Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/61543
Title: Using the dynamic appraisal of situational aggression with mental health inpatients : a feasibility study
Authors: Lantta, T
Kontio, R
Daffern, M
Adams, CE
Välimäki, M 
Keywords: Multi-method approach
Nurses
Patient participation
Psychiatric hospitals
Risk assessment
Violence
Issue Date: 2016
Publisher: Dove Medical Press
Source: Patient preference and adherence, 2016, v. 10, p. 691-701 How to cite?
Journal: Patient preference and adherence 
Abstract: Purpose: This paper aims to explore the acceptability of Dynamic Appraisal of Situational Aggression (DASA) from the perspective of patients, its actual use by mental health nurses, and the predictive validity of the DASA instrument.
Methods: A feasibility study design incorporating quantitative and qualitative components was used. The study was conducted in three mental health inpatient units at three hospitals in southern Finland. Quantitative data were used to explore demand (nurses’ actual use of the DASA), limited efficacy (predictive validity), and acceptability (measured through patients’ participation in the project). Qualitative data were collected to enhance the understanding of acceptability by describing patients’ perceptions of the strengths and weaknesses of the DASA.
Results: Nurses used the DASA for most patient assessments. The predictive validity of the DASA was outstanding or excellent, depending on the type of aggression predicted, although the patient recruitment ratio was low. Patients reported both strengths and weaknesses of the DASA, providing complementary information regarding the instrument’s acceptability and clinical application.
Conclusion: The DASA accurately predicts inpatient aggression. The patients’ preferences and concerns regarding risk assessment have been noted. More patient involvement in risk assessment research and violence prevention efforts is required.
URI: http://hdl.handle.net/10397/61543
ISSN: 1177-889X (online)
DOI: 10.2147/PPA.S103840
Rights: © 2016 Wang et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
The following publication Wang, L. Q., Chien, W. T., Yip, L. K., & Karatzias, T. (2016). A randomized controlled trial of a mindfulness-based intervention program for people with schizophrenia: 6-month follow-up. Neuropsychiatric disease and treatment, 2016:12, 3097-3110 is available at http://dx.doi.org/10.2147/NDT.S123239
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