The Usefulness of the Violence Assessment Tool (VAT) in Assessing Potentially Violent Patients in the Acute Care Setting

2.50
Hdl Handle:
http://hdl.handle.net/10755/243338
Category:
Abstract
Type:
Presentation
Title:
The Usefulness of the Violence Assessment Tool (VAT) in Assessing Potentially Violent Patients in the Acute Care Setting
Author(s):
Wilkes, Lesley M.; Luck, Lauretta; Jackson, Debra
Author Details:
Wilkes, Lesley M., PhD, MHPEd, GradDipED, CM, RN, mcmanua@wahs.nsw.gov.au; Luck, Lauretta, RN, BA, MA, PhD; Jackson, Debra, RN, PhD;
Abstract:
Purpose:

Violence against nurses has increased exponentially in the past decade. This research project aimed to test the usefulness of a violence assessment tool (VAT ) using behavioural cues to identify potentially violent  patient in  the acute care setting.

Methods:

Non participatory observation in acute care area were use to test the VAT which was developed from  prior work of the team using  observation in the emergency department to determine behavioural cues  and a Delphi technique to refine the cues that  were considered to  be displayed by violent patients. A subsequent  check list of 18 cues and nine potential nonphysical and physical violent acts was used by the observers.  Descriptive statistics were used to the frequencies of cues and violent  acts observed, Odd ratios were calculated to determined the usefulness of the behavioural cues to predict violent acts with a p value of less than 0.05 considered significant. 

Results:

A  total of 1150 hours of observation were undertaken  in  four acute hospital units with most being undertaken in emergency department as over time this was seen to be the most common area where patients were most commonly observed  to be  violent.

Two hundred and twenty patient displayed violent behavioural cues  these patient often displayed more than one cue during the observation period. Total number of cues observed was 1432.  The most common cues were increased volume of speech , irritability and intense glaring.  Forty four patient who displayed cues became violent. The most common violent acts were escalated yelling, kicking and shoving.

Using odds ratio calculation eight behavioural cues were seen to significantly predict violent acts.   

Conclusion: The VAT using the eight predictive behavioural cues can be use to assess potentially violent patients. The cues are easily observed and can  be used  by nurses with minimal mental health education

Keywords:
assessment; nurse safety; violence
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe Usefulness of the Violence Assessment Tool (VAT) in Assessing Potentially Violent Patients in the Acute Care Settingen_GB
dc.contributor.authorWilkes, Lesley M.en_GB
dc.contributor.authorLuck, Laurettaen_GB
dc.contributor.authorJackson, Debraen_GB
dc.author.detailsWilkes, Lesley M., PhD, MHPEd, GradDipED, CM, RN, mcmanua@wahs.nsw.gov.au; Luck, Lauretta, RN, BA, MA, PhD; Jackson, Debra, RN, PhD;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243338-
dc.description.abstract<b>Purpose: </b> <p>Violence against nurses has increased exponentially in the past decade. This research project aimed to test the usefulness of a violence assessment tool (VAT ) using behavioural cues to identify potentially violent&nbsp; patient in &nbsp;the acute care setting. <p><b>Methods: </b> <p>Non participatory observation in acute care area were use to test the VAT which was developed from&nbsp; prior work of the team using&nbsp; observation in the emergency department to determine behavioural cues&nbsp; and a Delphi technique to refine the cues that&nbsp; were considered to&nbsp; be displayed by violent patients. A subsequent&nbsp; check list of 18 cues and nine potential nonphysical and physical violent acts was used by the observers.&nbsp; Descriptive statistics were used to the frequencies of cues and violent &nbsp;acts observed, Odd ratios were calculated to determined the usefulness of the behavioural cues to predict violent acts with a p value of less than 0.05 considered significant.&nbsp; <p><b>Results: </b> <p>A&nbsp; total of 1150 hours of observation were undertaken&nbsp; in&nbsp; four acute hospital units with most being undertaken in emergency department as over time this was seen to be the most common area where patients were most commonly observed&nbsp; to be &nbsp;violent. <p>Two hundred and twenty patient displayed violent behavioural cues&nbsp; these patient often displayed more than one cue during the observation period. Total number of cues observed was 1432.&nbsp; The most common cues were increased volume of speech , irritability and intense glaring.&nbsp; Forty four patient who displayed cues became violent. The most common violent acts were escalated yelling, kicking and shoving. <p>Using odds ratio calculation eight behavioural cues were seen to significantly predict violent acts.&nbsp;&nbsp;<span id="mce_marker">&nbsp;</span><p><b>Conclusion: </b>The VAT using the eight predictive behavioural cues can be use to assess potentially violent patients. The cues are easily observed and can&nbsp; be used&nbsp; by nurses with minimal mental health educationen_GB
dc.subjectassessmenten_GB
dc.subjectnurse safetyen_GB
dc.subjectviolenceen_GB
dc.date.available2012-09-12T09:20:50Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:20:50Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
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