Abstract
Introduction
Workplace violence is a prevalent problem in health care, with mental health and emergency
departments being the most at-risk settings. The aim of this evidence-based practice
project was to pilot use of a violence risk assessment tool, the Broset Violence Checklist,
to assess for risk of type II violence and record the interventions that nurses chose
to implement to mitigate the situation. Additionally, reports made to the hospital
reporting system were tracked and compared to previous reporting frequency.
Methods
Following staff education, nurses were instructed to complete checklists for all patients
who have a score of 1 or higher, which indicates the presence of at least 1 high-risk
behavior, and continue hourly scoring until the score returned to 0 or the patient
was dispositioned. The number of incidents recorded, time of day, scores, interventions
applied to mitigate violence, and change in scores after interventions were evaluated.
The number of Broset Violence Checklist scoring sheets submitted and reports made
via the hospital reporting system were compared.
Results
Incidents were most frequent from 11 am until 3 am. The highest scores occurred in the late evening and early morning hours. There were
significantly more incidents captured with the use of the Broset Violence Checklist
as compared to the hospital reporting system. Incidents significantly associated with
higher scores included providing comfort measures, addressing concerns, and applying
restraints.
Discussion
The Broset Violence Checklist was used successfully in the emergency department setting
to identify behaviors associated with violence. Under-reporting to the hospital report
system was identified in this project, consistent with reports in the literature.
Specific interventions were not associated with a decrease in Broset Violence Checklist
scores.
Key words
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Biography
Janis M. Quinn, Member, Illinois State Chapter, is an Advanced Practice Registered Nurse, Emergency Department, Ann & Robert H. Lurie Children’s Hospital of Chicago; and an Assistant Professor, Rosalind Franklin University of Medicine and Science, Chicago, IL. ORCID identifier: https://orchid.org/0000-0002-2417-1942.
Biography
Joy M. Koopman, Attending Physician, Emergency Medicine, Health System Clinician in Pediatrics, Northwestern University, Feinberg School of Medicine, Chicago, IL.
Article info
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© 2023 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.
