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http://dx.doi.org/10.4040/jkan.2018.48.3.289

Usefulness of Korean Version of Behavioral Cue Checklist for Predicting of Patient Violence in Emergency Departments  

Kim, Jang Mi ((Bio)Medical Research Institute, Pusan National University Hospital)
Lee, Eun Nam (Department of Nursing, Dong-A University)
Publication Information
Journal of Korean Academy of Nursing / v.48, no.3, 2018 , pp. 289-297 More about this Journal
Abstract
Purpose: This study aimed to evaluate the usefulness of a behavioral cue checklist (BCC) containing 17 items developed by Wilkes et al. (2010) for identifying potentially violent patients in emergency departments. Methods: This was a prospective observational study to evaluate the usefulness of the Korean version of a BCC (K-BCC) as an assessment tool for predicting patient violence in emergency departments, and was conducted over 4 weeks in a regional emergency medical center located in B City. A total of 1,324 patients were finally analyzed. Results: Logistic regression analysis was performed to investigate whether each item of the K-BCC predicts violence, and a parsimonious set of 8 statistically significant items was selected for the tool. Receiver operating characteristic analysis of the BCC showed that the area under the curve was .97 (95% confidence interval: .94~1.0). The sensitivity, specificity, positive predictive value, and negative predictive value at the cut-off score of 2 were 75.6%, 98.9%, 68.2%, and 99.2%, respectively. Conclusion: The K-BCC was found to be useful in predicting patient violence toward emergency department staff. This tool is simple, and fast to use and can play a significantly role identifying potentially violent patients. Owing to this advance identification, this tool can be helpful in preventing the potential for violence from manifesting as violent behaviors.
Keywords
Violence; Cues; Emergency service; Hospital;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Noh JH, Na YK. Effects of violence experience, emotional labor, and job stress on clinical nurses' depression. Korean Journal of Occupational Health Nursing. 2015;24(3):153-161. https://doi.org/10.5807/kjohn.2015.24.3.153   DOI
2 Yang JH, Jung HY. Relationship between violence response, coping, and burnout among emergency department nurses. Journal of Korean Academy of Fundamentals of Nursing. 2009;16(1):103-111.
3 Luck L, Jackson D, Usher K. STAMP: Components of observable behaviour that indicate potential for patient violence in emergency departments. Journal of Advanced Nursing. 2007;59(1):11-19. https://doi.org/10.1111/j.1365-2648.2007.04308.x   DOI
4 Chapman R. Styles I. An epidemic of abuse and violence: Nurse on the front line. International Emergency Nursing. 2006;14(4):245-249. https://doi.org/10.1016/j.aaen.2006.08.004   DOI
5 Jackson D, Wilkes L, Luck L. Cues that predict violence in the hospital setting: Findings from an observational study. Collegian. 2014;21(1):65-70. https://doi.org/10.1016/j.colegn.2013.02.006   DOI
6 Kim MH, Park SB. Service design for the prevention of ER violence: Based on the ER cases of Korea University Medical Center. Journal of Basic Design & Art. 2016;17(3):29-44.
7 Park EY, Lee EN. Predictors of violent behavior by patient or caregiver of patient in the emergency department. Korean Journal of Adult Nursing. 2014;26(5):500-511. https://doi.org/10.7475/kjan.2014.26.5.500   DOI
8 Simon RI. Patient violence against health care professionals [Internet]. Newburyport (MA): Psychiatric Times; c2011 [cited 2011 Mar 3]. Available from: https://pro.psychcentral.com/patient-violence-against-health-care-professionals/00775.html.
9 Gates DM, Ross CS, McQueen L. Violence against emergency department workers. The Journal of Emergency Medicine. 2006;31(3):331-337. https://doi.org/10.1016/j.jemermed.2005.12.028   DOI
10 Daniel C, Gerdtz M, Elsom S, Knott J, Prematunga R, Virtue E. Feasibility and need for violence risk screening at triage: An exploration of clinical processes and public perceptions in one Australian emergency department. Emergency Medicine Journal. 2015;32(6):457-462. https://doi.org/10.1136/emermed-2013-202979   DOI
11 Weir JP. Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. Journal of Strength and Conditioning Research. 2005;19(1):231-240. https://doi.org/10.1519/00124278-200502000-00038   DOI
12 Song SW. Using the receiver operating characteristic (ROC) curve to measure sensitivity and specificity. Korean Journal of Family Medicine. 2009;30(11):841-842. https://doi.org/10.4082/kjfm.2009.30.11.841   DOI
13 Deans C. The effectiveness of a training program for emergency department nurses in managing violent situations. Australian Journal of Advanced Nursing. 2004;21(4):17-22.
