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| Name | Class |
|---|---|
| Helsinki University Central Hospital | OTHER |
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The main goal of this study is to evaluate if the Finnish version of eDASA+APP (electronic Dynamic Appraisal of Situational Aggression + Aggression Prevention Protocol), a clinical decision support system (CDSS), has an impact on reducing workplace violence, use of coercive measures and increasing nurses' job satisfaction in adult psychiatric inpatient care.
The study includes three phases: 1) exploring attitudes of nurses and nurse managers towards validated tools, violence risk assessment and management, 2) a pre-implementation including a co-design process of the eDASA+APP to ensure optimal integration and adaptation to local context and integration into the local EPIC based EHR system together with relevant stakeholders (health care staff and expert-by-experience), and 3) a quasi-experimental implementation study to evaluate the impact of the intervention (eDASA+APP FI).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| eDASA+APP FI | Experimental | Nurses in the study wards are using a CDSS 'eDASA+APP FI' in their daily clinical work to aid their short-term violence risk assessment and management, together with a patient if possible, to identify patients at elevated risk for violence in the coming 24 hours and to decrease (or maintain low) the risk with evidence-based, non-invasive nursing interventions. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| eDASA+APP FI | Behavioral | A CDSS for nurses to assist in their daily short-term violence risk assessment and management, is integrated into an EPIC-based EHR system. |
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| Measure | Description | Time Frame |
|---|---|---|
| Workplace violence | Violence experienced by healthcare staff in the wards, routinely collected data | Pre-post (3 months) |
| Measure | Description | Time Frame |
|---|---|---|
| Coercive measures | Routinely monitored and collected by the wards according to the Finnish Mental Health Act | Pre-post (3 months) |
| Job satisfaction | Nurses yearly job satisfaction survey will be used (Nurse Engagement Survey (NESplus)) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Tella Lantta, PhD | Department of Nursing Science, University of Turku, Finland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| HUS University Hospital | Helsinki | Finland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33993715 | Background | Griffith JJ, Meyer D, Maguire T, Ogloff JRP, Daffern M. A Clinical Decision Support System to Prevent Aggression and Reduce Restrictive Practices in a Forensic Mental Health Service. Psychiatr Serv. 2021 Aug 1;72(8):885-890. doi: 10.1176/appi.ps.202000315. Epub 2021 May 17. |
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A pre-post design (quasi-experimental), a cluster design
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| Pre-post (3 months) |