@article{ref1,
title="Usefulness of Aggressive Behaviour Risk Assessment Tool for prospectively identifying violent patients in medical and surgical units",
journal="Journal of Advanced Nursing",
year="2012",
author="Kim, Son Chae and Ideker, Kristyn and Todicheeney-Mannes, Dale",
volume="68",
number="2",
pages="349-357",
abstract="Aim.  The aim of this study is to evaluate the usefulness of the Aggressive Behaviour Risk Assessment Tool for prospectively identifying violent patients in medical-surgical units. Background.  Although patient violence against nurses is a serious occupational hazard, there is a lack of simple screening tools with acceptable sensitivity and specificity for identifying potentially violent patients in medical-surgical units. Methods.  A prospective cohort study involving patients admitted to six medical-surgical units at an acute care hospital was conducted from August 2009 to December 2009. Primary nurses completed the 17-item checklist within 24 hours of admission. A second identical checklist was completed by another nurse to assess the inter-rater reliability. Following a violent event or just prior to discharge, the violent event outcome section was completed to collect information about violent event, if any. A multivariate logistic regression model with backward elimination was used to select a set of parsimonious items that best predict violent behaviours. Results.  Fifty-six patients out of 2063 (2·7%) had one or more violent events. A parsimonious set of ten items were selected for the tool. Receiver Operating Characteristics analysis of Aggressive Behaviour Risk Assessment Tool showed that the area under the curve was 0·82 (95% Confidence Interval, 0·75-0·90). The sensitivity and specificity at the cut-off score of 1 were 70·9% and 89·3%, respectively. The Cohen's Kappa for inter-rater reliability was 0·647. Conclusion.  The Aggressive Risk Assessment Tool is a simple, easy-to-use assessment tool with acceptable inter-rater reliability, sensitivity and specificity that may be useful for prospectively identifying violent patients in medical-surgical units.<p /> <p>Language: en</p>",
language="en",
issn="0309-2402",
doi="10.1111/j.1365-2648.2011.05744.x",
url="http://dx.doi.org/10.1111/j.1365-2648.2011.05744.x"
}