Validating a Measurement Tool to Predict Aggressive Behavior in Hospitalized Youth

2018 ◽  
Vol 25 (5) ◽  
pp. 396-404 ◽  
Author(s):  
Stephanie G. Dutch ◽  
Nirav Patil
Keyword(s):  
Aggressive Behavior ◽  
Interrater Reliability ◽  
Best Practice ◽  
Psychiatric Nurses ◽  
Measurement Tool ◽  
Predictive Tool ◽  
Behavior Outcomes ◽  
Improve Accuracy ◽  
Hospital Patients ◽  
Youth Population

BACKGROUND: The aggression of hospital patients costs money and affects outcomes. Most methods to assess risk for aggression are developed for adults. This study recommends the use of a predictive tool, the Dynamic Appraisal of Situational Aggression–Youth Version (DASA-YV) to improve accuracy in identifying aggression risk in youth. AIMS: To determine if aggressive behavior of youth is better predicted with DASA-YV versus instinct. We sought to validate the feasibility of DASA-YV and determine its predictive validity for aggressive behavior in a youth-specific psychiatric hospital population, which could lead to prevention of aggression and improve interventions or outcomes. METHOD: After establishing interrater reliability of the DASA-YV, a 6-month pilot study with a prospective validation design compared aggressive behavior outcomes predicted with those that occurred within the next 24 hours. RESULTS: DASA-YV was found to be reliable and valid in predicting aggression in a youth population. CONCLUSIONS: Predicting aggression with the DASA-YV tool demonstrates a useful best practice application for psychiatric nurses that positively affects safety.

scholarly journals The Influence Of Behavior Violence Clients On Stress Of Nurses In The Psychiatric Emergency Mentah Health Hospital Province West Kalimantan Year 2017

2018 ◽  
Vol 1 (1) ◽  
pp. 29
Author(s):  
Augustine Augustine ◽  
Sarliana Zaini ◽  
Winnellia FSR
Keyword(s):  
Aggressive Behavior ◽  
Violent Behavior ◽  
High Stress ◽  
Psychiatric Emergency ◽  
Psychiatric Nurses ◽  
Bivariate Analysis ◽  
Measurement Tool ◽  
Mild Stress ◽  
West Kalimantan ◽  
Client Violence

Background: Violent behavior is the act of injuring another person, themselves, destroyed property (environment) and verbal threats. Violent behavior and observation of potential suicide clients are the most frequent causes of stress on psychiatric nurses, besides the lack of management support is also a source of stress for psychiatric nurses. In the West Java Provincial Hospital the conditions often experienced are: the number of clients being treated is not comparable to the number of nurses available, often clients do verbal aggressive behavior or acts of violence with fellow clients, nurses who experience physical violence, destruction of hospital facilities by clients, often the client leaves the hospital without the nurse's permission and the nurse's unpreparedness if placed in a psychiatric emergency room. This can create stress for soul nurses in handling clients with aggressive behavior.  Aims: The purpose of this study was to determine the effect of client violence behavior on the stress level of nurses in the RDP room of West Kalimantan Prov. Hospital.  Method: The type of this research is observational analytic with design cross-sectional, sampling with a total sampling amounting to 24 respondents, the measurement tool for this research is the observation sheet of POPAS (Perceptions of Prevalence of Aggression Scalebehavior), while for stress nurses use the PNOSS questionnaire (Psychiatric Nursing Occupational Stress Scale). The bivariate analysis used is the Spearman Rank correlation test with a confidence level of 95% or α = 0.05. Results: The results of this study indicate that there is an influence/relationship of client violence behavior to nurse stress, with a value of ρ 0.03 <0.05 where nurses who experience mild stress as much as one respondent (4.2%), moderate stress as much as 21 respondents (87.5%) and high stress of two respondents (8.3%). Violent behavior found was medium category 95.8% and heavy category 4.2%.

