Disruptive Patient Evaluation

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The title of the article is “ Initial psychometric evaluation of the staff perception of the disruptive patient behavior scale”. I will discuss the mixed method approach by analyzing the article and discussing the significance, purpose, theoretical framework, study design, data and analysis, participant and setting selection including ethical consideration, conclusion, and implication for future practice.

Significance of the study in nursing or health care
Disruptive behavior of patient in an acute care setting is a common occurrences that effects safety of both patient and health care staff. According to the Joint Commission, there are three levels of disruptive patient behavior (DPB) namely: verbal or physical threat, words
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A mixed method approach was used to develop and psychometrically test the SPDPB. In Phase 1 qualitative survey was administered to 770 staff members, of which 70% of them were nurses. There were 4 initial questions namely; examples of DBP that was encountered, ways to eradicate DBP, most helpful response to the participant after DBP incident and lastly, what group is high risk for possible DBP. Qualitative descriptive method was used to come up with 3 major themes related to DBP: preventative approach to manage neuropsychiatric diseases, access to security staff as well as psychiatric consultation and skill advancement and staff support and guidelines development after an event. Sixty- six item were created from the theme and was reviewed by expert panel (Lipkis-Orlando et al., …show more content…
Yes. Ethical rigor was present in the study. Participants was given Id numbers and survey response was not linked to participants names or email addresses. Participating in the survey is voluntary (Lipkis-Orlando et al., 2016).

Are the conclusion and implication appropriate and clearly stated?
No, the conclusion was not clearly stated. However, the article states the result of the SPDPB survey assess staff perception of DBP and can be use to identify areas of concern in clinical, educational and leadership areas related to DBP. The new survey can be use to evaluate intervention and create benchmark in other areas in health care. The scale can be use to develop and guide policy in a health care organization with consideration of both staff members and patient rights (Lipkis-Orlando et al., 2016).

Yes, the implication for future practice was stated by expanding the use of the survey tool with other health care providers, patients, and their family. The scale can also be used to monitor efficiency of the intervention with patients, staff, and their care environment within the three frameworks (Lipkis-Orlando et al., 2016).

Are suggestions for future research

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