Evaluating a Behavioral Response Team in an Acute Care Hospital

Background: Patients exhibiting behavioral disturbance signs in a general acute care hospital pose significant challenges to hospital staff who are not skilled in addressing behavioral issues. Implementation of a behavioral response team (BRT) in a nonpsychiatric inpatient care unit can promote the proactive assessment of mental health status and prompt treatment to care for people exhibiting behavioral disturbances. Local problem: The number of reported cases of violence toward nurses from patients and their visitors at Community Hospital (CH) increased from 30 in 2018 to 47 in 2019. Methods: A BRT was implemented in October 2020, and the new model of care was evaluated three months later. Using the framework for program evaluation in public health of the Centers for Disease Control and Prevention, the BRT was evaluated through retrospective chart review and a survey of staff and physicians' perceptions of the management of aggression and violence at CH. Summary: Having a BRT is an effective way to reduce Type II workplace violence and associated injury to staff by 83%. The BRT model of care helped to reduce restraint use by 83% as associated morbidity and mortality associated with restraint. Conclusion: The BRT evaluation as a care model for patients who exhibit behavioral distress or at high risk for aggression or violence based on the risk assessment score on admission is a positive undertaking. A framework to guide a BRT implementation is necessary.

Files

Metadata

Work Title Evaluating a Behavioral Response Team in an Acute Care Hospital
Access
Penn State
Creators
  1. Peterson E. Pierre, M.S.N., RN
Keyword
  1. behavioral emergency, behavioral response, psychiatric response, agitation, acute care, program evaluation, DNP Project
License Public Domain Mark 1.0
Work Type Project
Acknowledgments
  1. Susan Loeb Ph.D., RN, FGSA, FAAN
  2. Kristen Bransby D.N.P., CRNP, CPNP- PC, PMHS
Publication Date April 30, 2021
Subject
  1. Behavioral Health
Deposited April 30, 2021

Versions

Analytics

Collections

This resource is currently not in any collection.

Work History

Version 1
published

  • Created
  • Added Creator Peterson E. Pierre
  • Renamed Creator Peterson E. Pierre, M.S.N., RN Show Changes
    • Peterson E. Pierre
    • Peterson E. Pierre, M.S.N., RN
  • Added Creator Susan Loeb Ph.D., RN, FGSA, FAAN
  • Added Creator Kristen Bransby D.N.P., CRNP, CPNP- PC, PMHS
  • Added Pierre_PE_Evaluating a Behavioral Response Team in an Acute Care Hospital.docx
  • Updated Publication Date Show Changes
    Publication Date
    • 2021/04/30
    • 2021/4/30
  • Deleted Creator Susan Loeb Ph.D., RN, FGSA, FAAN
  • Deleted Creator Kristen Bransby D.N.P., CRNP, CPNP- PC, PMHS
  • Updated Subject, License Show Changes
    Subject
    • Behavioral Health
    License
    • https://rightsstatements.org/page/InC/1.0/
  • Updated Publication Date Show Changes
    Publication Date
    • 2021/4/30
    • 2021/04/30
  • Updated Publication Date Show Changes
    Publication Date
    • 2021/04/30
    • 2021-04-30
  • Updated Acknowledgments Show Changes
    Acknowledgments
    • Susan Loeb Ph.D., RN, FGSA, FAAN , Kristen Bransby D.N.P., CRNP, CPNP- PC, PMHS
  • Updated License Show Changes
    License
    • https://rightsstatements.org/page/InC/1.0/
    • http://creativecommons.org/publicdomain/mark/1.0/
  • Published
  • Updated
  • Updated