Jackson Debra, Wilkes Lesley, Luck Lauretta
Collegian. 2014;21(1):65-70. doi: 10.1016/j.colegn.2013.02.006.
The prevalence of violent acts in the health care environment has been the cause of increasing concern. Several cues associated with violence towards nurses in the acute care setting have been identified qualitatively. However, larger scale observational studies to determine the potential of these cues to predict physical violence, are lacking in the acute health setting.
To report an observational study determining whether particular behavioural cues are predictive of patient-to-nurse physical violence.
Non-participant structured observations.
Clinical observation (n = 1150 h) resulted in 1501 observed cues for violence in 220 patients; 36 of whom were observed to become violent. Five (5) behavioural cues were found to predict violent acts.
Findings suggest five behavioural cues could be used to assess potential physical violence. Additional research needs to be undertaken to further validate the efficacy of these cues in the acute hospital setting.
医疗环境中暴力行为的发生率已引发越来越多的关注。在急性护理环境中，已定性识别出一些与针对护士的暴力行为相关的线索。然而，在急性医疗环境中，缺乏大规模的观察性研究来确定这些线索预测身体暴力的可能性。
报告一项观察性研究，以确定特定行为线索是否可预测患者对护士的身体暴力。
非参与式结构化观察。
临床观察（n = 1150小时）在220名患者中产生了1501条观察到的暴力线索；其中36人被观察到出现暴力行为。发现有5种行为线索可预测暴力行为。
研究结果表明，5种行为线索可用于评估潜在的身体暴力。需要进行更多研究以进一步验证这些线索在急性医院环境中的有效性。
