Parkland Health & Hospital System, Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX, USA.
Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX, USA.
Hosp Pract (1995). 2022 Oct;50(4):289-297. doi: 10.1080/21548331.2022.2108272. Epub 2022 Aug 2.
Individuals commonly present to the emergency department (ED) for care after violence and many are also at risk for subsequent self or other-directed violence. Screening for violence risk represents an important part of ED care, but is challenging to implement effectively. Feedback from ED providers is needed to characterize differences across provider types in order to facilitate implementation of enhanced screening practices.
This qualitative focus group study examined the experiences of 6 psychiatric social workers, 16 emergency medicine physicians, and 15 psychiatric providers in conducting violence risk screening to elicit ideas about solutions and barriers.
Eight themes emerged: Approach to Patient Assessment, High-Yield Clinical Data in Risk Assessment, Suicide Risk Screen, ED Clinician Resources, Analysis of Professional Risk, Affective Response of Clinician, ED Role and Scope, and Clinical Management. All clinician types discussed the themes from their professional perspectives and generated important knowledge of violence risk screening practices.
The findings affirm the importance of interdisciplinary cooperation in addressing violence risk in the ED and emphasize the need for ongoing clinical education and feedback as well as the importance of optimizing efficiency.
个体通常因暴力而到急诊科（ED）寻求治疗，许多人也有随后自我或他人指向的暴力风险。对暴力风险进行筛查是 ED 护理的重要组成部分，但有效实施具有挑战性。需要 ED 提供者的反馈来描述不同提供者类型之间的差异，以便促进增强筛查实践的实施。
本定性焦点小组研究检查了 6 名社会工作者、16 名急诊医学医师和 15 名精神科提供者在进行暴力风险筛查时的经验，以引出有关解决方案和障碍的想法。
出现了 8 个主题：患者评估方法、风险评估中的高收益临床数据、自杀风险筛查、ED 临床医生资源、专业风险分析、临床医生的情感反应、ED 角色和范围以及临床管理。所有临床医生类型都从其专业角度讨论了这些主题，并对暴力风险筛查实践产生了重要的认识。
研究结果肯定了在 ED 中解决暴力风险时跨学科合作的重要性，并强调了持续临床教育和反馈的必要性，以及优化效率的重要性。
