{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T06:13:45Z","timestamp":1778825625983,"version":"3.51.4"},"reference-count":35,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100021276","name":"Western Health Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100021276","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the relationship between the Br\u00f6set Violence Checklist and additional risk factors identified in prior research by our team to determine which combination best predicted an emergency response to a violent incident in an emergency department.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A prospective observational study was used to collect data about a single cohort of adult patients admitted in August 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Nurses who use the Br\u00f6set Violence Checklist as part of routine observations scored eight additional violence indicators and recorded security incidents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Data from 5634 observations, 1762 patients, and 68 emergency incidents was analysed using a combination of descriptive and inferential statistics to evaluate the relationship between factors and incidents. Seven factors correlated significantly with violence (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Three factors (verbal threats, physical threats, and attacking objects) were excluded as they represent manifestations of violence rather than predictive indicators. Receiver Operating Characteristics analysis of the combination of the remaining four factors (history of violence, drug and\/or alcohol influence, agitation\/restlessness, and imposed restrictions) revealed an Area Under the Curve of 0.98.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings were integrated to develop a revised instrument\u2014the Aggression and Violence Evaluation of Risk Tool. This new tool demonstrates equivalent predictive capability to the Br\u00f6set Violence Checklist, yet it is simpler and easier to use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>Context\u2010specific violence assessment schemes are needed to strengthen risk mitigation strategies. The Aggression and Violence Evaluation of Risk Tool incorporates unique situational risks developed specifically for emergency departments. It has the potential to effectively ameliorate violence risk and enhance worker and patient safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>STROBE has been followed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>The findings produced an instrument that can be translated to emergency departments to reduce the prevalence of violence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>Limited patient and public involvement comprising observations of adult patients in an emergency department in Melbourne, Australia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.70240","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T06:02:46Z","timestamp":1760680966000},"page":"6018-6026","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Aggression and Violence Evaluation of Risk Tool: A Context\u2010Specific Instrument to Assess Risk of Violence in the Emergency Department"],"prefix":"10.1111","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1204-2684","authenticated-orcid":false,"given":"Elisa","family":"Ilarda","sequence":"first","affiliation":[{"name":"School of Education University of Southern Queensland  Toowoomaba Queensland Australia"},{"name":"Office of Research, Sunshine Hospital Western Health  St Albans Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7578-5854","authenticated-orcid":false,"given":"Ainslie","family":"Senz","sequence":"additional","affiliation":[{"name":"Office of Research, Sunshine Hospital Western Health  St Albans Australia"},{"name":"Department of Emergency Medicine Footscray Hospital, Western Health  Footscray Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1864-9516","authenticated-orcid":false,"given":"Peter","family":"Mcilveen","sequence":"additional","affiliation":[{"name":"School of Education University of Southern Queensland  Toowoomaba Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5809-675X","authenticated-orcid":false,"given":"Anna","family":"Tynan","sequence":"additional","affiliation":[{"name":"Centre for Health Research, University of Southern Queensland  Toowoomba Queensland Australia"},{"name":"Research Development and Engagement Unit, Darling Downs Health  Toowoomba Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,16]]},"reference":[{"key":"e_1_2_18_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2017.03.034"},{"key":"e_1_2_18_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/088626000015012003"},{"key":"e_1_2_18_4_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.53.100901.135231"},{"key":"e_1_2_18_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742\u20106723.13362"},{"key":"e_1_2_18_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2023.01.007"},{"key":"e_1_2_18_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15166"},{"key":"e_1_2_18_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2021.04.011"},{"key":"e_1_2_18_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18115860"},{"key":"e_1_2_18_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.avb.2006.03.005"},{"key":"e_1_2_18_11_1","doi-asserted-by":"publisher","DOI":"10.1375\/pplt.14.1.17"},{"key":"e_1_2_18_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2006.01.011"},{"key":"e_1_2_18_13_1","unstructured":"Daniel C.2015.\u201cAn Evaluation of Violence Risk Screening at Triage at One Australian Emergency Department University of Melbourne.\u201d"},{"key":"e_1_2_18_14_1","unstructured":"De Cieri H. 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