TY  - JOUR
PY  - 2016//
TI  - Aggressive behaviour risk assessment tool for newly-admitted residents of long-term care homes
JO  - Journal of Advanced Nursing
A1  - Kim, Son Chae
A1  - Young, Lori
A1  - Berry, Brigette
SP  - 1747
EP  - 1756
VL  - 73
IS  - 7
N2  - 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>
LA  - en
SN  - 0309-2402
UR  - http://dx.doi.org/10.1111/jan.13247
ID  - ref1
ER  -