急性精神科的暴力预防:西班牙对Brøset暴力检查表的验证及其对身体约束预测能力的评估。

IF 2.6 4区 医学 Q1 NURSING
Vera Arenas, Estibaliz Muñoz, Amaia Barroeta, Marisa Oreja, Urko Aguirre, Leire Erkoreka
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引用次数: 0

摘要

背景:急性精神卫生单位的暴力和限制性做法的管理对临床护理方案的设计提出了挑战,这些方案应结合专业人员的安全和对患者的有尊严的护理。许多旨在减少隔离和约束做法的战略包括使用标准化的风险评估工具,最好由护理人员进行评估。其中,Brøset Violence Checklist (BVC)是得到最广泛支持的工具之一。目的:对BVC进行西班牙语验证,并探讨其对暴力和约束使用的预测效度。方法:收集某综合性大学医院急诊科连续收治的115例患者的前瞻性资料,对仪器进行验证。分析了暴力风险因素的作用,如性别、年龄、药物使用或入院的非自愿,既与BVC评分有关,也与短期和中期(72小时和1周)的身体约束需求有关。结果:西班牙语版BVC对即将发生的暴力行为保持了预测效度,并保证了心理健康护士之间良好的量表间信度。入院后第一个班次的评分与72小时受限几率增加显著相关(OR = 7.272),年龄与受限几率降低显著相关(OR = 0.903),其余变量无显著影响。讨论:BVC是一种可靠的工具,它似乎捕捉到了其他因素固有的暴力风险,比如入院的非自愿性。讨论了它在非约束政策设计中的作用。实践启示:BVC是一种有用且免费的工具。它的西班牙语版本开启了它在第四大最广泛使用的语言中的使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevention of Violence in an Acute Psychiatric Unit: Spanish Validation of the Brøset Violence Checklist and Assessment of Its Predictive Capacity for Physical Restraint.

Background: The management of violence and restrictive practices in acute mental health units poses a challenge for the design of clinical nursing protocols that combine the safety of professionals and the dignified care of patients. Many of the strategies aimed at reducing seclusion and restraint practices include the use of standardised risk assessment instruments, preferably conducted by the nursing staff. Among them, the Brøset Violence Checklist (BVC) is one of the most widely supported tools.

Aim: To conduct the Spanish validation of the BVC and to explore its predictive validity for violence and for the use of restraint.

Methods: Prospective data from 115 patients consecutively admitted to an acute unit of a general university hospital were gathered to validate the instrument. The role of risk factors for violence such as gender, age, substance use or the involuntariness of the admission was analysed, both in relation to the BVC score and to the need for physical restraint in the short and middle term (72 h and 1 week).

Results: The Spanish version of the BVC maintains its predictive validity for imminent violence and guarantees excellent inter-rater reliability among mental health nurses. The score in the first shift after admission is significantly associated with increased odds of restraint at 72 h (OR = 7.272), and age with decreased odds (OR = 0.903), with no significant effect of the rest of the variables.

Discussion: The BVC is a reliable tool that seems to capture the risk for violence intrinsic to other factors, such as the involuntariness of admission. Its role in the design of non-restraint policies is discussed.

Implications for practice: BVC is a useful and freely available instrument. Its Spanish version opens up its use in the fourth most widely spoken language.

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来源期刊
CiteScore
4.70
自引率
3.70%
发文量
75
审稿时长
4-8 weeks
期刊介绍: The Journal of Psychiatric and Mental Health Nursing is an international journal which publishes research and scholarly papers that advance the development of policy, practice, research and education in all aspects of mental health nursing. We publish rigorously conducted research, literature reviews, essays and debates, and consumer practitioner narratives; all of which add new knowledge and advance practice globally. All papers must have clear implications for mental health nursing either solely or part of multidisciplinary practice. Papers are welcomed which draw on single or multiple research and academic disciplines. We give space to practitioner and consumer perspectives and ensure research published in the journal can be understood by a wide audience. We encourage critical debate and exchange of ideas and therefore welcome letters to the editor and essays and debates in mental health.
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