14 Lalkhen AG, McCluskey A. Clinical tests: Sensitivity and specificity. Continuing Education in Anaesthesia Critical Care & Pain. 2008;8(6):221-223. https://doi.org/10.1093/bjaceaccp/mkn041   DOI
15 Jo YH. A study on violence experience among nurse in university hospitals [master's thesis]. Busan: Dong-A University; 2017. p. 1-93.
16 Park GJ, Jung HM, Kim MK. Sexual harassment of nurses in long-term care hospitals. The Korean Journal of Health Service Management. 2014;8(4):95-107. https://doi.org/10.12811/kshsm.2014.8.4.095   DOI
17 Woods P, Almvik R. The Broset violence checklist (BVC). Acta Psychiatrica Scandinavica. 2002;106(s412):103-105. https://doi.org/10.1034/j.1600-0447.106.s412.22.x
18 Novitsky MA, Julius RJ, Dubin WR. Non-pharmacologic management of violence in psychiatric emergencies. Primary Psychiatry. 2009;16(9):49-53.
19 Bjorkly S, Hartvig P, Heggen FA, Brauer H, Moger TA. Development of a brief screen for violence risk (V-RISK-10) in acute and general psychiatry: An introduction with emphasis on findings from a naturalistic test of interrater reliability. European Psychiatry. 2009;24(6):388-394. https://doi.org/10.1016/j.eurpsy.2009.07.004   DOI
20 Wilkes L, Mohan S, Luck L, Jackson D. Development of a violence tool in the emergency hospital setting. Nurse Researcher. 2010;17(4):70-82. https://doi.org/10.7748/nr2010.07.17.4.70.c7926   DOI
21 Irwin A. The nurse's role in the management of aggression. Journal of Psychiatric and Mental Health Nursing. 2006;13(3): 309-318. https://doi.org/10.1111/j.1365-2850.2006.00957.x   DOI
22 Kim GR. Workplace mistreatment in Korea and Europe-comparison study of discrimination, sexual harassment and violence [master's thesis]. Seoul: Seoul National University; 2017. p. 1-58.
23 Copeland D, Henry M. Workplace violence and perceptions of safety among emergency department staff members: Experiences, expectations, tolerance, reporting, and recommendations. Journal of Trauma Nursing. 2017;24(2):65-77. https://doi.org/10.1097/jtn.0000000000000269   DOI
24 Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4):1149-1160. https://doi.org/10.3758/BRM.41.4.1149   DOI
25 Polit DF, Beck CT. The content validity index: Are you sure you know what's being reported? Critique and recommendations. Research in Nursing & Health. 2006;29(5):489-497. https://doi.org/10.1002/nur.20147   DOI
26 National Institute for Occupational Safety and Health. Violence: Occupational hazards in hospitals [Internet]. Atlanta: U.S. Department of Health & Human Services; c2002 [cited 2014 Jun 6]. Available from: http://www.cdc.gov//niosh/docs/2002-101/pdfs/2002-101.pdf.
27 Korea Ministry of Government Legislation. Medical Law [Internet] Sejong: Korea Ministry of Government Legislation; c2016 [cited 2016 May 29]. Available from: http://www.law. go.kr/lsInfoP.do?lsiSeq=183646#0000.
28 Kim JC, Seol YM, Song HS. Survey of emergency department violence. Journal of the Korean Society of Emergency Medicine. 2003;14(3):309-313.
29 Roy JA. Predictive behavioral cues of patient violence in the emergency department [master's thesis]. Providence (RI): Rhode Island College; 2013. p. 1-41.
30 Kim SC, Ideker K, Todicheeney-Mannes D. Usefulness of aggressive behaviour risk assessment tool for prospectively identifying violent patients in medical and surgical units. Journal of Advanced Nursing. 2012;68(2):349-357. https://doi.org/10.1111/j.1365-2648.2011.05744.x   DOI