Identify a baseline measure of the problem behaviour, including the frequency, duration, intensity and/or latency of the targeted
behaviours. The baseline data must be used as a standard to establish performance criteria and against which to evaluate intervention effectiveness
Overview of functional behavioral solution
Maintain therapeutic relationship between nurse and patient by inculcating positive values, attitudes and behavior to nurses
Increase involvement of patient in daily activities by proving task according to patient’s strength and interest and engaging them in meaningful activities
Encourage participation of students in recreational and relaxation activities to improve skills and reduce psychological distress (Milne, 2015).
Process of evaluation of functional behavioral solution
Assessment of therapeutic relation between nurse and patient by review of total number of conflicts cases between nurse and questioning patients regarding formation of trusting relationship with nurses (Evans, 2016).
Evaluation of benefits of patient’s involvement in daily activities by assessment of level of distress and aggression and scoring satisfaction with care (Halter, 2017).
Assessment of replacement strategies by observing improvement in social interaction of patient and self-esteem.
Evaluation in relation to ABC-FR pathway
The evaluation of each solution according to ABC-FR pathway can be done in the following ways:
For therapeutic relationship: Before (Patient is hurt and angry with nurse)-Behavior (Patient spends more time with nurse)- After (patient develops trusting relationship with nurse)
For involvement in daily life activities: Before (Patient is distressed and aggressive)-Behavior (patient takes part in entertaining activities)- After (distress and aggression level reduced)
For involvement in relaxation activities: Before (Patient is bored)- Behavior (Patient engage in cooking session): (boredom reduced and increase in social interaction) (Milne, 2015)
Evaluation in relation to Safewards model’s domain
Staff team: Impact of internal structure on outcome
Physical environment: Impact of outside environment on outcome
Outside hospital: Impact of family on outcome
Patient community: By judging interaction with other patient
Patient characteristics: By observing symptoms of depression
Regulatory framework: Influence of legal framework (Whitmore, 2017)
Data collection to demonstrate result
Improvement in depression score before and after the intervention represented in bar graph
Improvement in self-esteem and interest by self-esteem checklist
Benefits of relaxation activities represented by development of new skills in patient
Efficacy of the data
Efficacy of the data will be judged by:
Preciseness of psychological outcomes
Specificity of improvement in social skills
Complete detail regarding improvement in self-esteem (Halter, 2017)
Finding evidence for efficacy of the behavioral solution
Judging the impact of recreational activities on skill development in patient
Evaluating nurse-patient relationship by decrease in the number of conflict incidents.
Evans, E. C. (2016). Exploring the nuances of nurse-patient interaction through concept analysis: impact on patient satisfaction. Nursing science quarterly, 29(1), 62-70.
Halter, M. J. (2017). Varcarolis' Foundations of Psychiatric-Mental Health Nursing-E-Book: A Clinical Approach. Elsevier Health Sciences. Milne, D. (2015).
Training Behaviour Therapists (Psychology Revivals): Methods, Evaluation and Implementation with Parents, Nurses and Teachers. Routledge Whitmore, C. (2017).
Evaluation of Safewards in forensic mental health: a response. Mental Health Practice (2014+), 20(8), 26.