Using the Dynamic Appraisal of Situational Aggression with mental health inpatients : a feasibility study

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Lantta , T , Kontio , R , Daffern , M , Adams , C E & Valimaki , M 2016 , ' Using the Dynamic Appraisal of Situational Aggression with mental health inpatients : a feasibility study ' Patient preference and adherence , vol. 10 , pp. 691-701 . DOI: 10.2147/PPA.S103840

Title: Using the Dynamic Appraisal of Situational Aggression with mental health inpatients : a feasibility study
Author: Lantta, Tella; Kontio, Raija; Daffern, Michael; Adams, Clive E.; Valimaki, Maritta
Contributor: University of Helsinki, Department of Psychiatry
Date: 2016
Language: eng
Number of pages: 11
Belongs to series: Patient preference and adherence
ISSN: 1177-889X
URI: http://hdl.handle.net/10138/163146
Abstract: Purpose: This paper aims to explore the acceptability of Dynamic Appraisal of Situational Aggression (DASA) from the perspective of patients, its actual use by mental health nurses, and the predictive validity of the DASA instrument. Methods: A feasibility study design incorporating quantitative and qualitative components was used. The study was conducted in three mental health inpatient units at three hospitals in southern Finland. Quantitative data were used to explore demand (nurses' actual use of the DASA), limited efficacy (predictive validity), and acceptability (measured through patients' participation in the project). Qualitative data were collected to enhance the understanding of acceptability by describing patients' perceptions of the strengths and weaknesses of the DASA. Results: Nurses used the DASA for most patient assessments. The predictive validity of the DASA was outstanding or excellent, depending on the type of aggression predicted, although the patient recruitment ratio was low. Patients reported both strengths and weaknesses of the DASA, providing complementary information regarding the instrument's acceptability and clinical application. Conclusion: The DASA accurately predicts inpatient aggression. The patients' preferences and concerns regarding risk assessment have been noted. More patient involvement in risk assessment research and violence prevention efforts is required.
Subject: patient participation
nurses
violence
risk assessment
psychiatric hospitals
multi-method approach
ACUTE PSYCHIATRIC-WARDS
RANDOMIZED CONTROLLED-TRIAL
QUALITATIVE CONTENT-ANALYSIS
RISK-ASSESSMENT
IMMINENT AGGRESSION
CLINICAL-PRACTICE
NURSING-RESEARCH
VIOLENCE RISK
STAFF
MANAGEMENT
3124 Neurology and psychiatry
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