- research proposal ( with clear instructions and steps what to follow and cover the proposal will be 550 words) excluding appendices (assessment 1)2. a 3 minutes presentation (assessment 2) questions to be answered are given in the assessment
3. projects output 1200 words ( assessment 3)
the topic I am thinking of is ( what are the most effective nursing intervention in managing aggressive and violent behaviour in mental health settings ( still to ask my lecturer for the approval of the topic)
for example, I will need to choose three interventions and base the project on them
any suggestions on the topics?
The Most Effective Nursing Interventions in Managing Patients’ Aggressive Behavior in Mental Health Settings: a Rapid Review
Review Aim/Objective: The objective of this review is to assess three effective nursing interventions in managing patients’ aggressive behavior in mental health settings.
Specifically, the question for this review will be “what are some of the most effective nursing interventions in managing patients’ aggressive behavior in mental health settings?”
Background/Project Context
Aggression and violence is common in mental health settings (Dickens, O’Shea, & Christensen, 2020). About 25% of nurses in mental health settings in public sector hospitals experience violent incidents of violence that lead to injury yearly (Shah et al., 2016). Firstly, Gaynes et al. (2017) used available evidence to support the efficacy of two types of de-escalating strategies, risk assessment, and multimodal interventions, to prevent aggressive behavior among psychiatric patients in mental health settings. Secondly, Booth et al. (2017) revealed the efficacy of health training programmes for professionals in contact with mentally ill patients. Finally, one-to-one engagement with a nurse through nurse-patient therapeutic engagement could also help to improve care for mentally ill patients (Hartley et al., 2020).
Project Design
Intervention(s)/phenomena of interest
The current review will consider articles that evaluate effective nursing interventions in managing patients’ aggressive behavior in mental health settings (of any strength, 0.2, 0.3, and 0.5 %).
Comparator/Control: restraint and seclusion
Types of Articles
The study will use systematic reviews on effective nursing interventions in managing patients’ aggressive behavior in mental health settings. The studies are selected based on the information they contain relating to the topic.
Types of Participants
The study will include adult patients who display violent or aggressive habits and are undergoing clinical observation or treatment in mental health settings and their nurses.
Types of Interventions
The studies were included in the study if they included one or more of the interventions that mental health nurses can use in preventing, reducing, or managing aggressive behavior among their patients. Some examples of the interventions included de-escalating strategies, such as risk assessment and multimodal interventions, aggression management training, and one-to-one engagement with a nurse.
Types of Outcome Measures
The current review will consider studies that include the following outcomes:
Primary outcome: Achievement of prevention of aggressive behavior in mental health patients using identified nursing interventions.
Secondary outcome: De-escalation of aggressive behavior among mental health patients using techniques, such as multimodal intervention.
Search Strategy
The study will locate scholarly articles from online databases, such as MEDLINE and CINAH (as illustrated in Appendix B). A search of grey literature will also be conducted via Google Scholar. The articles should be 2015-2020, peer-reviewed and scholarly, as well as published in English.
Methods of Review
Appendix C is AMSTAR, developed to evaluate systematic reviews to support the validity of the methodology (Shea et al., 2017).
Data Extraction
A customized data extraction tool (as illustrated in Appendix D) will be used to extract data for the study.
Data Synthesis
The findings from the data analysis and literature review will be presented in narratives in the results and discussion sections.
Expected Outcomes and Feasibility
The study is expected to provide evidence of the effectiveness of nursing interventions that address aggressive and violent behavior among patients in mental settings. Following approval, it is easy to conduct a rapid review because it will be based on available evidence.
References
Booth, A., Scantlebury, A., Hughes-Morley, A., Mitchell, N., Wright, K., Scott, W., & McDaid, C. (2017). Mental health training programmes for non-mental health trained professionals coming into contact with people with mental ill health: A systematic review of effectiveness. BMC psychiatry, 17(1), 196. doi:10.1186/s12888-017-1356-5
Dickens, G. L., O’Shea, L. E., & Christensen, M. (2020). Structured assessments for imminent aggression in mental health and correctional settings: Systematic review and meta-analysis. International journal of nursing studies, 104, 103526. doi:10.1016/j.ijnurstu.2020.103526
Gaynes, B. N., Brown, C. L., Lux, L. J., Brownley, K. A., Van Dorn, R. A., Edlund, M. J., … & Viswanathan, M. (2017). Preventing and de-escalating aggressive behavior among adult psychiatric patients: A systematic review of the evidence. Psychiatric services, 68(8), 819-831. doi:10.1176/appi.ps.201600314.
Hartley, S., Raphael, J., Lovell, K., & Berry, K. (2020). Effective nurse–patient relationships in mental health care: A systematic review of interventions to improve the therapeutic alliance. International Journal of Nursing Studies, 102, 103490. doi:10.1016/j.ijnurstu.2019.103490
McAllister, S., Robert, G., Tsianakas, V., & McCrae, N. (2019). Conceptualising nurse-patient therapeutic engagement on acute mental health wards: An integrative review. International journal of nursing studies, 93, 106-118. doi:10.1016/j.ijnurstu.2019.02.013
Shah, L., Annamalai, J., Aye, S. N., Xie, H., Ng, W., Shah, A., & Manickam, M. (2016). Key components and strategies utilized by nurses for de-escalation of aggression in psychiatric in-patients: a systematic review protocol. JBI Evidence Synthesis, 14(12), 109-118. doi:10.11124/JBISRIR-2016-003219.
Shea, B. J., Reeves, B. C., Wells, G., Thuku, M., Hamel, C., Moran, J., … & Henry, D. A. (2017). AMSTAR 2: A critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. bmj, 358, j4008. doi:10.1136/bmj.j4008
Appendices
Appendix A: Suggested Time Frame
| Date (Start) | 12/8/2020 | 13/8/2020 | 15/8/2020 | 19/8/2020 | 22/8/2020 | 28/8/2020 |
| Date (Stop) | 13/8/2020 | 14/8/2020 | 17/8/2020 | 20/8/2020 | 27/8/2020 | 28/8/2020 |
| Task | Generate research question (PICO) | Conduct feasibility and eligibility analysis | Conduct literature search and review | Extract data | Analyze and interpret the outcomes | Submit final proposal |
Appendix B: Search Strategies
Google Search and PubMed:
Key words: nursing interventions, violent/aggressive behavior, managing/preventing/minimizing aggression/violence
From 2015-2020
Appendix C: Critical Appraisal Too for Systematic Reviews
JBI Critical Appraisal Checklist for Systematic Reviews
Reviewer Date
Author Year Record Number
| Yes | No | Unclear | ||
| 1. | Is the review question clearly and explicitly stated? | |||
| 2. | Were the inclusion criteria appropriate for the review question? | |||
| 3. | Were the sources of studies adequate? | |||
| 4. | Were the sources and resources used to search for studies adequate? | |||
| 5. | Were the criteria for appraising studies appropriate? | |||
| 6. | Was critical appraisal conducted by two or more reviewers independently? | |||
| 7. | Were there methods used to minimise error in data extraction? | |||
| 8. | Were the methods used to combine studies appropriate? | |||
| 9. | Was the likelihood of publication bias addressed? | |||
| 10. | Were the recommendations for policy and/or practice supported by the reported data? | |||
| 11. | Were the specific directives for new research appropriate? |
Overall appraisal: Include Exclude Seek further info
Comments (Including reasons for exclusion)
Appendix D: Data Extraction Form
| Name | Intervention | Population Sample | Data Collection Methodology | Outcome |
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