Quality of Service in Nursing Homes

2000 ◽  
Vol 13 (4) ◽  
pp. 205-215 ◽  
Author(s):  
A. Curry ◽  
S. Stark
Keyword(s):  
Quality Of Service ◽  
Nursing Home ◽  
Nursing Homes ◽  
Frail Elderly ◽  
Best Practice ◽  
Nursing Home Residents ◽  
Quality Measurement ◽  
Measurement Tool ◽  
Future Improvement

This paper illustrates the relevance of using the Servqual instrument as a service quality measurement tool in the healthcare context. The expectations and perceptions of nursing home residents and their relatives are compared and contrasted to determine the priorities and satisfaction levels of both groups with respect to the services provided. Some interesting differences emerged between the two respondent groups, which gave more accurate and relevant pointers as to potential areas of future improvement. Because a number of nursing homes were surveyed, it was also possible to ascertain which homes might serve as useful examples of the best practice and which were in need of improvement action. In frail, elderly respondent groups it is not especially easy to elicit views as to quality of service. Servqual, carefully and sympathetically designed and applied, proved appropriate for this task.

scholarly journals Experiences of Psychiatric Nurses Who Care for Patients with Physical and Psychological Violence: A Phenomenological Study

2020 ◽  
Vol 17 (14) ◽  
pp. 5159
Author(s):  
In Ok Sim ◽  
Kyoung Min Ahn ◽  
Eun Jeong Hwang
Keyword(s):  
Aggressive Behavior ◽  
Intervention Studies ◽  
Phenomenological Study ◽  
Psychiatric Patients ◽  
Working Environment ◽  
Psychiatric Nurses ◽  
Emotional Control ◽  
Analysis Method ◽  
Psychological Violence ◽  
Physical And Psychological Violence

Introduction: The present study aims to understand the experiences and characteristics of nurses caring for patients with mental disorders characterized by aggressive behavior. Aim: The study aimed to understand and interpret the physical and psychological experiences and positive and negative aspects associated with nursing practices of patients with anger and aggressive behavior. Method: The participants of this study were twelve nurses with over three years of experience working in a mental hospital. More specifically, all our participants had experience caring for psychiatric patients with anger and aggressive behavior. The collected data were analyzed using the phenomenological analysis method and the procedure proposed by Colaizzi (1978). Result: The nurses’ experience was described in five categories: “fear of violence”, “exposure to a poor working environment”, “difficulty of emotional control”, “career regrets”, and “finding a solution to violence.” Discussion: The hospital should encourage and provide training sessions to teach nurses how to use proper intervention technique regarding medication and seclusion. Implications: The results of the present study suggest the need for ongoing hospital support and program development, intervention studies, and improvement of the work environment to resolve the burden of mental and physical difficulties experienced by psychiatric nurses.

Teamwork in the Operating Room

2006 ◽  
Vol 105 (5) ◽  
pp. 877-884 ◽  
Author(s):  
J Bryan Sexton ◽  
Martin A. Makary ◽  
Anthony R. Tersigni ◽  
David Pryor ◽  
Ann Hendrich ◽  
...  
Keyword(s):  
Operating Room ◽  
Analysis Of Variance ◽  
Interrater Reliability ◽  
Mean Squared Error ◽  
Statistical Tests ◽  
Measurement Tool ◽  
Cronbach’S Alpha ◽  
Safety Attitudes ◽  
Individual Level ◽  
Cronbach's Alpha

Background The Joint Commission on Accreditation of Healthcare Organizations is proposing that hospitals measure culture beginning in 2007. However, a reliable and widely used measurement tool for the operating room (OR) setting does not currently exist. Methods OR personnel in 60 US hospitals were surveyed using the Safety Attitudes Questionnaire. The teamwork climate domain of the survey uses six items about difficulty speaking up, conflict resolution, physician-nurse collaboration, feeling supported by others, asking questions, and heeding nurse input. To justify grouping individual-level responses to a single score at each hospital OR level, the authors used a multilevel confirmatory factor analysis, intraclass correlations, within-group interrater reliability, and Cronbach's alpha. To detect differences at the hospital OR level and by caregiver type, the authors used multivariate analysis of variance (items) and analysis of variance (scale). Results The response rate was 77.1%. There was robust evidence for grouping individual-level respondents to the hospital OR level using the diverse set of statistical tests, e.g., Comparative Fit Index = 0.99, root mean squared error of approximation = 0.05, and acceptable intraclasss correlations, within-group interrater reliability values, and Cronbach's alpha = 0.79. Teamwork climate differed significantly by hospital (F59, 1,911 = 4.06, P &lt; 0.001) and OR caregiver type (F4, 1,911 = 9.96, P &lt; 0.001). Conclusions Rigorous assessment of teamwork climate is possible using this psychometrically sound teamwork climate scale. This tool and initial benchmarks allow others to compare their teamwork climate to national means, in an effort to focus more on what excellent surgical teams do well.

