Using the Dynamic Appraisal of Situational Aggression with mental health inpatients: a&amp;nbsp;feasibility study

Kontio, Raija; Daffern, Michael; Adams, Clive E; Välimäki, Maritta

doi:10.2147/ppa.s103840

Cited by 26 publications

(27 citation statements)

References 54 publications

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“…The projection formular was adopted from similar studies. 2,28 There are 246 wards in Lagos State and 24 wards were randomly selected by balloting, and these served as sampling units for this study. One hundred and thirteen enumeration areas (EAs) (representing 30%) of the total EAs were selected randomly.…”

Section: Methodsmentioning

confidence: 99%

Socioeconomic Determinants of Knowledge of Kidney Disease Among Residents in Nigerian Communities in Lagos State, Nigeria

Akokuwebe

Odimegwu

2019

Oman Med J

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ObjectivesWe sought to estimate the knowledge, sociodemographic determinants, and risk-inducing lifestyles of kidney disease (KD) among Nigerians living in Lagos State.MethodsWe conducted a cross-sectional descriptive study to assess the level of knowledge of KD and its associated sociodemographic factors of individuals living in urban and semi-urban communities of Lagos State, Nigeria. It is hoped that the results of this study will help to inform preventive modalities. We used a pretested, structured questionnaire to draw information from 1171 Nigerians aged ≥ 15 years.ResultsThe mean age of respondents was 33.5±11.1 years. In our cohort, 72.4% of respondents were knowledgeable of KD, with media as their major source of information (41.6%). Knowledge of KD was significantly associated with age (p = 0.044), education (p < 0.001), marital status (p < 0.001), and place of residence (p = 0.048). The established KD risk-inducing lifestyle factors were habitual use of herbal supplements, significant alcohol consumption, and diabetes (p < 0.050). Significant predictors of knowledge of KD included primary education (Odds ratio (OR) = 0.367, 95% confidence interval (CI): 0.11–1.22; p =0.102), secondary education (OR = 0.296, 95% CI: 0.17–0.51; p < 0.001), Igbo ethnic group (OR = 1.471, 95% CI: 0.99–2.17; p = 0.047), and place of residence (OR = 1.332, 95% CI: 1.00–1.77; p = 0.048). Age 30–39 years (OR = 0.749, 95% CI: 0.48–1.18; p = 0.214), 40–49 years (OR = 1.083, 95% CI: 0.69–1.69; p = 0.727), and not working (OR = 1.178, 95% CI: 0.88–1.57; p < 0.269) were non-significant predictors of knowledge of KD.ConclusionsOur cohort had inadequate knowledge of linking risk-inducing lifestyles to KD development. Effective measures and efforts should be made to create awareness and educate the general population on KD and prevention measures related to risk-inducing lifestyles to reduce the burden of KD among Nigerians.

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Section: Methodsmentioning

confidence: 99%

Socioeconomic Determinants of Knowledge of Kidney Disease Among Residents in Nigerian Communities in Lagos State, Nigeria

Akokuwebe

Odimegwu

2019

Oman Med J

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“…Fifty-two studies were synthesised in this review which spanned nine national contexts. Nine studies were conducted in the United Kingdom (UK) [ 30 – 38 ] and Australia [ 39 – 47 ], eight in the United States (US) [ 48 – 55 ], three in Canada [ 56 – 58 ], two in Finland [ 59 , 60 ] and one each in New Zealand [ 61 ], Denmark [ 62 ], Belgium [ 63 ] and the Netherlands [ 64 ]. By contrast the grey literature spanned only two national contexts, the UK and US.…”

Section: Resultsmentioning

confidence: 99%

“…All 52 studies were classified using the MMAT as follows: two Quantitative Randomised [ 31 , 48 ] eight Quantitative Non-randomised [ 36 , 42 , 45 , 48 , 50 , 55 , 64 , 74 , 79 ], fourteen Quantitative Descriptive [ 37 , 43 , 49 , 51 – 54 , 57 , 61 , 62 , 70 , 72 , 73 , 76 ], nine Qualitative [ 33 – 35 , 39 , 41 , 56 , 58 , 59 , 66 ], and five Mixed Methods [ 30 , 44 , 60 , 63 , 71 ]. Fourteen studies (all grey literature) could not be classified using MMAT as they used a selection of quality improvement designs including four which used PDSA cycles [ 38 , 40 , 65 , 69 ], seven used other QI methods [ 32 , 46 , 47 , 67 , 68 , 77 , 81 ] and in three studies the methodology was unclear [ 76 , 78 , 80 ].…”

Section: Resultsmentioning

confidence: 99%

To what extent are patients involved in researching safety in acute mental healthcare?

