Dissertation
Inpatient aggression assessment in pediatric psychiatric settings
Doctor of Nursing Practice (D.N.P.), Drexel University
Jun 2021
DOI:
https://doi.org/10.17918/00001527
Abstract
Patient's aggression in psychiatric settings is widespread. The Dynamic Appraisal of Situational Aggression -Youth Version (DASA-YV) is a validated scale used to appraise patient at risk of imminent aggression. The purpose of the Quality Improvement project was to determine if the use of the DASA-YV, compared with clinical judgment alone, help nurses identify patients and subsequently intervene. The setting is adjoining child and adolescent psychiatric units at an urban children's hospital. The Doctor of Nursing Practice Student Project Leader educated and trained nurses on the scale's purpose, how to score and interpret, and use the final rating to select interventions. Nurses were given a pre and post-test after education and training to assess knowledge of the scale and evaluate learning. The Model of Improvement implemented through a Plan-Do-Study-Act (PDSA) cycle was used as the framework. Nurses provided feedback and completed a post-project, nine-item survey questionnaire, measured on a 5-point Likert scale, ranging from Strongly Disagree (1) to Strongly Agree (5) that described nurses' level of agreement on the helpfulness of the DASA-YV. Demographic data, on each nurse participant, was collected. The results showed majority of nurses (n=4) agreed that the DASA-YV helped them better identify patient at risk of aggressive behavior and with selection of interventions, but 50% were neutral on the DASA-YV predicts aggressive behavior greater than clinical judgment alone. The DASA-YV is an easy scale to use as an adjunct to Psychiatric Nurses' clinical judgment in assessing patients at imminent risk of aggressive behavior.
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Details
- Title
- Inpatient aggression assessment in pediatric psychiatric settings
- Creators
- Vera Garnett
- Contributors
- Patti Rager Zuzelo (DNP Chair)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 51 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 991020220769804721