A1 Refereed original research article in a scientific journal

Co‐Design in the Adaptation of a Clinical Decision Support System to Aid Violence Risk Assessment and Management: A Case Study



Authors: Anttila, Minna J.; Ameel, Maria K.; Rautiainen, Tinja; Anttila, Jenni; Maguire, Tessa; Daffern, Michael; Lantta, Tella

Publisher: Wiley-Blackwell

Publication year: 2025

Journal:: Journal of Psychiatric and Mental Health Nursing

Article number: jpm.70023

ISSN: 1351-0126

eISSN: 1365-2850

DOI: https://doi.org/10.1111/jpm.70023

Web address : https://doi.org/10.1111/jpm.70023

Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/500039570


Abstract
Introduction

The electronic application of a clinical decision support system (CDSS) conjoining the Dynamic Appraisal of Situational Aggression and the Aggression Prevention Protocol has been shown to be effective in reducing coercion and workplace violence in forensic settings in Australia. However, there is currently a lack of knowledge on the successful implementation of CDSSs across different cultural environments.

Aim

To describe the use of co-design in the adaptation of a CDSS, the eDASA+APP-FI in Finland.

Method

This qualitative case study followed a co-design framework involving a variety of methods, including analysing project data, rapid ethnography, and analysing the notes from co-design workshops.

Results

The adaptation of the CDSS into the local context included changes to the training programme and in the frequency of use of the CDSS, as well as linguistic adjustment.

Discussion

The co-design framework was valuable in identifying adaptation needs and in providing a sense of ownership among staff and consumers.

Limitations

Co-design can be time-consuming in clinical environments.

Implications

The results emphasise the importance of co-design in the identification of adaptation needs as part of the implementation process of a CDSS.

Recommendations

Co-design can be used as a framework when aiming to create a feasible CDSS.


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Funding information in the publication: 
This work is done under the project ‘eDASA APP FI’, funded by the Finnish Work Environment Fund (210324) and the Finnish Nursing Education Foundation sr and by the Nursing Research Center of Helsinki University Hospital.


Last updated on 2025-15-10 at 15:28