Implementation of an Assault Prevention Quality Improvement Initiative in an Urban Emergency Department

被引:2
作者
Mallett-Smith, Sheila [1 ,4 ]
Jadalla, Ahlam [2 ]
Hardan-Khalil, Kholoud [2 ]
Sarff, Laura [3 ]
Brady, Margaret [2 ]
机构
[1] Univ Southern Calif Med Ctr, Los Angeles, CA USA
[2] Calif State Univ, Sch Nursing, Long Beach, CA USA
[3] Calif State Univ, Sch Nursing, Fullerton, CA USA
[4] Univ Southern Calif Med Ctr, 1983 Marengo St, Los Angeles, CA 90033 USA
关键词
assault prevention; emergency department; framework; health care worker assault; violence; workplace violence; TO-WORKER VIOLENCE; WORKPLACE VIOLENCE; RISK-FACTORS; PATIENT; AGGRESSION; EXPERIENCES; HOSPITALS; NURSES;
D O I
10.1097/NCQ.0000000000000711
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background:Emergency department (ED) health care workers experience high rates of workplace violence (WPV).Local Problem:Patient-to-staff physical assaults at an urban, academic adult ED ranged between 1 and 5 per month, with a rate of 0.265 per 1000 patient visits.Methods:A quality improvement initiative, guided by the Social Ecological Model framework that contextualized WPV in the ED setting, informed the development of a Risk for Violence Screening Tool (RVST) to screen adult patients presenting to the ED.Interventions:Plan-Do-Study-Act cycles were utilized to implement a violence prevention bundle that incorporated the RVST, an alert system, and focused assault reduction strategies.Results:Patient-to-staff physical assaults decreased to a rate of 0.146 per 1000 patient visits.Conclusions:Risk for violence screening, an alert system, and assault prevention strategies provide opportunities for nurse leaders to promote ED workplace safety.
引用
收藏
页码:341 / 347
页数:7
相关论文
共 29 条
[1]   Preventing Patient-to-Worker Violence in Hospitals: Outcome of a Randomized Controlled Intervention [J].
Arnetz, Judith E. ;
Hamblin, Lydia ;
Russell, Jim ;
Upfal, Mark J. ;
Luborsky, Mark ;
Janisse, James ;
Essenmacher, Lynnette .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2017, 59 (01) :18-27
[2]   Understanding patient-to-worker violence in hospitals: a qualitative analysis of documented incident reports [J].
Arnetz, Judith E. ;
Hamblin, Lydia ;
Essenmacher, Lynnette ;
Upfal, Mark J. ;
Ager, Joel ;
Luborsky, Mark .
JOURNAL OF ADVANCED NURSING, 2015, 71 (02) :338-348
[3]   Inter-rater reliability of the occupational violence risk assessment tool for emergency departments [J].
Cabilan, C. J. ;
Eley, Robert ;
Snoswell, Centaine ;
Jones, Andrew T. ;
Johnston, Amy N. B. .
AUSTRALASIAN EMERGENCY CARE, 2023, 26 (01) :54-58
[4]   Validity and reliability of the novel three-item occupational violence patient risk assessment tool [J].
Cabilan, C. J. ;
McRae, Joshua ;
Learmont, Ben ;
Taurima, Karen ;
Galbraith, Sue ;
Mason, Dale ;
Eley, Robert ;
Snoswell, Centaine ;
Johnston, Amy N. B. .
JOURNAL OF ADVANCED NURSING, 2022, 78 (04) :1176-1185
[5]   Review article: Identifying occupational violence patient risk factors and risk assessment tools in the emergency department: A scoping review [J].
Cabilan, C. J. ;
Johnston, Amy N. B. .
EMERGENCY MEDICINE AUSTRALASIA, 2019, 31 (05) :730-740
[6]   LITERATURE SYNTHESIS: PATIENT AGGRESSION RISK ASSESSMENT TOOLS IN THE EMERGENCY DEPARTMENT [J].
Calow, Natalie ;
Lewis, Angie ;
Showen, Scott ;
Hall, Norma .
JOURNAL OF EMERGENCY NURSING, 2016, 42 (01) :19-24
[7]   Work Related Violence As A Predictor Of Stress And Correlated Disorders In Emergency Department Healthcare Professionals [J].
Cannavo, M. ;
La Torre, E. ;
Sestili, C. ;
La Torre, G. ;
Fioravanti, M. .
CLINICA TERAPEUTICA, 2019, 170 (02) :E110-E123
[8]   Effects of Integrated Workplace Violence Management Intervention on Occupational Coping Self-Efficacy, Goal Commitment, Attitudes, and Confidence in Emergency Department Nurses: A Cluster-Randomized Controlled Trial [J].
Chang, Yang-Chin ;
Hsu, Mei-Chi ;
Ouyang, Wen-Chen .
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2022, 19 (05)
[9]  
Chapman Rose, 2009, Br J Nurs, V18, P478
[10]   Case-controlled Analysis of Patient-based Risk Factors for Assault in the Healthcare Workplace [J].
Claudius, Ilene A. ;
Desai, Shoma ;
Davis, Ebony ;
Henderson, Sean .
WESTERN JOURNAL OF EMERGENCY MEDICINE, 2017, 18 (06) :1153-1158