The Myotonometer: Not a Valid Measurement Tool for Active Hamstring Musculotendinous Stiffness

2016 ◽  
Vol 25 (2) ◽  
pp. 111-116 ◽  
Author(s):  
Derek N. Pamukoff ◽  
Sarah E. Bell ◽  
Eric D. Ryan ◽  
J. Troy Blackburn
Keyword(s):  
Outcome Measures ◽  
Interrater Reliability ◽  
Injury Risk ◽  
Lower Extremity Injury ◽  
Ligament Injury ◽  
Future Research ◽  
Measurement Tool ◽  
Clinical Measurement ◽  
Valid Measurement ◽  
Musculotendinous Stiffness

Context:Hamstring musculotendinous stiffness (MTS) is associated with lower-extremity injury risk (ie, hamstring strain, anterior cruciate ligament injury) and is commonly assessed using the damped oscillatory technique. However, despite a preponderance of studies that measure MTS reliably in laboratory settings, there are no valid clinical measurement tools. A valid clinical measurement technique is needed to assess MTS and permit identification of individuals at heightened risk of injury and track rehabilitation progress.Objective:To determine the validity and reliability of the Myotonometer for measuring active hamstring MTS.Design:Descriptive laboratory study.Setting:LaboratoryParticipants:33 healthy participants (15 men, age 21.33 ± 2.94 y, height 172.03 ± 16.36 cm, mass 74.21 ± 16.36 kg).Main Outcome Measures:Hamstring MTS was assessed using the damped oscillatory technique and the Myotonometer. Intraclass correlations were used to determine the intrasession, intersession, and interrater reliability of the Myotonometer. Criterion validity was assessed via Pearson product–moment correlation between MTS measures obtained from the Myotonometer and from the damped oscillatory technique.Results:The Myotonometer demonstrated good intrasession (ICC3,1 = .807) and interrater reliability (ICC2,k = .830) and moderate intersession reliability (ICC2,k = .693). However, it did not provide a valid measurement of MTS compared with the damped oscillatory technique (r = .346, P = .061).Conclusions:The Myotonometer does not provide a valid measure of active hamstring MTS. Although the Myotonometer does not measure active MTS, it possesses good reliability and portability and could be used clinically to measure tissue compliance, muscle tone, or spasticity associated with multiple musculoskeletal disorders. Future research should focus on portable and clinically applicable tools to measure active hamstring MTS in efforts to prevent and monitor injuries.

scholarly journals Developing Best Practice Guidance for Discharge Planning Using the RAND/UCLA Appropriateness Method

2021 ◽  
Vol 12 ◽  
Author(s):  
Natasha Tyler ◽  
Claire Planner ◽  
Matthew Byrne ◽  
Thomas Blakeman ◽  
Richard N. Keers ◽  
...  
Keyword(s):  
Mental Health ◽  
Best Practice ◽  
Discharge Planning ◽  
Patient Flow ◽  
Psychiatric Nurses ◽  
Online Questionnaire ◽  
Post Discharge ◽  
Discharge Care ◽  
Senior Clinician ◽  
Mental Health Settings

