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 assessment of the short-term risk for violence and other adverse patient outcomes. The purpose of this study was to evaluate the interrater reliability and clinical utility of the instrument when used by mental health nurses in daily care of patients with mental illness. This cross-sectional study was conducted in inpatient and outpatient adult psychiatric care units and in one adolescent inpatient unit at a university hospital in the Netherlands. Interrater reliability was measured based on the independent scores of two different nurses for the same patients. The clinical utility of the instrument was evaluated by means of a clinical utility questionnaire. To gain a deeper understanding of rating difficulties at the adolescent unit, additional data were collected in two focus group interviews. The overall results revealed a substantial level of agreement between nurses (intraclass correlation coefficient and Pearson 0.79). Some rating challenges were identified, including difficulties with scoring the instrument and using tailor-made interventions related to the scores. These challenges can be resolved using refined training and implementation strategies. When the Kennedy Axis V is accompanied by a solid implementation strategy in adult mental health care, the instrument can be used for short-term risk assessment and thereby contribute in efforts to reduce violence, suicide, self-harm, severe self-neglect, and enhanced objectivity in clinical decision-making.

journal_name

Int J Ment Health Nurs

authors

Faay MD,van de Sande R,Gooskens F,Hafsteinsdóttir TB

doi

10.1111/j.1447-0349.2012.00887.x

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

453-64

issue

5

eissn

1445-8330

issn

1447-0349

journal_volume

22

pub_type

杂志文章
  • Using Q-methodology to explore mental health nurses' knowledge and skills to use recovery-focused care to reduce aggression in acute mental health settings.

    abstract::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 abo...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/inm.12802

    authors: Lim E,Wynaden D,Heslop K

    更新日期:2020-10-20 00:00:00

  • 'Things you can't learn from books': teaching recovery from a lived experience perspective.

    abstract::Mental health policy in Australia is committed to the development of recovery-focused services and facilitating consumer participation in all aspects of mental health service delivery. Negative attitudes of mental health professionals have been identified as a major barrier to achieving these goals. Although the educa...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1447-0349.2012.00875.x

    authors: Byrne L,Happell B,Welch T,Moxham LJ

    更新日期:2013-06-01 00:00:00

  • Perceptions of anger and aggression in rural adolescent Australian males.

    abstract::Problematic anger is often the outward manifestation and expression of deeper mental health issues in young men with strong links to depression, aggression, and suicide. Few studies have explored adolescent anger and aggression from the perspective of adolescent males and even fewer studies focus specifically on a rur...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/inm.12513

    authors: Edwards P,van de Mortel T,Stevens J

    更新日期:2019-02-01 00:00:00

  • From numbers to understanding: the impact of demographic factors on seclusion rates.

    abstract::The reduction and, where possible, elimination of seclusion has been recognized as a national safety priority for mental health services in Australia, with significant attention devoted to strategies to achieve this goal. The aim of this study was to compare specific demographic characteristics between consumers who h...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1447-0349.2010.00670.x

    authors: Happell B,Koehn S

    更新日期:2010-06-01 00:00:00

  • Retention of adolescents with substance dependence and coexisting mental health disorders in outpatient alcohol and drug group therapy.

    abstract::The aim of this study was to investigate characteristics that might enhance retention among adolescents attending outpatient alcohol and drug group therapy within a youth mental health setting. An important goal was to provide information for nurses and other clinicians who work with adolescents with coexisting substa...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1447-0349.2010.00693.x

    authors: Pagey B,Deering D,Sellman D

    更新日期:2010-12-01 00:00:00

  • Profiling police presentations of mental health consumers to an emergency department.

    abstract::Public mental health systems have been called on to better meet the needs of consumers presenting to health services with the police, yet few studies have examined police presentations among mental health consumers in large public mental health systems. This study was designed to determine the frequency profile and ch...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1447-0349.2008.00553.x

    authors: Lee S,Brunero S,Fairbrother G,Cowan D

    更新日期:2008-10-01 00:00:00

  • Living with bipolar disorder in Chile: A qualitative study.

