STAMP: components of observable behaviour that indicate potential for patient violence in emergency departments.

Abstract:

AIM:This paper is the report of a study to explicate the components of observable behaviour that indicate a potential for violence in patients, their family and friends when presenting at an emergency department. BACKGROUND:Violence towards nurses is a contemporary, multifaceted problem for the healthcare workforce globally. International literature identifies emergency departments as having high levels of violence. METHOD:A mixed method case study design was adopted, and data were collected by means of 290 hours of participant observation, 16 semi-structured interviews and 13 informal field interviews over a 5-month period in 2005. Thematic analysis of textual data was undertaken using NVivo2. Frequency counts were developed from the numerical data. FINDINGS:Five distinctive elements of observable behaviour indicating potential for violence in patients, their families and friends were identified. These elements can be conceptualized as a potential nursing violence assessment framework and described through the acronym STAMP: Staring and eye contact, Tone and volume of voice, Anxiety, Mumbling and Pacing. CONCLUSION:Staring and eye contact, Tone and volume of voice, Anxiety, Mumbling and Pacing provides a useful, practical nursing violence assessment framework to assist nurses to quickly identify patients, families and friends who have a potential for violence.

journal_name

J Adv Nurs

authors

Luck L,Jackson D,Usher K

doi

10.1111/j.1365-2648.2007.04308.x

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

11-9

issue

1

eissn

0309-2402

issn

1365-2648

pii

JAN4308

journal_volume

59

pub_type

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