暴力评估工具的内部评分员和间评分员可靠性©
Sheryl A Emmerling1, Jeremy S McGarvey, Jill Greenwood-Williamson
1Author Affiliations: Director of Professional Practice and Research, Nursing Administration (Dr Emmerling), Senior Statistician, Department of Healthcare Analytics, (McGarvey), and Director of Clinical Education, Nursing Administration (Dr Greenwood-Williamson), OSF HealthCare, Peoria, IL.
The Journal of nursing administration
|January 22, 2026
概括
暴力评估工具© (VAT©) 可靠地识别了在各种医疗机构中面临攻击性行为风险的患者. 该工具表现出强大的interrater和intrarater可靠性,支持其在行为健康之外的使用.
科学领域:
- 对医疗保健评估工具的心理测量评估.
- 临床环境中的患者安全和风险管理.
背景情况:
- 关于暴力风险评估工具在行为健康之外使用的心理测量属性的证据有限.
- 需要可靠的工具来识别不同护理环境中的风险患者.
研究的目的:
- 为了确定暴力评估工具© (VAT©) 的interrater和intrarater可靠性.
- 评估VAT©在识别有攻击性/暴力行为风险的患者方面的有效性.
- 在急性护理,急诊,门诊和家庭护理环境中评估VAT©.
主要方法:
- 一项采用标准化患者简历的心理测量研究.
- 评估增值税的内部和内部可靠性©.
- 在一个大型中西部医疗保健系统和模拟中心进行的研究.
主要成果:
- 类内相关性表明,所有设置中的总体VAT©得分具有良好的评价者间可靠性 (≥0.75).
- 在基于VAT©分数的风险类别中,观察到良好的内部风险可靠性.
- 在急性护理,急诊,门诊和家庭护理方面,VAT©表现一致.
结论:
- 增值税 (VAT) 是评估患者暴力行为风险的可靠工具.
- 该工具的可靠性扩展到传统行为健康环境之外的环境.
- 调查结果支持VAT的实用性,在各种医疗保健环境中提高患者安全.
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