<scp>K</scp>ennedy <scp>A</scp>xis <scp>V</scp>: Clinimetric properties assessed by mental health nurses

Faay, Margo D. M.; Sande, Roland van de; Gooskens, Floor; Hafsteinsdøttir, Thóra B.

doi:10.1111/j.1447-0349.2012.00887.x

Cited by 11 publications

(21 citation statements)

References 45 publications

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“…Using these assessment scales can enhance team communication in the process of treatment planning. This assumption was also confirmed in a focus group study conducted in a number of locked psychiatric wards by Faay et al (2013).…”

Section: Discussionmentioning

confidence: 55%

“…This assumption was also confirmed in a focus group study conducted in a number of locked psychiatric wards by Faay et al . ().…”

Section: Discussionmentioning

confidence: 97%

“…Previous studies have revealed that symptoms can rapidly change during an emergency admission at an acute psychiatric ward (Faay et al . ; van de Sande et al . , ).…”

Section: Discussionmentioning

confidence: 97%

“…Previous studies have revealed that symptoms can rapidly change during an emergency admission at an acute psychiatric ward (Faay et al 2013;van de Sande et al 2011van de Sande et al , 2013. Therefore, the integrated use of the BPRS, the SDAS, and the K-Axis-V, assessed at weekly intervals, can help teams to collectively identify current symptoms, including their severity, as well the level of functioning.…”

Section: Discussionmentioning

confidence: 99%

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Associations between psychiatric symptoms and seclusion use: Clinical implications for care planning

Sande

Noorthoorn

Nijman

et al. 2017

Int J Mental Health Nurs

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Findings from an increasing number of studies suggest that incorporating systematic short-term risk assessments in treatment planning could lead to safer practice on psychiatric admissions wards. The aim of the present study was to investigate the associations between the scores of three structured observation tools - the Kennedy Axis V (K-Axis-V), the Brief Psychiatric Rating Scale (BPRS), and the Social Dysfunction and Aggression Scale (SDAS) - and seclusion. In total, 1840 weekly risk assessments with these observation scales were collected over 2342 admission weeks. These assessment scores related to 370 acutely-admitted psychiatric patients and were subjected to a multilevel analysis. It was found that several dynamic and static factors were related to seclusion. Dynamic factors included violent behaviour, current substance abuse, suspiciousness, and negativism. Static factors included ethnicity and having been diagnosed with a substance abuse disorder. The findings suggest that the incorporation of the Kennedy-Axis V, the BPRS, and the SDAS into standard practice might be helpful in identifying patients at high risk of seclusion, and could be supportive to treatment planning and clinical decision-making in the prevention of seclusion use in acute psychiatric settings.

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Section: Discussionmentioning

confidence: 55%

“…This assumption was also confirmed in a focus group study conducted in a number of locked psychiatric wards by Faay et al . ().…”

Section: Discussionmentioning

confidence: 97%

“…Previous studies have revealed that symptoms can rapidly change during an emergency admission at an acute psychiatric ward (Faay et al . ; van de Sande et al . , ).…”

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Associations between psychiatric symptoms and seclusion use: Clinical implications for care planning

Sande

Noorthoorn

Nijman

et al. 2017

Int J Mental Health Nurs

Self Cite

View full text Add to dashboard Cite

show abstract

“…Participants felt education was required in risk assessment; harm prevention; and precipitators of patient violence and aggression (Cowman et al ). Education would also benefit junior mental health nurses whilst they were learning to prioritize their observations, because many formal undergraduate and postgraduate courses do not cover risk assessment in any great detail, if at all (Faay et al ).…”

Section: Resultsmentioning

confidence: 99%

Disclosure of confidential information by mental health nurses, of patients they assess to be a risk of harm to self or others: An integrative review

Conlon

Raeburn

Wand

2019

Int J Mental Health Nurs

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There is a duty of confidentiality on the part of mental health nurses when they handle confidential patient information. Nonetheless, it may be necessary to disclose confidential information of a patient if the patient is assessed as being a risk to self or others, to protect the patient or others from harm. However, disclosing information inappropriately may constitute a breach of confidentiality. There is a paucity of information on how mental health nurses understand the rules of confidentiality when deciding to withhold or disclose confidential information in these circumstances. An integrative review of the literature was undertaken to explore the disclosure of confidential information by mental health nurses when they assess a patient as being a risk of harm. The findings indicate the rules of confidentiality are not well understood, or are not adhered to by mental health nurses. Risk assessments were found to underpin deliberations to withhold or disclose confidential information of a patient, despite risk being difficult to predict with any certainty. For risk assessment, mental health nurses were noted to prefer their unstructured clinical judgement over actuarial methods; and defer to their clinical intuition over scores of a structured risk assessment instrument, when making structured clinical judgement‐backed decisions in this area of their practice. Gaps in the literature that may be addressed by future empirical research were revealed during this integrative review.

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Prediction of Disruptive Behavior over Time from Changes in Patients’ Global Functioning in Acute Psychiatric Care

de Boer,

Pietersma,

Tiemens

2024

Adm Policy Ment Health

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Disruptive behavior of patients in acute psychiatric care is a problem for both patients and staff. Preventing a patient’s impending disruption requires recognizing and understanding early signals. There are indications that a change in a patient’s global functioning may be such a signal. The global functioning of patients is a multidimensional view on their functioning. It captures a patient’s psychological symptoms, social skills, symptoms of violence, and activities in daily living. The aim of this study was to gain insight into the predictive value of global functioning on the risk of disruptive behavior of patients in acute psychiatric care. Also assessed was the time elapsed between the change in global functioning and a patient’s disruptive behavior, which is necessary to know for purposes of early intervention. In a longitudinal retrospective study, we used daily measurements with the Brøset Violence Checklist (BVC) and the Kennedy Axis V (K-As) of each patient admitted to two acute psychiatric units over a period of six years. Data from 931 patients for the first 28 days after their admission were used for survival analysis and cox regression analysis. Disruptive behavior was mostly observed during the first days of hospitalization. Global functioning predicted disruptive behavior from the very first day of hospitalization. A cut-off score of 48 or lower on the K-As on the first admission day predicted a higher risk of disruptive behavior. If functioning remained poor or deteriorated substantially over three days, this was an additional signal of increased risk of disruptive behavior. Improvement in global functioning was associated with a decreased risk of disruptive behavior. More attention is needed for early interventions on global functioning to prevent disruptive behavior.

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Kennedy Axis V: Clinimetric properties assessed by mental health nurses

Abstract: The Kennedy Axis V is a routine outcome measurement instrument which can assist the

Cited by 11 publications

References 45 publications

Associations between psychiatric symptoms and seclusion use: Clinical implications for care planning

Associations between psychiatric symptoms and seclusion use: Clinical implications for care planning

Disclosure of confidential information by mental health nurses, of patients they assess to be a risk of harm to self or others: An integrative review

Prediction of Disruptive Behavior over Time from Changes in Patients’ Global Functioning in Acute Psychiatric Care

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