Abstract:
:In the present study, we explored the predictive validity of the Dynamic Appraisal of Situational Aggression (DASA) assessment tool in male (n = 30) and female (n = 30) patients admitted to the acute units of a forensic mental health hospital. We also tested the psychometric properties of the original DASA bands and novel risk bands. The first 60 days of each patient's file was reviewed to identify daily DASA scores and subsequent risk-related nursing interventions and aggressive behaviour within the following 24 hours. Risk assessments, followed by documented nursing interventions, were removed to preserve the integrity of the risk-assessment analysis. Receiver-operator characteristics were used to test the predictive accuracy of the DASA, and generalized estimating equations (GEE) were used to account for repeated risk assessments, which occurs when analysing short-term risk-assessment data. The results revealed modest predictive validity for males and females. GEE analyses suggested the need to adjust the DASA risk bands to the following (with associated odds ratios (OR) for aggressive behaviour): 0 = low risk; 1, 2, 3 = moderate-risk OR, 4.70 (95% confidence interval (CI): 2.84-7.80); and 4, 5, 6, 7 = high-risk OR, 16.13 (95% CI: 9.71-26.78). The adjusted DASA risk bands could assist nurses by prompting violence-prevention interventions when the level of risk is elevated.
journal_name
Int J Ment Health Nursjournal_title
International journal of mental health nursingauthors
Maguire T,Daffern M,Bowe SJ,McKenna Bdoi
10.1111/inm.12377subject
Has Abstractpub_date
2017-10-01 00:00:00pages
472-481issue
5eissn
1445-8330issn
1447-0349journal_volume
26pub_type
杂志文章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
更新日期:2020-10-01 00:00:00
abstract::People with a mental illness often encounter stigma and discrimination from a variety of sources, reinforcing negative self-perceptions and influencing their health and well-being. Even though support systems and attitudes of the general public act as powerful sources of stigma, views and perceptions held by people wi...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/inm.12331
更新日期:2018-02-01 00:00:00
abstract::As suicide attempts pose major risk for future suicide death, understanding the underlying factors of suicide attempts and suicidal behaviour is an important mental health imperative. The aim of this study was to examine suicide attempts with a special focus on the intention. A total of 2540 discharge summaries were c...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/inm.12695
更新日期:2020-08-01 00:00:00
abstract::There is emerging evidence that young people with first-episode psychosis are at greater risk of sexually-transmitted infections (STI) than their peers. Theoretical constructs central to behavioural change theories, broadly defined as sexual health-related knowledge, attitudes, and beliefs, have guided most sexual ris...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1447-0349.2010.00700.x
更新日期:2011-02-01 00:00:00
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
更新日期:2003-09-01 00:00:00
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
更新日期:2014-06-01 00:00:00
abstract::Research has demonstrated the benefits of mental healthcare interventions that ensure a safe transition of clients throughout the discharge and community integration process. This paper reports on qualitative data from focus groups with health professionals collected as part of a larger a mixed method study designed t...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/inm.12687
更新日期:2020-06-01 00:00:00
abstract::The merits of technology-based mental health service reform have been widely debated among academics, practitioners, and policy makers. The design of new technologies must first be predicated on a detailed appreciation of how the mental health system works before it can be improved or changed through the introduction ...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/inm.12262
更新日期:2017-06-01 00:00:00
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
更新日期:2020-10-20 00:00:00
abstract::Handover, or the communication of patient information between clinicians, is a fundamental component of health care. Psychiatric settings are dynamic environments relying on timely and accurate communication to plan care and manage risk. Crisis assessment and treatment teams are the primary interface between community...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/inm.12102
更新日期:2015-06-01 00:00:00
abstract::The stigmatization of mental health is present in general hospital settings impacting quality of care. We hypothesized that health professionals in these areas would elicit negative attitudes and a perceived level of dangerousness across a range of mental health disorders. We aimed to conduct a systematic review and m...
journal_title:International journal of mental health nursing
pub_type: 杂志文章,meta分析,评审
doi:10.1111/inm.12433
更新日期:2018-06-01 00:00:00
abstract::Limited research exists regarding the therapeutic operations of adolescent mental health inpatient units, particularly in terms of nonpharmacological therapeutic interventions. This review collates what is known about reported nonpharmacological therapeutic interventions for young people admitted to general or non-dis...
