Hospital-based violence prevention programmes in South Wales Emergency Departments: A process evaluation protocol.

Autor: Van Godwin J; DECIPHer, School of Social Sciences, SPARK, Cardiff University, Cardiff, Wales, United Kingdom., Moore G; DECIPHer, School of Social Sciences, SPARK, Cardiff University, Cardiff, Wales, United Kingdom.; Wolfson Centre for Young People's Mental Health, School of Social Sciences, SPARK, Cardiff University, Cardiff, Wales, United Kingdom., O'Reilly D; South Wales Trauma Network, Swansea Bay University Health Board, Port Talbot, Wales, United Kingdom.; Academic Department of Military Surgery and Trauma, ICT Centre, Birmingham, United Kingdom., Hamilton M; DECIPHer, School of Social Sciences, SPARK, Cardiff University, Cardiff, Wales, United Kingdom., Clift N; DECIPHer, School of Social Sciences, SPARK, Cardiff University, Cardiff, Wales, United Kingdom., Moore SC; Violence Research Group, School of Dentistry, Heath Park, Cardiff, Wales, United Kingdom.; Security, Crime and Intelligence Innovation Institute, SPARK, School of Dentistry, Cardiff University, Cardiff, Wales, United Kingdom.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2023 Oct 25; Vol. 18 (10), pp. e0293086. Date of Electronic Publication: 2023 Oct 25 (Print Publication: 2023).
DOI: 10.1371/journal.pone.0293086
Abstrakt: Background: Addressing violence related harm is a global public health priority. While violence is primarily managed in the criminal justice system, healthcare supports and manages those injured by violence. Emergency Departments (EDs), the primary destination for those seriously injured, have emerged as a candidate location for violence prevention initiatives. There is limited evaluation of ED-based violence prevention, and a lack of guidance for the implementation and delivery of them. Nurse-led Violence Prevention Teams (VPTs) have been developed and implemented in two EDs in Wales, UK. This protocol describes methods used in the process evaluation of these VPTs.
Aim: To understand how VPTs function, how they were implemented, and mechanisms of impact, as well as the exploration of wider contextual factors influencing their function.
Methods: Adopting a critical realist approach and informed by the Medical Research Council (MRC) guidance for process evaluations, the process evaluation will employ qualitative methods to collect and analyse data: a scoping review of evidence of effectiveness that considers the causal mechanisms underpinning violence; a documentary analysis to determine operational considerations concerning the development, implementation and delivery of the VPTs; a descriptive analysis of routine ED data to characterise the prevalence of violence-related attendances in each ED; interviews with professional stakeholders (N = 60) from the violence prevention ecologies in which the VPTs are embedded.
Discussion: This protocol outlines a process evaluation of a novel, nurse led violence prevention intervention. Findings will be used to inform policy makers' decision making on whether and how VPTs should be used in practice in other EDs across the UK, and the extent that a single operational model should be adjusted to address the local characteristic of violence. To the authors knowledge, this is the first process evaluation of a UK-based, nurse led Emergency Department Violence Prevention Team.
Trial Registration: Protocol registration ISRCTN: 15286575. Registered 13th March, 2023.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2023 Van Godwin et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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