Brierley-Jones

Ramsey²,

Canvin

et al. 2022

Res Involv Engagem

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Background There is a growing need to involve patients in the development of patient safety interventions. Mental health services, despite their strong history of patient involvement, have been slow to develop patient safety interventions, particularly in inpatient settings. Methods A systematic search was undertaken of both academic and grey literature. Whilst no lay member of the team worked directly on the review, they were part of the project steering group which provided oversight throughout the review process. This included people with lived experience of mental health services. From a research perspective the main focus for lay members was in co-producing the digital technology, the key project output. Smits et al.’s (Res Involv Engagem 6:1–30, 2020) Involvement Matrix was used to taxonomise levels of patient involvement. Studies were included if they were set in any inpatient mental health care context regardless of design. The quality of all selected studies was appraised using Mixed Methods Appraisal Methodology (MMAT). Results Fifty-two studies were classified, synthesised and their levels of patient involvement in the research and development of patient safety interventions were taxonomised. Almost two-thirds of studies (n = 33) researched reducing restrictive practices. Only four studies reported engaging patients in the research process as decision-makers, with the remaining studies divided almost equally between engaging patients in the research process as partners, advisors and co-thinkers. Just under half of all studies engaged patients in just one stage of the research process. Conclusion Involvement of patients in researching patient safety and developing interventions in an inpatient mental health context seems diverse in its nature. Researchers need to both more fully consider and better describe their approaches to involving patients in safety research in inpatient mental health. Doing so will likely lead to the development of higher quality safety interventions.

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“…The tool has been further validated in another four studies by Lantta et al (2016), Chu et al (2013), Griffith et al (2013), and Vojt et al (2010) with moderate to strong predictive validity. These studies further reported that the predictive validity of the DASA was not significantly different from that of the BVC (Chu et al 2013;Ogloff & Daffern 2006) and that the tool took less than 5 min to complete (Chu et al 2013;Griffith et al 2013;Lantta et al 2016;Ogloff & Daffern 2006). Vojt et al (2010), however, reported that the predictive power of the DASA was consistent for incidents of verbal aggression only, and not for physical aggression or all other aggressive incidents.…”

Section: Dynamic Appraisal Of Situational Aggression (Dasa)mentioning

confidence: 99%

The validity and utility of violence risk assessment tools to predict patient violence in acute care settings: An integrative literature review

Ghosh¹,

Twigg

Kutzer³

et al. 2019

Int J Mental Health Nurs

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To examine risk assessment tools to predict patient violence in acute care settings. An integrative review of the literature. Five electronic databases – CINAHL Plus, MEDLINE, OVID, PsycINFO, and Web of Science were searched between 2000 and 2018. The reference list of articles was also inspected manually. The PICOS framework was used to refine the inclusion and exclusion of the literature, and the PRISMA statement guided the search strategy to systematically present findings. Forty‐one studies were retained for review. Three studies developed or tested tools to measure patient violence in general acute care settings, and two described the primary and secondary development of tools in emergency departments. The remaining studies reported on risk assessment tools that were developed or tested in psychiatric inpatient settings. In total, 16 violence risk assessment tools were identified. Thirteen of them were developed to assess the risk of violence in psychiatric patients. Two of them were found to be accurate and reliable to predict violence in acute psychiatric facilities and have practical utility for general acute care settings. Two assessment tools were developed and administered in general acute care, and one was developed to predict patient violence in emergency departments. There is no single, user‐friendly, standardized evidence‐based tool available for predicting violence in general acute care hospitals. Some were found to be accurate in assessing violence in psychiatric inpatients and have potential for use in general acute care, require further testing to assess their validity and reliability.

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Using the Dynamic Appraisal of Situational Aggression with mental health inpatients: a feasibility study

Cited by 26 publications

References 54 publications

Socioeconomic Determinants of Knowledge of Kidney Disease Among Residents in Nigerian Communities in Lagos State, Nigeria

Socioeconomic Determinants of Knowledge of Kidney Disease Among Residents in Nigerian Communities in Lagos State, Nigeria

To what extent are patients involved in researching safety in acute mental healthcare?

The validity and utility of violence risk assessment tools to predict patient violence in acute care settings: An integrative literature review

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