Table 1 Behavioral health survey to assess staff perceptions of workplace violence and safety

1. Have you encountered patients exhibiting disruptive, threatening, or acting out behavior?

 Yes

 No

2. If yes, did their behavior in any way impact your ability to provide care?

 Yes

 No

3. Please specify how care was impacted (select all that apply):

 Patient was non-compliant with care

 Took time away from care with other patients

 Disruptive to unit and other patients

 Patient was combative

 Other (please describe)

4. In your current position, which of the following did you experience while caring for a patient exhibiting disruptive, threatening, or acting out behavior? (Select all that apply.)

 Physical (hit, kick, slapped, shoved, spit at, thrown objects, grabbed, bitten, or attacked)

 Verbal (threatening, bullying, harassing, name calling, blaming, insulting, yelling, cursing, intimidation)

 Elopement

 Central line manipulation related to substance abuse

 Suicidal ideation

 Self-injury

 Other (please describe)

5. Did you experience any of the following because of caring for a patient exhibiting disruptive, threatening, or acting out behavior?

Fear for personal safety

Fear for patient safety

Situational anxiety

A disruptive family member rather than a patient

Decreased job satisfaction

6. How comfortable are you with strategies in caring for patients exhibiting disruptive, threatening, or acting out behavior?

 Very comfortable

 Somewhat comfortable

 Neutral

 Somewhat uncomfortable

 Very uncomfortable

7. What reporting structure do you utilize when you have experienced an event with a patient exhibiting disruptive, threatening, or acting out behavior? (Select all that apply.)

 Consult service

 Confidential online reporting system

 First report of injury

 Employee Assistance Program

 Involve the primary team

 Involve the one-up leader

 Do not report

 None of the above

8. What has been the most beneficial training/support you have received in your current position at Vanderbilt to prepare you to provide care for patients exhibiting disruptive, threatening, or acting out behavior? (Please rank order.)

 Behavioral health and safety learning management education module

 De-escalation and trauma informed care education

 Unit-based education

 Psychiatric consult service

9. What do you think would be helpful for ongoing bedside support in the care of patients exhibiting disruptive, threatening, or acting out behavior? (Please rank order.)

 Behavioral management techniques

 Safety restraints

 Therapeutic communication

 General education

 Other (please describe)

10. On a scale of 0 to 10, where 0 is the lowest and 10 is the highest level, rate your level of confidence in caring for patients exhibiting disruptive, threatening, or acting out behavior on your unit.