Cochrane · systematic review · CD012662

Organisational interventions for preventing and minimising aggression directed towards healthcare workers by patients and patient advocates

Spelten, E, Thomas, B, O'Meara, PF, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

WorkAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
9
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 7 · 77.8%Low 2 · 22.2%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Vector‐directed intervention at pre‐event compared to practice as usual for preventing aggression directed towards healthcare workers by patients and patient advocates

Population: healthcare workers
2 questions
OutcomeEffectEvidenceStatus / GRADE
Overall aggression
Vector‐directed intervention at pre‐event vs practice
no estimate extracted1 study · 209 participantsVery low
Downgraded: risk of bias, imprecision
Overall aggression
Vector‐directed intervention at pre‐event vs practice
Risk ratio 0.36 [0.16, 0.78]1 study · 20 participantsVery low
Downgraded: risk of bias, imprecision

Vector‐directed intervention at event compared to practice as usual for minimising aggression directed towards healthcare workers by patients

Population: healthcare workers
3 questions
OutcomeEffectEvidenceStatus / GRADE
Overall aggression
Vector‐directed intervention at event vs practice
no estimate extracted2 studies · 82 participantsLow
Downgraded: risk of bias, imprecision
Physical aggression
Vector‐directed intervention at event vs practice
no estimate extracted1 study · 46 participantsVery low
Downgraded: risk of bias, imprecision
Verbal aggression
Vector‐directed intervention at event vs practice
no estimate extracted1 study · 46 participantsVery low
Downgraded: risk of bias, imprecision

Vector‐directed intervention at pre‐event/event compared to practice as usual for preventing and minimising aggression directed towards healthcare workers by patients and patient advocates

Population: healthcare workers
2 questions
OutcomeEffectEvidenceStatus / GRADE
Physical aggression
Vector‐directed intervention at pre‐event/event vs practice
no estimate extracted1 study · 101 participantsVery low
Downgraded: imprecision
Verbal aggression
Vector‐directed intervention at pre‐event/event vs practice
no estimate extracted1 study · 101 participantsVery low
Downgraded: imprecision

Multicomponent intervention compared to practice as usual for preventing and minimising aggression directed towards healthcare workers by patients

Population: healthcare workers
1 question
OutcomeEffectEvidenceStatus / GRADE
Overall aggression
Multicomponent intervention vs practice
no estimate extracted1 study · 209 participantsVery low
Downgraded: imprecision

Multicomponent intervention compared to physical fitness for preventing and minimising aggression directed towards healthcare workers by patients

Population: healthcare workers
1 question
OutcomeEffectEvidenceStatus / GRADE
Overall aggression
Multicomponent intervention vs physical fitness
OR 0.85 [0.63, 1.15]1 study · 1609 participantsLow
Downgraded: risk of bias