Identifying patients at risk of inpatient aggression at the time of admission to acute mental health care. What factors should clinicians consider?

Meehan, Tom; Alwis, Angelo de; Stedman, Terry

doi:10.1080/18387357.2016.1259001

Cited by 13 publications

(18 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2014; Meehan et al . 2017; Muir‐Cochrane & Duxbury 2017). Many nurses continue to find themselves having limited time or opportunity (McKeown et al .…”

Section: Implication To Clinical Practicementioning

confidence: 99%

“…2019; Meehan et al . 2017; Muir‐Cochrane & Duxbury 2017). The literature highlighted that for nurses to use recovery‐focused care, they must develop specialist mental health nursing knowledge and skills to comfortably and competently work with people with lived experience (Dawood 2013).…”

Section: Implication To Clinical Practicementioning

confidence: 99%

“…2019b; Meehan et al . 2017). Further considerations should be given to developing a skilled mental health nursing workforce so that recovery‐focused care is not tokenistic, but truly integrated into all areas of mental health settings (Happell & McAllister 2015; Reid et al .…”

Section: Implication To Clinical Practicementioning

confidence: 99%

See 2 more Smart Citations

Using Q‐methodology to explore mental health nurses’ knowledge and skills to use recovery‐focused care to reduce aggression in acute mental health settings

Lim

Wynaden

Heslop

2020

Int J Mental Health Nurs

View full text Add to dashboard Cite

When nurses practise recovery‐focused care, they contribute positively to the consumer’s mental health recovery journey and empower the person to be actively engaged in the management of their illness. While using recovery‐focused care is endorsed in mental health policy, many health professionals remain uncertain about its application with consumers who have a risk for aggression during their admission to an acute mental health inpatient setting. This paper reports on Australian research using Q‐methodology that examined the knowledge and skill components of recovery‐focused care that nurses use to reduce the risk for aggression. The data from forty mental health nurses revealed five factors that when implemented as part of routine practice improved the recovery outcomes for consumers with risk of aggression in the acute mental health settings. These factors were as follows: (I) acknowledge the consumers’ experience of hospitalization; (II) reassure consumers who are going through a difficult time; (III) interact to explore the impact of the consumer’s negative lived experiences; (IV) support co‐production to reduce triggers for aggression; and (V) encourage and support consumers to take ownership of their recovery journey. These findings provide nurses with a pragmatic approach to use recovery‐focused care for consumers with risk for aggression and contribute positively to the consumers’ personal recovery.

show abstract

“…2014; Meehan et al . 2017; Muir‐Cochrane & Duxbury 2017). Many nurses continue to find themselves having limited time or opportunity (McKeown et al .…”

Section: Implication To Clinical Practicementioning

confidence: 99%

Section: Implication To Clinical Practicementioning

confidence: 99%

See 1 more Smart Citation

Using Q‐methodology to explore mental health nurses’ knowledge and skills to use recovery‐focused care to reduce aggression in acute mental health settings

Lim

Wynaden

Heslop

2020

Int J Mental Health Nurs

View full text Add to dashboard Cite

show abstract

“…This feature of repeatability and recurrence has also been referred to as the underlying order in chaos (Chaffee & McNeill, 2007;Coppa, 1993;Haigh, 2008). To deal with these repeatable patterns, clinicians need to not only learn to recognize individual patients' patterns, but also to acquire more general knowledge about warning signals, such as when patients are confused, irritable, boisterous, verbally threatening, physically threatening, and attacking objects (Abderhalden et al, 2006;Meehan, de Alwis, & Stedman, 2017).…”

Section: Adopting Complexity Science To Achieve a Dynamic Understandimentioning

confidence: 99%

Risk Factors and Triggers That May Result in Patient-Initiated Violence on Inpatient Psychiatric Units: An Integrative Review

Salzmann‐Erikson

Yifter

2019

Clin Nurs Res

View full text Add to dashboard Cite

The aim of the present integrative review is to identify and describe risk factors and triggers that may result in patient-initiated violence on inpatient psychiatric units. Original studies were searched for in PubMed, PsycINFO, and the Cumulative Index to Nursing and Allied Health Literature. From the 826 identified publications, 18 were included for a synthesis. The results are presented in three themes, which demonstrate that patient characteristics, staff approach, and the ward environment are influencers that may trigger the emergence of violent incidents. Incidents are discussed from the theoretical framework of complexity science as dynamic, highly variable in manifestation, and adaptive, in that the forthcoming process and outcomes are highly dependent on how the surrounding environment responds. Our recommendation is that staff on inpatient wards recognize the myriad influencers that may trigger inpatient violence in a context of highly complex interactions.

show abstract

“…3 Violence also may lead to patient injuries; and forced medications, restraint, seclusion, and other containment measures often lead to more conflict which, in turn, may lead to more violence. 7,8 Prevention of violent acts depends on both the ability to assess a patient's potential for aggression and interventions to reduce or mitigate the incidence of violence. Several violence risk assessment (VRA) instruments have demonstrated predictive ability greater than clinical judgment alone.…”

Section: Costs and Consequencesmentioning

confidence: 99%

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

Amunrud

Bjorklund

2021

Perspect Psychiatric Care

View full text Add to dashboard Cite

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.

show abstract

Identifying patients at risk of inpatient aggression at the time of admission to acute mental health care. What factors should clinicians consider?

Cited by 13 publications

References 22 publications

Using Q‐methodology to explore mental health nurses’ knowledge and skills to use recovery‐focused care to reduce aggression in acute mental health settings

Using Q‐methodology to explore mental health nurses’ knowledge and skills to use recovery‐focused care to reduce aggression in acute mental health settings

Risk Factors and Triggers That May Result in Patient-Initiated Violence on Inpatient Psychiatric Units: An Integrative Review

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

Contact Info

Product

Resources

About