Citation

Sarver WL, Radziewicz R, Coyne G, Colon K, Mantz L. J. Am. Psychiatr. Nurs. Assoc. 2019; ePub(ePub): 1078390318820668.

Affiliation

The MetroHealth System, Cleveland, OH, USA.

Copyright

(Copyright © 2019, American Psychiatric Nurses Association, Publisher SAGE Publishing)

DOI

10.1177/1078390318820668

PMID

30638107

Abstract

BACKGROUND: Violence on inpatient psychiatric settings has significant consequences for patients and staff. Research is needed to determine if Brøset Violence Checklist (BVC) is an accurate predictor of violence. AIMS: The study aims were to determine the relationship between BVC scores and incidence of violent behavior within 24 hours, to compare scores among those requiring high-level nursing interventions for violence, and to investigate the impact of scores on length of stay (LOS) and 30 day-readmission rates.

METHOD: Retrospective cohort study.

RESULTS: Logistic regression indicates 3.4 times greater risk of violence for every additional point on admission BVC (odds ratio = 3.4, 95% confidence interval = [2.29, 5.08], p <.0001). Patients requiring high-level interventions for violence had higher mean BVC scores on both Day 1 and 2 of admission. Pearson correlation was significant for positive association between BVC on admission and LOS ( p <.001).

FINDINGS did not establish a link between BVC scores and violence with 30-day readmission rates.

CONCLUSIONS: Efforts toward early identification and management of agitation and disruptive behavior is encouraged.

RESULTS showed increased risk of violence with every additional point on BVC on admission; further attention should be paid to these patients on admission when using violence screening tools.

Language: en

Keywords

hospitalization; inpatient treatment; rating scale and scales; violence/aggression