    abstract::Bipolar disorder (BD) is an important factor contributing to rates of higher morbidity and mortality with serious consequences on the quality of life. There is limited literature on life experience of people living with BD in Chile. For this reason, this study examines the life experiences of Chilean clients with BD. ...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/inm.12686

    authors: Hormazábal-Salgado R,Poblete-Troncoso M

    更新日期:2020-06-01 00:00:00

  • Lived experience of involuntary transport under mental health legislation.

    abstract::Police have historically been responsible for transporting people during a mental health crisis in Australia. A major change to the New South Wales (NSW) Mental Health Act (MHA) in 2007 expanded the range of coercive transportation agencies to include NSW Ambulance (paramedics) and NSW Health (mental health nurses). A...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/inm.12284

    authors: Bradbury J,Hutchinson M,Hurley J,Stasa H

    更新日期:2017-12-01 00:00:00

  • Violence committed against nursing staff by patients in psychiatric outpatient settings.

    abstract::Violence against nurses has increased particularly in psychiatric outpatient settings as psychiatric care shifts from being inpatient-based to being outpatient-based. Violence is a complex phenomenon that must be explored in different psychiatric nursing environments and settings. Violence in psychiatric outpatient se...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章,评审

    doi:10.1111/inm.12478

    authors: Konttila J,Pesonen HM,Kyngäs H

    更新日期:2018-12-01 00:00:00

  • Administration of 'as needed' psychotropic medication: a retrospective study.

    abstract::Mental health nurses are increasingly encouraged to discuss and document the outcomes of their nursing practice in order to maximize the care that they offer clients. One frequent function performed by mental health nurses working in inpatient units is the administration of 'as required' (PRN) psychotropic medications...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1046/j.1440-0979.2003.00293.x

    authors: Curtis J,Capp K

    更新日期:2003-09-01 00:00:00

  • Experiences of self-stigmatization and parenting in Chinese mothers with severe mental illness.

    abstract::Mental health stigma has serious ramifications on people with a severe mental illness (SMI). Stigma damages self-esteem, recovery outcomes, family relationships, socialization abilities, access to housing, and career prospects. The cultural tendencies of Chinese people have been shown to be associated with particularl...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/inm.12558

    authors: Chan SYY,Ho GWK,Bressington D

    更新日期:2019-04-01 00:00:00

  • Problems with non-adherence to antipsychotic medication in Samoan New Zealanders: a literature review.

    abstract::This paper explores what is known about adherence to antipsychotic medications in general and the possible reasons for non-adherence in Samoan New Zealanders. Samoan New Zealanders are either Samoan-born immigrants or their descendents born in New Zealand. Clinicians recognize a high prevalence of non-adherence among ...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章,评审

    doi:10.1111/j.1447-0349.2011.00801.x

    authors: Ioasa-Martin I,Moore LJ

    更新日期:2012-08-01 00:00:00

  • Determination of stress, depression and burnout levels of front-line nurses during the COVID-19 pandemic.

    abstract::All healthcare professionals, especially nurses, are affected psychosocially due to reasons such as uncertainty and work intensity experienced during the COVID-19 pandemic. In this descriptive study, it was aimed to determine the stress, depression and burnout levels of front-line nurses. Data were obtained from 705 n...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/inm.12818

    authors: Murat M,Köse S,Savaşer S

    更新日期:2020-11-21 00:00:00

  • Treading lightly: spirituality issues in mental health nursing.

    abstract::Spirituality has been recognized as an important part of nursing practice since its early beginnings. However, debate continues about whether and how nurses and other mental health professionals should include spirituality within their daily work. This paper aims to contribute to the discussion of spirituality within ...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1447-0349.2006.00414.x

    authors: Wilding C,Muir-Cochrane E,May E

    更新日期:2006-06-01 00:00:00

  • Analysis of non-pharmacological interventions attempted prior to pro re nata medication use.

