Outcome | Definition | How we measure |
---|---|---|
Primary | ||
Violence control measures utilized, or patient injurious behaviors reported | Composite of violence control nursing intervention; PRN medication administration of quetiapine, alprazolam, clonazepam, haloperidol, lorazepam, olanzapine, risperidone, or ziprasidone for behavior management; or nursing problem of violence risk or injurious behavior | Extraction of nursing documentation and medication administration from the electronic health record |
Nurse comfort and confidence in their ability to manage patients exhibiting disruptive, threatening, or acting out behavior | Staff perceptions of workplace violence/safety, as well as perceived confidence, comfort, and most helpful training/support received | A behavioral health survey administered via Research Electronic Data Capture (REDCap) prior to intervention, 1 month after intervention began, and at the conclusion of the intervention |
Secondary | ||
Rate of unit nursing staff retention | Amount of turnover (departure from the organization) experienced on each study unit while the study was conducted | Extracted from human resources records |
Patient length of staya | Number of days a patient spends in the hospital from the time of the order to admit to the time of discharge | Extracted from the electronic health record |
Individual components of the primary outcome: • Violence control intervention • PRN medications for behavior management • Nursing problem of violence risk or injurious behavior | As above | As above |
Use of restraints | Use of physical or chemical restraints to control patient behavior | Extracted from the electronic health record |
Use of sitters/patient attendants | Use of sitters/patient attendants for patient observation | Extracted from the electronic health record |