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The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
Published on: July 4, 2013
Implementation of the dynamic appraisal of situational aggression in inpatient mental health
Alina Amunrud1, Pamela Bjorklund1
1Department of Graduate Nursing, The College of St. Scholastica, Duluth, Minnesota, USA.
Purpose:
To implement structured violence risk assessment (VRA) using the Dynamic Appraisal of Situational Aggression (DASA) on a 25-bed, adult, inpatient psychiatric unit.
Design And Methods:
Inpatient DASA screening for 13 weeks with nursing communication orders (NCOs) to highlight patients at high risk for violence. Pre/posttests measured registered nurse (RN) knowledge and perceptions of the DASA.
Findings:
DASA completion rate equaled 81.8% with an NCO issue rate of only 32.8%. RN perceptions of the DASA were positive, and knowledge of structured violence risk assessment increased.
Practice Implications:
Structured violence risk assessment with the DASA is feasible and well-accepted on psychiatric units.
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