@article{ref1,
title="Aggressive behaviour risk assessment tool for newly-admitted residents of long-term care homes",
journal="Journal of Advanced Nursing",
year="2016",
author="Kim, Son Chae and Young, Lori and Berry, Brigette",
volume="73",
number="7",
pages="1747-1756",
abstract="AIM: The aim of this study was to revise the 10-item Aggressive Behaviour Risk Assessment Tool for predicting aggressive events among residents newly admitted to long-term care homes. <br><br>BACKGROUND: The original tool had acceptable sensitivity and specificity for identifying potentially aggressive patients in acute care medical-surgical units, but its usefulness in long-term care homes is unknown. <br><br>DESIGN: A retrospective cohort study design was used. <br><br>METHODS: All residents admitted to 25 long-term care homes in western Canada were assessed for the risk of aggression using the original tool within 24 hours of admission from January 2014 - December 2014 (n = 724). Incident reports of aggressive events occurring within 30 days of admission were collected. Multiple logistic regression and receiver operating characteristics analyses were performed. <br><br>RESULTS: Fifty-three residents out of 724 exhibited aggressive behaviours. The demographic variable of age less than 85 years was found to be a positive predictor of aggressive events in multivariate logistic regression model and was added to the tool. The revised 6-item Aggressive Behaviour Risk Assessment Tool for Long-Term Care consists of one new item, age less than 85 years and five items from the original tool: History of physical aggression, physically aggressive/threatening, anxiety, confusion/cognitive impairment and threatening to leave. The receiver operating characteristics of the revised tool with weighted scoring showed a good discriminant ability with satisfactory sensitivity and specificity at the recommended cutoff score of 4. <br><br>CONCLUSION: The revised 6-item tool may be useful in identifying potentially aggressive residents newly admitted to long-term care homes. This article is protected by copyright. All rights reserved.<br><br>This article is protected by copyright. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0309-2402",
doi="10.1111/jan.13247",
url="http://dx.doi.org/10.1111/jan.13247"
}