Implementation of the dynamic appraisal of situational aggression in inpatient mental health

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...

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Bibliographic Details
Published inPerspectives in psychiatric care Vol. 58; no. 3; pp. 1153 - 1159
Main Authors Amunrud, Alina, Bjorklund, Pamela
Format Journal Article
LanguageEnglish
Published Madison Hindawi Limited 01.07.2022
Subjects
Aggressiveness
DASA
inpatient psychiatry
Mental disorders
Mental health
Mental health care
Mental institutions
Nursing administration
Psychiatric-mental health nursing
Risk factors
risk management
Violence
violence risk assessment
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Summary: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.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0031-5990
1744-6163
DOI:10.1111/ppc.12915