More Effective Violence Risk Management - eDASA+APP FI

Not Applicable

Active, not recruiting

• Conditions: Violence
• Interventions: Behavioral: eDASA+APP FI

• Registration Number: NCT06342531
• Lead Sponsor: University of Turku

Brief 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.

Detailed 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).

Study Timeline

• Study First Submitted: 2024-03-26
• Study First Submitted QC: 2024-03-26
• Study First Posted: 2024-04-02
• Study Start: 2024-06-01
• Primary Completion: 2024-12-01
• Status Verified: 2025-04
• Last Update Submitted: 2025-04-02
• Last Update Posted: 2025-04-06
• Study Completion: 2026-12

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 26

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)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
eDASA+APP FI	eDASA+APP FI	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.

Primary Outcome Measures

Name	Time	Method
Workplace violence	Pre-post (3 months)	Violence experienced by healthcare staff in the wards, routinely collected data

Secondary Outcome Measures

Name	Time	Method
Coercive measures	Pre-post (3 months)	Routinely monitored and collected by the wards according to the Finnish Mental Health Act
Job satisfaction	Pre-post (3 months)	Nurses yearly job satisfaction survey will be used (Nurse Engagement Survey (NESplus))

Trial Locations

Locations (1)

HUS University Hospital; 🇫🇮 Helsinki, Finland