Risk Factors and Triggers That May Result in Patient-Initiated Violence on Inpatient Psychiatric Units: An Integrative Review

Salzmann‐Erikson, Martin; Yifter, Lilly

doi:10.1177/1054773818823333

Cited by 25 publications

(30 citation statements)

References 77 publications

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“…Nurse managers' perception of team efficacy is on average four times more likely when the physical care environment is considered. Their perception of the importance of the physical environment echoes the results of a recent review which found the environment to be both a potential trigger and a factor for aggressive behaviours in psychiatric patients (Salzmann‐Erikson & Yifter, ). A calm, tidy and safe physical environment is known to play a role in reducing PVA (Bowers, ; National Association of State Mental Health Program Directors (NASMHPD) ; National Institute for Health & Care Excellence, ).…”

Section: Discussionmentioning

confidence: 70%

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Patient and visitor aggression in healthcare: A survey exploring organisational safety culture and team efficacy

et al. 2019

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Aims This study investigates nurse managers' perception of organisational safety culture and team efficacy in managing patient and visitor aggression , and determines the predictors of team efficacy. Background Patient and visitor aggression is a serious hazard in healthcare. A positive organisational safety culture regarding patient and visitor aggression enhances the safety and staff efficacy in managing patient and visitor aggression. Methods A cross‐sectional online survey including nurse managers in psychiatric and general hospitals (n = 446) was conducted in Switzerland, Austria and Germany (November 2016–February 2017). Data were analysed descriptively and through binary logistic regression. Results The key results are as follows: “Working in a mental health setting” was 3.5 times more likely, “consideration of the physical environment” was four times more likely and a “shared organisational attitude” was twice as likely to predict high team efficacy. In comparison to psychiatric hospitals, general hospital managers perceived organisational safety cultures to be less positive. Conclusions A positive organisational safety culture leads to the perception that teams are more effective at managing patient and visitor aggression. Implications for Nursing Management Consideration of the physical environment and a positive shared organisational attitude regarding patient and visitor aggression are crucial for high team efficacy. General hospitals could benefit from approaches utilized in psychiatry to enhance staff efficacy in managing patient and visitor aggression.

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Section: Discussionmentioning

confidence: 70%

“…Their perception of the importance of the physical environment echoes the results of a recent review which found the environment to be both a potential trigger and a factor for aggressive behaviours in psychiatric patients (Salzmann-Erikson & Yifter, 2019 (Ulrich et al, 2008).…”

Section: Discussionmentioning

confidence: 74%

Patient and visitor aggression in healthcare: A survey exploring organisational safety culture and team efficacy

et al. 2019

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“…One such concept is Safewards, which focuses on primary prevention in nonthreatening situations. Conflict can arise from the patient's side, the medical personnel's side, or from the environment in the ward 11 . According to the creator of Safewards, Len Bowers, aggression is often correlated with medical personnel's interactions with patients 12 …”

Section: Introductionmentioning

confidence: 99%

“…Conflict can arise from the patient's side, the medical personnel's side, or from the environment in the ward. 11 According to the creator of Safewards, Len Bowers, aggression is often correlated with medical personnel's interactions with patients. 12 Initially, Safewards was used in acute psychiatric wards, but now its effectiveness is has been documented for other groups, also.…”

Section: Introductionmentioning

confidence: 99%

Reducing aggression in psychiatric wards using Safewards—A Polish study

Lickiewicz

Adamczyk²,

Hughes

et al. 2020

Perspect Psychiatr Care

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Purpose: To reduce the use of mechanical restraints, Safewards was introduced to a ward in a psychiatric hospital in Poland. Design and Methods: Three aspects of Safewards were applied for 8 months. The comparison time period was the same time frame of the previous year. Findings: Restraint use dropped by 24%, and the number of patients restrained dropped 34%. The duration of restraint remained at 2.8 days per episode. Practice Implications: Simple techniques aimed at promoting positive interactions between staff and patients can reduce the frequency of restraints.

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“…1 People with schizophrenia are closely related to the risk of increased violent behavior. 2 The incidence of violent behavior in Chinese psychiatric wards is 15.3%-53.2% among 3941 schizophrenic patients. 3 Studies from 10 countries in Europe illustrate the number of violent behavior of patients around 16-42% in some acute psychiatric and forensic services.…”

Section: Introductionmentioning

confidence: 99%

Brøset Violence Checklist (BVC) versus Dynamic Appraisal of Situational Aggression-Inpatient Version (DASA-IV): their sensitivity, specificity and accuracy as a predictor of violence in 24 hours among schizophrenia patients

Yuniati¹,

Putra²,

Widasmara³

2020

medisians

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Background: Brøset Violence Checklist (BVC) and Dynamic Appraisal of Situational Aggression-Inpatient Version (DASA-IV) are risk assessment instruments of violence that nurses can use in psychiatric services, but their accuracy of the instruments in predicting violent behavior in 24 hours need to be tested.Objective: This study aims to examine the sensitivity and specificity of BVC and DASA-IV instruments in predicting violent behavior within 24 hours and which is more accurate.Method: This is a diagnostic study with a cross-sectional approach. The sample of this study was 112 patients. The respondents' behaviors were observed, based on parameters assessed by BVC and DASA-IV as well as recording incidents of violent behavior using AOS (Aggression Observation Short) as the gold standard. Sensitivity, specificity, and Receiver Operating Characteristic (ROC) tests were conducted to assess the accuracy of the two instruments in predicting violent behavior within 24 hours.Results: 23.2% of the respondents in this study experienced violent behavior in the first 24 hours. BVC has a sensitivity value of 65.4% and specificity of 94.5%. DASA-IV has a sensitivity value of 69.2% and a specificity of 95.5%. The level of accuracy of BVC is 87.9%, and of DASA-IV is 92.2%.Conclusion: DASA-IV is more sensitive, higher in its specificity, and is more accurate in predicting violent behavior within 24 hours in schizophrenic patients compared to BVC

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Risk Factors and Triggers That May Result in Patient-Initiated Violence on Inpatient Psychiatric Units: An Integrative Review

Cited by 25 publications

References 77 publications

Patient and visitor aggression in healthcare: A survey exploring organisational safety culture and team efficacy

Patient and visitor aggression in healthcare: A survey exploring organisational safety culture and team efficacy

Reducing aggression in psychiatric wards using Safewards—A Polish study

Brøset Violence Checklist (BVC) versus Dynamic Appraisal of Situational Aggression-Inpatient Version (DASA-IV): their sensitivity, specificity and accuracy as a predictor of violence in 24 hours among schizophrenia patients

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