TY  - JOUR
PY  - 2019//
TI  - Implementation of the Brøset Violence Checklist on an acute psychiatric unit
JO  - Journal of the American Psychiatric Nurses Association
A1  - Sarver, Wendy L.
A1  - Radziewicz, Rosanne
A1  - Coyne, Georgean
A1  - Colon, Kelly
A1  - Mantz, Lisa
SP  - 1078390318820668
EP  - 1078390318820668
VL  - ePub
IS  - ePub
N2  - 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. <br><br>METHOD: Retrospective cohort study. <br><br>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). <br><br>FINDINGS did not establish a link between BVC scores and violence with 30-day readmission rates. <br><br>CONCLUSIONS: Efforts toward early identification and management of agitation and disruptive behavior is encouraged. <br><br>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.<p />  <p>Language: en</p>
LA  - en
SN  - 1078-3903
UR  - http://dx.doi.org/10.1177/1078390318820668
ID  - ref1
ER  -