    abstract::The aim of the present study was to elucidate what non-pharmacological interventions are applied by nursing staff prior to the administration of psychotropic pro re nata (PRN) medication. Best practices would instruct clinical staff to provide non-pharmacological strategies, such as de-escalation and skills coaching, ...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/inm.12320

    authors: Martin K,Arora V,Fischler I,Tremblay R

    更新日期:2018-02-01 00:00:00

  • A sanctuary of safety: A study of how patients with dual diagnosis experience caring conversations.

    abstract::The prevalence of dual diagnosis, that is, the combination of psychiatric illnesses and substance use disorders, is high. As a vast majority of previous research in this context focusses on the effects of different treatment methods, rather than interpersonal issues, the purpose of the present study was to explore and...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/inm.12374

    authors: Priebe Å,Wiklund Gustin L,Fredriksson L

    更新日期:2018-04-01 00:00:00

  • Impact of public health education on undue fear of COVID-19 among nurses: The mediating role of psychological capital.

    abstract::This study looked into the mechanism through which health education can reduce the fear of being infected with COVID-19 because health education helps individuals to improve their knowledge and attitudes towards a disease. The spread of COVID-19 has escalated the level of fear among public and nurses. Nevertheless, th...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/inm.12819

    authors: Mubarak N,Safdar S,Faiz S,Khan J,Jaafar M

    更新日期:2020-11-23 00:00:00

  • Reliability and validity of the Japanese semistructured interview version of the Early Signs Scale (ESS-JI) for outpatients with schizophrenia (study 1).

    abstract::The purpose of this study was to develop a semistructured interview for the Japanese version of the Early Signs Scale (ESS-JI), as well as to examine its reliability and validity. We conducted a cross-sectional study in Japan. Participants were recruited from a psychiatric clinic. The survey included 25 participants w...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1447-0349.2010.00702.x

    authors: Koichi R,Miyamoto Y

    更新日期:2011-04-01 00:00:00

  • Practitioners' application of Let's Talk about Children intervention in adult mental health services.

    abstract::Family-focused interventions can improve outcomes for families where a parent has a mental illness. One such intervention, Let's Talk about Children (Let's Talk), is a series of parent-practitioner conversations in adult mental health with demonstrated improved outcomes for child, parent, and family well-being. This s...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/inm.12724

    authors: Allchin B,O'Hanlon B,Weimand BM,Goodyear M

    更新日期:2020-10-01 00:00:00

  • Stories of women involved in a postpartum depression peer support group.

    abstract::Living through postpartum depression (PPD) might lead women to seek a variety of support to re-establish their well-being, including a hybrid of traditional and non-traditional services. Within this mix, some women participate in peer groups; however, there is a paucity of research regarding their subjective experienc...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1447-0349.2012.00828.x

    authors: Montgomery P,Mossey S,Adams S,Bailey PH

    更新日期:2012-12-01 00:00:00

  • Weight gain associated with taking psychotropic medication: an integrative review.

    abstract::People with serious mental illness have higher morbidity and mortality rates than general populations, and overweight/obesity-related conditions are prevalent. Psychotropic medications are a primary factor in significant weight gain. Adolescents and young adults, particularly those with first-episode psychoses taking ...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章,评审

    doi:10.1111/j.1447-0349.2010.00721.x

    authors: McCloughen A,Foster K

    更新日期:2011-06-01 00:00:00

  • Living in supportive housing for people with serious mental illness: a paradoxical everyday life.

    abstract::Since the closure of large psychiatric institutions, various types of community-based supportive housing for people with serious mental illness (SMI) have been developed. There is currently limited knowledge about users' experiences of living in supportive housing. The aim of the present study was to describe user exp...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/inm.12072

    authors: Bengtsson-Tops A,Ericsson U,Ehliasson K

    更新日期:2014-10-01 00:00:00

  • Involving mental health consumers in nursing handover: A qualitative study of nursing views of the practice and its implementation.

