Developing Entrustable Professional Activities to Enhance Application of an Aggression Prevention Protocol

aut.relation.articlenumber103827
aut.relation.journalNurse Educ Pract
aut.relation.startpage103827
aut.relation.volume73
dc.contributor.authorMaguire, Tessa
dc.contributor.authorWilletts, Georgina
dc.contributor.authorMcKenna, Brian
dc.contributor.authorDaffern, Michael
dc.contributor.authorGarvey, Loretta
dc.date.accessioned2023-11-20T22:58:57Z
dc.date.available2023-11-20T22:58:57Z
dc.date.issued2023-11-05
dc.description.abstractAIM: The research aim of this study was to seek feedback from prevention of aggression training experts about the suitability of Entrustable Professional Activities (EPAs) as an assessment tool for an Aggression Prevention Protocol. The protocol was designed to structure intervention to prevent aggression and reduce the use of restrictive practices following risk assessment using a validated instrument (the Dynamic Appraisal of Situational Aggression). BACKGROUND: Preventing aggression and limiting the use of restrictive practices are key priorities for inpatient mental health services. Assessing clinical activities using a competence framework has limitations, particularly when determining complex interventions. EPAs could provide a suitable method for assessing complex clinical activities like de-escalation and limit setting, which comprise some of the interventions in the Aggression Prevention Protocol. EPAs are new to forensic mental health nursing; therefore, feedback was sought regarding the utility of EPAs to assess aggression prevention interventions. METHODS: Data were collected via focus groups including 11 aggression prevention experts from Australia and New Zealand. A thematic analysis, comparative analysis and a Strength, Weakness, Opportunity and Threats analysis was conducted. RESULTS: Three themes were interpreted from the data: 1) Frameworks such as the APP are needed to work towards elimination of restrictive practices; 2) APP-EPAs afford an opportunity to set the standard for practice; and 3) 'who watches the watchers', were identified by the experts as well as areas to enhance EPAs prior to introduction into practice. CONCLUSIONS: EPAs address a practice-gap and offer a framework to assist movement towards elimination of restrictive practices, while prompting best-practice, self-reflection and practice improvement guidance.
dc.identifier.citationNurse Educ Pract, ISSN: 1471-5953 (Print); 1873-5223 (Online), Elsevier BV, 73, 103827-. doi: 10.1016/j.nepr.2023.103827
dc.identifier.doi10.1016/j.nepr.2023.103827
dc.identifier.issn1471-5953
dc.identifier.issn1873-5223
dc.identifier.urihttp://hdl.handle.net/10292/16970
dc.languageeng
dc.publisherElsevier BV
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S1471595323002895
dc.rights© 2023 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
dc.rights.accessrightsOpenAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectEntrustment
dc.subjectIntervention
dc.subjectMental health nursing
dc.subjectPsychiatric nursing
dc.subjectRestrictive practices
dc.subjectRisk assessment
dc.subject4203 Health Services and Systems
dc.subject4205 Nursing
dc.subject42 Health Sciences
dc.subjectClinical Research
dc.subjectViolence Research
dc.subjectPrevention
dc.subjectMental Health
dc.subjectMental health
dc.subject3 Good Health and Well Being
dc.subject1110 Nursing
dc.subject1302 Curriculum and Pedagogy
dc.subjectNursing
dc.subject3901 Curriculum and pedagogy
dc.subject4204 Midwifery
dc.subject4205 Nursing
dc.titleDeveloping Entrustable Professional Activities to Enhance Application of an Aggression Prevention Protocol
dc.typeJournal Article
pubs.elements-id529301
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