More Effective Violence Risk Management - eDASA+APP FI

Violence Clinical Trial

— eDASA+APP FI  

Official title:

More Effective Violence Risk Management for Psychiatric Wards - eDASA+APP FI

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06342531
• Other study ID #: 210324
• Status: Not yet recruiting
• Phase: N/A
• Start date: May 2024
• Est. completion date: December 2026

Study information

• Verified date: March 2024
• Source: University of Turku
• Contact: Tella Lantta, PhD
• Phone: +358504756068
• Email: tella.lantta[@]utu.fi
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Description:

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).

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 26
• Est. completion date: December 2026
• Est. primary completion date: December 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• adult psychiatric wards

Exclusion Criteria:

• psychiatric wards specialized only for the care of people with intellectual disabilities, wards providing care for both adults and underaged patients (eating disorder units)

Related Conditions & MeSH terms

• Violence

Intervention

Behavioral:
• eDASA+APP FI
A CDSS for nurses to assist in their daily short-term violence risk assessment and management, is integrated into an EPIC-based EHR system.

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
University of Turku	Helsinki University Central Hospital

References & Publications (1)

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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Workplace violence	Violence experienced by healthcare staff in the wards, routinely collected data	Pre-post (3 months)
Secondary	Coercive measures	Routinely monitored and collected by the wards according to the Finnish Mental Health Act	Pre-post (3 months)
Secondary	Job satisfaction	Nurses yearly job satisfaction survey will be used (Nurse Engagement Survey (NESplus))	Pre-post (3 months)