journal_title:International journal of mental health nursing
pub_type: 杂志文章,评审
doi:10.1111/inm.12575
更新日期:2019-06-01 00:00:00
abstract::Collaboration between the education and service providers assists with the development of enhanced clinical and educational experiences for students. This paper describes an innovative collaborative program developed by the School of Nursing, University of Ballarat and Grampians Psychiatric Services, Ballarat Health S...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1447-0349.2004.00309.x
更新日期:2004-03-01 00:00:00
abstract::Consumer participation in all aspects of mental health services is clearly articulated as an expectation of contemporary mental health policy. Consumer leadership has been demonstrated to be beneficial to mental health services. Barriers to implementation have limited the realization of this goal. In this discursive p...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/inm.12404
更新日期:2018-02-01 00:00:00
abstract::In Victoria, the Crimes (Mental Impairment and Unfitness to be Tried) Act (1997) reformed legal practice in relation to the detention, management and release of persons found by a court to be not guilty on the grounds of insanity or unfit to be tried. This Act provides a legal structure for such 'forensic patients' to...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1046/j.1440-0979.2002.00250.x
更新日期:2002-12-01 00:00:00
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
更新日期:2010-12-01 00:00:00
abstract::Peer work is now known in Switzerland for 10 years and has developed strongly. The aim of the study was to describe peer support specialists' (PSSs') work conditions and job satisfaction, as well as the challenges of integration into the workforce in Switzerland. A further aim was to identify possible development topi...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/inm.12665
更新日期:2020-04-01 00:00:00
abstract::Clients' perceptions of continuous support during the transition from hospital to the community have been understudied. The present study evaluated clients' perceptions of the benefits and potential adjustments to the implementation of a transitional discharge model (TDM), an intervention for community integration of ...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/inm.12821
更新日期:2020-11-24 00:00:00
abstract::Empathy and related concepts such as sympathy and compassion are considered fundamental to mental health nurses' work with consumers. However, there is often little consensus on the relationship between these interpersonal interaction factors and their similarities and differences. In this paper, these three concepts ...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/inm.12714
更新日期:2020-08-01 00:00:00
abstract::Concern regarding the low numbers of graduate nurses expressing interest in entering the psychiatric field leads to the question: who would be a psychiatric nurse? In this interpretative, phenomenological study, the lived experiences of seven veteran psychiatric nurses were examined in order to gain understanding of t...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1447-0349.2009.00651.x
更新日期:2010-04-01 00:00:00
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
更新日期:2018-04-01 00:00:00
abstract::The last decade has seen a substantial increase in the number of psychiatric or mental health nurses in Victoria, Australia who hold doctoral qualifications. The literature refers to the importance of scholarship for the professional development and recognition of nursing as a discipline. However, there is a paucity o...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1447-0349.2008.00543.x
更新日期:2008-08-01 00:00:00
abstract::Mental health nursing consistently emerges as less popular than other specialties, and both service users and mental health practitioners are affected by negative attitudes. Education is fundamental to attracting students to the field of mental health nursing. The aim of this study was to determine the impact of under...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/inm.12077
更新日期:2014-10-01 00:00:00
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
更新日期:2005-12-01 00:00:00
abstract::Preceptorship is a valuable strategy largely underestimated in its ability to influence nursing students' attitudes and beliefs about mental health nursing. As a model, it has the potential to influence nursing practice, enhance clinical learning, promote recruitment and retention, and generate a more collaborative ap...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1440-0979.2004.00338.x
更新日期:2004-12-01 00:00:00
abstract::One approach to manage people with behaviours of concern including agitated or aggressive behaviours in health care settings is through the use of fast-acting medication, called chemical restraint. Such management often needs to be delivered in crisis situations to patients who are at risk of harm to themselves or oth...
journal_title:International journal of mental health nursing
pub_type: 杂志文章,评审
doi:10.1111/inm.12654
更新日期:2020-04-01 00:00:00
abstract::This study seeks to identify some of the explanatory factors associated with the use of intrusive measures among children with mental health and developmental disabilities in psychiatric facilities. Intrusive intervention data were collected using an organizational database that was developed internally at a tertiary ...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1447-0349.2012.00831.x
更新日期:2013-02-01 00:00:00
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
更新日期:2010-06-01 00:00:00
abstract::Approximately 210 patients are admitted each year to the Western Australian State Forensic Mental Health Service, and most present with psychotic illness, along with other physical and mental comorbidities. In 2010, a healthy lifestyle programme, which included a formal exercise programme coordinated by an exercise ph...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1447-0349.2011.00787.x
更新日期:2012-06-01 00:00:00
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
更新日期:2019-08-01 00:00:00