{"title":"Implementation of the dynamic appraisal of situational aggression in inpatient mental health.","authors":"Alina Amunrud, Pamela Bjorklund","doi":"10.1111/ppc.12915","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To implement structured violence risk assessment (VRA) using the Dynamic Appraisal of Situational Aggression (DASA) on a 25-bed, adult, inpatient psychiatric unit.</p><p><strong>Design and methods: </strong>Inpatient DASA screening for 13 weeks with nursing communication orders (NCOs) to highlight patients at high risk for violence. Pre/posttests measured registered nurse (RN) knowledge and perceptions of the DASA.</p><p><strong>Findings: </strong>DASA completion rate equaled 81.8% with an NCO issue rate of only 32.8%. RN perceptions of the DASA were positive, and knowledge of structured violence risk assessment increased.</p><p><strong>Practice implications: </strong>Structured violence risk assessment with the DASA is feasible and well-accepted on psychiatric units.</p>","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":"58 3","pages":"1153-1159"},"PeriodicalIF":1.9000,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/ppc.12915","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Perspectives in Psychiatric Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/ppc.12915","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/7/14 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 2
Abstract
Purpose: To implement structured violence risk assessment (VRA) using the Dynamic Appraisal of Situational Aggression (DASA) on a 25-bed, adult, inpatient psychiatric unit.
Design and methods: Inpatient DASA screening for 13 weeks with nursing communication orders (NCOs) to highlight patients at high risk for violence. Pre/posttests measured registered nurse (RN) knowledge and perceptions of the DASA.
Findings: DASA completion rate equaled 81.8% with an NCO issue rate of only 32.8%. RN perceptions of the DASA were positive, and knowledge of structured violence risk assessment increased.
Practice implications: Structured violence risk assessment with the DASA is feasible and well-accepted on psychiatric units.
期刊介绍：
Perspectives in Psychiatric Care (PPC) is recognized and respected as THE journal for advanced practice psychiatric nurses. The journal provides advanced practice nurses with current research, clinical application, and knowledge about psychiatric nursing, prescriptive treatment, and education. It publishes peer-reviewed papers that reflect clinical practice issues, psychobiological information, and integrative perspectives that are evidence-based. Perspectives in Psychiatric Care includes regular columns on the biology of mental illness and pharmacology, the art of prescribing, integrative perspectives, and private practice issues.
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