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The formal mechanism for reporting assaults in the hospital is thru incident stories, shift reviews, and seclusion and restraint logs. Well-designed prospective research of assault of staff working in juvenile correctional facilities are clearly indicated. It is feasible that employees in hospitals such as the one on this study—hospitals that treat children and adolescents with more acute illness who haven’t responded rapidly to inpatient interventions—are extra susceptible to assault. The Commonwealth of Virginia’s entry-degree pay vary for staff at juvenile correctional facilities is higher than that for entry-stage workers at state psychiatric hospitals, presumably due to the assumed greater dangers inherent in working carefully with an incarcerated delinquent population. The results of our study indicate that this assumption might need to be reexamined. The frequency of directive verbal interactions (typically minor) as antecedents of assault was unexpected. Our speculation was that employees’s laying fingers on patients in an effort to physically management or redirect them did not precipitate most assaults, and this speculation was validated by our findings.

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