title: Validation of a vignette simulation of assault on nurses by patients.
abstract: OBJECTIVE
  To determine the degree to which causal attribution ("blame") scores obtained from written vignettes of assault incidents, simulations of reality, reflect results that would be obtained from victims of actual assaults.
  
  
  METHODS
  Correlational study. Data were collected, 1990-1993, from a convenience sample of 59 RNs who had been assaulted verbally or physically at one neuropsychiatric hospital in the United States.
  
  
  METHODS
  Victims used the Causal Attribution Scale to assign blame for their assault. Three judges then used the same scale to attribute cause for the assault based on a written description of the assault by the victim.
  
  
  RESULTS
  No significant differences in mean causal attribution levels were found between victims and the average ratings for the three judges for mild or severe assaults, nor between victims, judges, and the response levels obtained in two previous vignette studies.
  
  
  CONCLUSIONS
  Mean causal attribution ("blame") scores observed in simulations that are carefully constructed assault vignettes are nearly the same as those observed in actual assaults. Vignettes appear promising as a simulation to study actual or hypothetical responses to assault.
authors.affiliation: Nursing Service for Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA 01730, USA.
authors.forename: M L
authors.initials: ML
authors.lastname: Lanza
authors.forename: J
authors.initials: J
authors.lastname: Carifio
authors.forename: I
authors.initials: I
authors.lastname: Pattison
authors.forename: C
authors.initials: C
authors.lastname: Hicks
mesh_terms: D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015399:Nursing Research / Q000379:methods*; D015588:Observer Variation; D011568:Psychiatric Nursing; D011594:Psychometrics; D015203:Reproducibility of Results; D014754:Violence / Q000523:psychology*