TY - JOUR
T1 - A Systematic Review of Violence Risk Assessment Tools Currently Used in Emergency Care Settings
AU - Sammut, Dana
AU - Hallett, Nutmeg
AU - Lees-Deutsch, Liz
AU - Dickens, Geoffrey L.
N1 - Funding Information: The study from which this review came, the “Violence in acute medical units and emergency departments (VoicED)” study, was funded by the Clive Richards Foundation, previously the Clive and Sylvia Richards Charity, Hereford, UK [grant number CSRC200135]. The funding comprised salary for a research associate as well as transcription and dissemination costs. Funding was not related to any specific research activity.
PY - 2023/5/1
Y1 - 2023/5/1
N2 - IntroductionViolence risk assessment is commonplace in mental health settings and is gradually being used in emergency care. The aim of this review was to explore the efficacy of undertaking violence risk assessment in reducing patient violence and to identify which tool(s), if any, are best placed to do so.MethodsCINAHL, Embase, Medline, and Web of Science database searches were supplemented with a search of Google Scholar. Risk of bias assessments were made for intervention studies, and the quality of tool development/testing studies was assessed against scale development criteria. Narrative synthesis was undertaken.ResultsEight studies were included. Three existing violence risk assessment tools featured across the studies, all of which were developed for use with mental health patients. Three newly developed tools were developed for emergency care, and 1 additional tool was an adaptation of an extant tool. Where tested, the tools demonstrated that they were able to predict patient violence, but did not reduce restraint use. The quality issues of the studies are a significant limitation and highlight the need for additional research in this area.DiscussionThere is a paucity of high-quality evidence evaluating the psychometric properties of violence risk assessment tools currently used along the emergency care pathway. Multiple tools exist, and they could have a role in reducing violence in emergency care. However, the limited testing of their psychometric properties, acceptability, feasibility, and usability in emergency care means that it is not possible to favor one tool over another until further research is conducted.
AB - IntroductionViolence risk assessment is commonplace in mental health settings and is gradually being used in emergency care. The aim of this review was to explore the efficacy of undertaking violence risk assessment in reducing patient violence and to identify which tool(s), if any, are best placed to do so.MethodsCINAHL, Embase, Medline, and Web of Science database searches were supplemented with a search of Google Scholar. Risk of bias assessments were made for intervention studies, and the quality of tool development/testing studies was assessed against scale development criteria. Narrative synthesis was undertaken.ResultsEight studies were included. Three existing violence risk assessment tools featured across the studies, all of which were developed for use with mental health patients. Three newly developed tools were developed for emergency care, and 1 additional tool was an adaptation of an extant tool. Where tested, the tools demonstrated that they were able to predict patient violence, but did not reduce restraint use. The quality issues of the studies are a significant limitation and highlight the need for additional research in this area.DiscussionThere is a paucity of high-quality evidence evaluating the psychometric properties of violence risk assessment tools currently used along the emergency care pathway. Multiple tools exist, and they could have a role in reducing violence in emergency care. However, the limited testing of their psychometric properties, acceptability, feasibility, and usability in emergency care means that it is not possible to favor one tool over another until further research is conducted.
KW - Patient violence
KW - Risk assessment
KW - Workplace aggression
KW - Workplace violence
UR - http://www.scopus.com/inward/record.url?scp=85148734018&partnerID=8YFLogxK
U2 - 10.1016/j.jen.2022.11.006
DO - 10.1016/j.jen.2022.11.006
M3 - Review article
C2 - 36585335
AN - SCOPUS:85148734018
SN - 0099-1767
VL - 49
SP - 371-386.e5
JO - Journal of Emergency Nursing
JF - Journal of Emergency Nursing
IS - 3
ER -