Violence Prevention: Technology-Enabled Therapeutic Intervention

Burkoski, Vanessa; Farshait, Nataly; Yoon, Jennifer; Clancy, Peter V; Fernandes, Kevin; Howell, Micheal R; Solomon, Shirley; Orrico, Michael E; Collins, Barbara E.

doi:10.12927/cjnl.2019.25814

Cited by 6 publications

(18 citation statements)

References 7 publications

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“…Similar to other studies (e.g., Burkoski et al, 2019;Paterson et al, 2019), we found several gaps in flagging policy and procedures. Some gaps were particularly frustrating that, according to one manager, led workers to not comply with the policy.…”

Section: Discussionsupporting

confidence: 89%

“…Four of the five hospitals had a formal flagging policy and procedures, and in general, participants expressed positive views about flagging similar to other studies (e.g., Burkoski et al, 2019;Paterson et al, 2019). One hospital did not meet our criteria for inclusion because they did not have a flagging policy at all, despite legislation requiring measures and procedures to communicate personal information about a person's HOVB.…”

Section: Discussionmentioning

confidence: 54%

“…It is important to keep in mind that flagging is not a stand-alone activity but an important element of a comprehensive WVP program (e.g., Andress et al, 2018;Burkoski et al, 2019;Drummond et al, 1989;Hutton et al, 2018;Kling et al, 2011;Loftus et al, 2019;McPhaul & Lipscomb, 2004;Paterson et al, 2019;Wyatt et al, 2016). Moreover, flagging, along with other WVP interventions, is linked to the utmost goal which is to provide patients with appropriate care.…”

Section: Implications For Occupational Health Practicementioning

confidence: 99%

“…The authors discussed that the flags have some value as a communication mechanism and that the reduction in incidents may have been because of other reasons such as improved mental health due to hospitalization. Despite the question of how effective flagging is on rates of violence, research shows that flagging heightens health care workers' vigilance of the potential for danger (Burkoski et al, 2019;Paterson et al, 2019). This awareness may lead workers to proactively seek and implement preventive safety precautions such as requesting immediate security presence.…”

Section: Introductionmentioning

confidence: 99%

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Workplace Violence Prevention: Flagging Practices and Challenges in Hospitals

Ferron

Kosny

Tonima

2021

Workplace Health Saf

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Background: Flagging is a standardized way to communicate the risk of patient violence to workers. We add to the limited body of research on flagging by describing hospitals’ approaches to and challenges with flagging patients with a history of violent behavior. Methods: We used a qualitative case study approach of hospitals in Ontario, Canada and their patient flagging practices. Key informants and our advisory committee identified 11 hospitals to invite to participate. Hospitals assisted in recruiting frontline clinical and allied health workers and managers to an interview or focus group. A document analysis of hospitals’ flagging policies and related documents was conducted. Thematic analysis was used to analyze interview and focus group data. Findings: Five hospitals participated. Of the five hospitals, four had a flagging policy where frontline clinical workers ( n = 58), frontline allied health workers ( n = 31), and managers ( n = 42) participated in an interview ( n = 43) or focus group ( n = 15). Participants described three challenges: patient stigmatization, patient privacy, and gaps in policy and procedures. Conclusion/Application to practice: Flagging patients with a history of violent behavior is one intervention that hospitals use to keep workers safe. While violence prevention was important to study participants, a number of factors can affect implementation of a flagging policy. Study findings suggest that hospital leadership should mitigate patient stigmatization (real and perceived) and perception of patient rights infringement by educating all managers and frontline workers on the purpose of flagging and the relationship between occupational health and safety and privacy regulations. Leadership should also actively involve frontline workers who are the most knowledgeable about how policies work in practice.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 54%

Section: Implications For Occupational Health Practicementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Workplace Violence Prevention: Flagging Practices and Challenges in Hospitals

Ferron

Kosny

Tonima

2021

Workplace Health Saf

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“…Some studies identified strategies to manage and prevent WPV episodes at different levels. For instance, allocating considerable funds to the prevention and management of WPV (Morphet et al, 2019 ), increasing staff numbers to prevent and manage WPV (Morphet et al, 2018 ), developing guidance materials evidence‐based, focusing on education and training of staff to manage WPV (Geoffrion et al, 2020 ), implementing monitoring, responding and reporting systems (Burkoski et al, 2019 ; Ramacciati et al, 2021 ), sharing information between health services and other agencies and improving communication abilities (Collins, 2021 ) and implementing an effective security staff (Morphet et al, 2019 ).…”

Section: Discussionmentioning

confidence: 99%

Predictors of events of violence or aggression against nurses in the workplace: A scoping review

Pagnucci

Ottonello

Capponi

et al. 2022

J Nursing Management

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Aim To identify predictors and consequences of violence or aggression events against nurses and nursing students in different work contexts. Background Workplace violence against nurses and nursing students is a very common and widespread phenomenon. Actions to manage or prevent violent events could be implemented knowing the risk factors and consequences. However, there is a lack of systematic reviews that summarize knowledge on the predictors and consequences of workplace violence. Evaluation A scoping review was conducted using electronic databases including APA PsycInfo, CINAHL, Cochrane, Ovid Medline, PubMed and Scopus. Key issues After full text analysis, 87 papers were included in the current scoping review. Risk factors of horizontal violence were grouped into ‘personal’ and ‘Environmental and organizational’, and for violence perpetrated by patients into ‘personal’, ‘Environmental and organizational’ and ‘Characteristics of the perpetrators’. Conclusions The results of this scoping review uncover problems that often remain unaddressed, especially where these episodes are very frequent. Workplace violence prevention and management programmes are essential to counter it. Implications for Nursing Management The predictors and the consequents identified constitute the body of knowledge necessary for nurse managers to develop and implement policy and system actions to effectively manage or prevent violent events.

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Things We Do for No Reason™: Indiscriminate use of behavioral alerts

Kopp,

Kryzhanovskaya,

Cornes

2023

Journal of Hospital Medicine

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A 20-year-old Black male with a history of a seizure disorder presents to the epilepsy monitoring unit for supervised seizure monitoring.The patient has a history of agitation and self-harming postictal behavior. Following a seizure during a prior hospitalization, a behavioral alert (BA), entitled "History of Violent Behavior," was placed on his chart. As part of the current admission, the patient's providers reviewed prior documentation, including the BA. The clinical team placed the patient in restraints during his seizure-an action that is not standard of care-and did not remove the restraints despite the patient's calm postictal behavior and request for removal.The patient became increasingly agitated, resulting in a call for security presence and a violent interaction between patient and staff.

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Violence Prevention: Technology-Enabled Therapeutic Intervention

Cited by 6 publications

References 7 publications

Workplace Violence Prevention: Flagging Practices and Challenges in Hospitals

Workplace Violence Prevention: Flagging Practices and Challenges in Hospitals

Predictors of events of violence or aggression against nurses in the workplace: A scoping review

Things We Do for No Reason™: Indiscriminate use of behavioral alerts

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