Background: Discharge from acute mental health inpatient units is often a vulnerable period for patients. Multiple professionals and agencies are involved and processes and procedures are not standardized, often resulting in communication delays and co-ordination failures. Early and appropriate discharge planning and standardization of procedures could make inpatient care safer.Aim: To inform the development of a multi-component best practice guidance for discharge planning (including the 6 component SAFER patient flow bundle) to support safer patient transition from mental health hospitals to the community.Methods: Using the RAND/UCLA Appropriateness method, a panel of 10 professional stakeholders (psychiatrists, psychiatric nurses, clinical psychologists, pharmacists, academics, and policy makers) rated evidence-based statements. Six hundred and sixty-eight statements corresponding to 10 potential components of discharge planning best practice were rated on a 9-point integer scale for clarity, appropriateness and feasibility (median ≥ 7–9) using an online questionnaire then remote online face-to-face meetings.Results: Five of the six “SAFER” patient flow bundle components were appropriate and feasible for inpatient mental health. One component, “Early Flow,” was rated inappropriate as mental health settings require more flexibility. Overall, 285 statements were rated as appropriate and feasible. Forty-four statements were considered appropriate but not feasible to implement.Discussion: This consensus study has identified components of a best practice guidance/intervention for discharge planning for UK mental health settings. Although some components describe processes that already happen in everyday clinical interactions (i.e., review by a senior clinician), standardizing such processes could have important safety benefits alongside a tailored and timely approach to post-discharge care.

scholarly journals A Phenomenological Study: Family Experience in Expressed Emotion in Providing Care for Client with Risk of Aggressive Behavior

2018 ◽  
Vol 17 (5) ◽  
pp. 450-459
Author(s):  
Ika Ratih WIBAWA ◽  
Achir Yani S. HAMID ◽  
Novy Helena C. DAULIMA
Keyword(s):  
Aggressive Behavior ◽  
Expressed Emotion ◽  
Phenomenological Study ◽  
Negative Emotion ◽  
Psychosocial Interventions ◽  
Phenomenological Approach ◽  
Psychiatric Nurses ◽  
Positive Interaction ◽  
Family Experience ◽  
Course Of Illness

Agressive and violent behaviors are among the symptoms manifested in individual with schizophrenia. The relationship between caregiving and mental disorder can be assessed through expressed emotion (EE). This study aimed to identify family experience in expressing emotion when providing care for client with risk of aggressive behavior. The design of the study was qualitative and it employed a phenomenological approach. Six participants were involved in an in-depth interview about their experiences in expressing emotion in providing care for client with risk of aggressive behavior. The findings identified three themes. These are; psychological responses followed by physical responses as manifestated by family response, hostility as reflection of family’s negative emotion, and positive interaction within family to meet psychological need. The findings may be used as a reference for nurses and families to consider EE when providing care for client with risk of aggressive behavior. The result emphasized that psychiatric nurses should consider EE when providing psychosocial interventions as this predicts the course of illness.

scholarly journals How Can a Corporate (Compliance) Culture Be Described and Effectively Measured?

2018 ◽  
Vol 4 (3) ◽  
pp. 52
Author(s):  
Lucie Andreisová
Keyword(s):  
Corporate Governance ◽  
Corporate Culture ◽  
Best Practice ◽  
Business Practice ◽  
Measurement Tool ◽  
Discussion Paper ◽  
Corporate Compliance ◽  
Corporate Governance Code ◽  
Sufficient Resource

In July 2016, the FRC published a report on corporate culture and the role of boards (see below). This report serves as an important complement to respective provisionsof UK Corporate Governance Code – a code which is perceived as a best practice manual for building and maintaining a good level of corporate governance and is therefore adapted by many European lawmakers and regulators. This regulation puts an enhanced emphasis on ‘corporate (compliance) culture’ as it, among others, states that: ‘Boards should devote sufficient resource to evaluating culture and consider how they report on it.’ What shall, however, be understood by this term? How can such a term be defined, measured and reported on? The aim of the presented discussion paper is to help answering those theoretical questions, as well as to propose a reliable ‘culture measurement tool’ which could be effectively used in nowadays business practice.

scholarly journals Interactions between the COMT Val108/158Met polymorphism and maternal prenatal smoking predict aggressive behavior outcomes

2011 ◽  
Vol 87 (1) ◽  
pp. 99-105 ◽  
Author(s):  
Patricia A. Brennan ◽  
Constance Hammen ◽  
Patrick Sylvers ◽  
William Bor ◽  
Jake Najman ◽  
...  
Keyword(s):  
Aggressive Behavior ◽  
Prenatal Smoking ◽  
Behavior Outcomes
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