Violence
Conditions
Keywords
violence risk assessment, DASA, Dynamic Appraisal of Situational Aggression, mental health nursing, EPIC, electronic health records, violence risk management, inpatient psychiatric care, coercive measures, clinical decision support system, CDSS, co-design, nurse-patient collaboration
Brief summary
The main goal of this study is to evaluate if the Finnish version of eDASA+APP (electronic Dynamic Appraisal of Situational Aggression + Aggression Prevention Protocol), a clinical decision support system (CDSS), has an impact on reducing workplace violence, use of coercive measures and increasing nurses' job satisfaction in adult psychiatric inpatient care.
Detailed description
The study includes three phases: 1) exploring attitudes of nurses and nurse managers towards validated tools, violence risk assessment and management, 2) a pre-implementation including a co-design process of the eDASA+APP to ensure optimal integration and adaptation to local context and integration into the local EPIC based EHR system together with relevant stakeholders (health care staff and expert-by-experience), and 3) a quasi-experimental implementation study to evaluate the impact of the intervention (eDASA+APP FI).
Interventions
BEHAVIORALeDASA+APP FI
A CDSS for nurses to assist in their daily short-term violence risk assessment and management, is integrated into an EPIC-based EHR system.
Sponsors
Helsinki University Central Hospital
University of Turku
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SCREENING
Masking
NONE
Intervention model description
A pre-post design (quasi-experimental), a cluster design
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* adult psychiatric wards
Exclusion criteria
* psychiatric wards specialized only for the care of people with intellectual disabilities, wards providing care for both adults and underaged patients (eating disorder units)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Workplace violence | Pre-post (3 months) | Violence experienced by healthcare staff in the wards, routinely collected data |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Coercive measures | Pre-post (3 months) | Routinely monitored and collected by the wards according to the Finnish Mental Health Act |
| Job satisfaction | Pre-post (3 months) | Nurses yearly job satisfaction survey will be used (Nurse Engagement Survey (NESplus)) |
Countries
Finland
Outcome results
None listed