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The Capital Region of Denmark - a part of Copenhagen University Hospital
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The Aggression Observation Short Form identified episodes not reported on the Staff Observation Aggression Scale--Revised

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Introduction
In this presentation the result from our study will be presented. The study is published in: Hvidhjelm J, Sestoft D, Bjørner JB. The aggression observation short form identified episodes not reported on the staff observation aggression scale-revised. Issues Ment Health Nurs 2014;35(6):464-9.

Objective
To evaluate the underreporting of violence and aggression on the Staff Observation Aggression scale-Revised (SOAS-R) when compared to a simpler assessment: the Aggression Observation Short-Form (AOS).

Method
During a period of 1 year, 2 open and 2 closed wards gathered data on both the SOAS-R and the AOS for all of their patients. The 22-item SOAS-R is to be filled out after each violent episode. The 3-item AOS is to be filled out during each shift and should also record the absence of violence.

Results
The SOAS-R registered 703 incidents and the AOS registered 1,281 incidents. The agreement between the SOAS-R and the AOS was good (kappa = 0.65, 95% CI=0.62-0.67). Among the 1,281 AOS episodes, 51% were also registered on the SOAS-R. For the 176 AOS episodes with harm, 42% were also registered on the SOAS-R. We found 44% missing registrations on the AOS, primarily for open wards and for patients with short admission lengths.

Conclusion
Standard instruments such as the SOAS-R underreport aggressive episodes by 45% or more. Underreporting can be reduced by introducing shorter instruments, but it cannot be completely eliminated.
Original languageEnglish
Publication date26 Oct 2016
Number of pages1
Publication statusPublished - 26 Oct 2016
EventViolence in the Health Sector: Broadening our view - responding together - Crowne Plaza Dublin Airport, Dublin, Ireland
Duration: 26 Oct 201628 Oct 2016
Conference number: 5

Conference

ConferenceViolence in the Health Sector
Number5
LocationCrowne Plaza Dublin Airport
CountryIreland
CityDublin
Period26/10/201628/10/2016

Event

Violence in the Health Sector: Broadening our view - responding together

26/10/201628/10/2016

Dublin, Ireland

Event: Conference

ID: 56526272