部门的有效和可靠的工具.
- 可以将RVST整合到暴力预防计划中,以提高工作人员和患者的安全.
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