    abstract::Nursing handover occurs between shifts and is an important means of communication and information exchange around consumer care. The involvement of consumers in nursing handover, known as 'bedside handover', is well established within general health settings and promotes a patient-centred approach to care. Bedside han...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/inm.12756

    authors: Mullen A,Harman K,Flanagan K,O'Brien B,Isobel S

    更新日期:2020-12-01 00:00:00

  • Improving the physical health of people with severe mental illness: boundaries of care provision.

    abstract::There is compelling evidence that the physical health of people with severe mental illness is poor. Health-promotion guidelines have been recommended as a mechanism for improving the physical health of this population. However, there are significant barriers to the adoption of evidence-based guidelines in practice. Th...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/inm.12050

    authors: Ehrlich C,Kendall E,Frey N,Kisely S,Crowe E,Crompton D

    更新日期:2014-06-01 00:00:00

  • Sexuality of people living with a mental illness: a collaborative challenge for mental health nurses.

    abstract::This article is a review of the literature examining the sexuality of mental health consumers and the role of mental health nurses. A search identified 72 English articles on the topic. The evidence clearly indicates that sexuality is a critical aspect of who we are as individuals, and of how we view ourselves, but di...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章,评审

    doi:10.1111/j.1447-0349.2009.00598.x

    authors: Quinn C,Browne G

    更新日期:2009-06-01 00:00:00

  • The attitudes of mental health professionals towards patients with mental illness in an inpatient setting in Palestine.

    abstract::Culture plays a vital role in shaping public and professional attitudes towards mental illness. In Arab cultures negative attitudes toward patients experiencing mental illnesses are common. There is a lack of studies that investigate the attitudes of professionals towards patients in inpatient mental health settings. ...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1447-0349.2010.00674.x

    authors: Ahmead MK,Rahhal AA,Baker JA

    更新日期:2010-10-01 00:00:00

  • 'They can't empower us': The role of allies in the consumer movement.

    abstract::Goals of the mental health consumer movement include redressing inequality and increasing consumer leadership across the mental health sector. A means of achieving these goals is empowerment of consumers at systemic levels of the mental health sector. There have been calls for research to focus on allies - those who u...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/inm.12585

    authors: Juntanamalaga P,Scholz B,Roper C,Happell B

    更新日期:2019-08-01 00:00:00

  • Retaining the mental health nursing workforce: early indicators of retention and attrition.

    abstract::In the UK, strategies to improve retention of the mental health workforce feature prominently in health policy. This paper reports on a longitudinal national study into the careers of mental health nurses in the UK. The findings reveal little attrition during the first 6 months after qualification. Investigation of ca...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1440-0979.2005.00387.x

    authors: Robinson S,Murrells T,Smith EM

    更新日期:2005-12-01 00:00:00

  • Characteristics of aggression among psychiatric inpatients by ward type in Japan: Using the Staff Observation Aggression Scale - Revised (SOAS-R).

    abstract::Aggressive behaviour by psychiatric patients is a serious issue in clinical practice, and adequate management of such behaviour is required, with careful evaluation of the factors causing the aggression. To examine the characteristics of aggressive incidents by ward type, a cross-sectional descriptive study was conduc...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章

    doi:10.1111/inm.12228

    authors: Sato M,Noda T,Sugiyama N,Yoshihama F,Miyake M,Ito H

    更新日期:2017-12-01 00:00:00

  • Cluster A personality disorders: considering the 'odd-eccentric' in psychiatric nursing.

    abstract::Psychiatric nurses are familiar with the concept of personality disorder because of their contact with persons with the most common personality disorder in clinical settings - borderline type, who frequently engage mental health services. Perhaps it is this familiarity that has focused research and clinical attention ...

    journal_title:International journal of mental health nursing

    pub_type: 杂志文章,评审

    doi:10.1111/j.1447-0349.2006.00439.x

    authors: Hayward BA

    更新日期:2007-02-01 00:00:00