Implementation of the Brøset Violence Checklist on an Acute Psychiatric Unit. (November 2019)

• Record Type: Journal Article
• Authors: Sarver, Wendy L.; Radziewicz, Rosanne; Coyne, Georgean; Colon, Kelly; Mantz, Lisa
• Is Part Of: Journal of the American Psychiatric Nurses Association. Volume 25:Number 6(2019)
• Page Start: 476
• Page End: 486
• Publication Date: 2019-11
• Subjects: violence/aggression -- hospitalization -- inpatient treatment -- rating scale and scales; Psychiatric nursing -- Periodicals; 616.890231
• DOI: 10.1177/1078390318820668
• Languages: English
• ISSNs: 1078-3903

Abstract

BACKGROUND: Violence on inpatient psychiatric settings has significant consequences for patients and staff. Research is needed to determine if Brøset Violence Checklist (BVC) is an accurate predictor of violence.AIMS: The study aims were to determine the relationship between BVC scores and incidence of violent behavior within 24 hours, to compare scores among those requiring high-level nursing interventions for violence, and to investigate the impact of scores on length of stay (LOS) and 30 day-readmission rates.METHOD: Retrospective cohort study.RESULTS: Logistic regression indicates 3.4 times greater risk of violence for every additional point on admission BVC (odds ratio = 3.4, 95% confidence interval = [2.29, 5.08], p < .0001). Patients requiring high-level interventions for violence had higher mean BVC scores on both Day 1 and 2 of admission. Pearson correlation was significant for positive association between BVC on admission and LOS ( p < .001). Findings did not establish a link between BVC scores and violence with 30-day readmission rates.CONCLUSIONS: Efforts toward early identification and management of agitation and disruptive behavior is encouraged. Results showed increased risk of violence with every additional point on BVC on admission; further attention should be paid to these patients on admission when using violence screening tools.