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An integrative Literature Review in the Journal of Nursing Administration reported that "[Response Teams] reduced security calls, restraint use, & staff injuries while improving staff knowledge and self-efficacy" (Choi et al, 2019).
A study in the Colorado Journal of Psychiatry and Psychology stated that through the use of BRTs "data demonstrated a reduction in the use of restraints over time" (Nicoli et al, 2019).
In the STT International Journal on Evidence-Based Nursing in 2017 Authors explored that "An evidence-based BERT (Behavioral Emergency Response Team) can improve patient and staff safety by decreasing assaults and injuries, restraint use, and security calls" (Zicko et al, 2017).
In a 2020 pilot study published in the Autism Research Journal, authors reported that "incorporating specialized ABA-based intervention during hospitalization may be feasible and well accepted by clinicians and families" (Sanders et al, 2020).
is a science that involves applying interventions to change socially significant behavior
How behavior works.
How behavior is affected by the environment.
Applies our understanding of how behavior works to real situations.
THE GOAL: Increase desired behavior and decreased behaviors that are harmful or affect learning.
How learning takes place.
A Board Certified Behavior Analyst assesses a patient, determines their needs and develops a plan for behavior modification.
https://www.youtube.com/watch?reload=9&v=JA96Fba-WHk&feature=emb_title
Reduce external stimuli.
First this, then that.
Be a thermostat, not a thermometer.
Recruit the parents!
Learn basic sign language.
Finally, continue to learn...
https://www.youtube.com/watch?v=dKCdV20zLMs
https://www.youtube.com/watch?v=-4drTQsSLXg
What challenges can you see for patient care?
What would you do as a nurse?
How do you think the parents feel?
How would you go about supporting this family during the admission process?
What would you do to make the patient's experience easier moving forward? (Think about report/ chart)
Applied Behavioral Analysis Program. (2020, September 10). 5 Job Settings for Applied Behavior Analysts. Applied Behavior Analysis Programs Guide. https://www.appliedbehavioranalysisprograms.com/lists/5-job-settings-for-applied-behavior-analysts/.
Autism Speaks. (2020). Autism Response Team (ART). Autism Speaks. https://www.autismspeaks.org/autism-response-team-art.
Choi, K. R., Omery, A. K., & Watkins, A. M. (2019). An Integrative Literature Review of Psychiatric Rapid Response Teams and Their Implementation for De-escalating Behavioral Crises in Nonpsychiatric Hospital Settings. JONA: The Journal of Nursing Administration, 49(6), 297–302. https://doi.org/10.1097/nna.0000000000000756
McNeil, C. B., Quetsch, L. B., & Anderson, C. M. (2019). Handbook of Parent-Child Interaction Therapy for Children on the Autism Spectrum. Springer International Publishing.
Nicoli, D., Carubia, B., & Penner, A. (2019). Behavioral Assistance Response Team Effectively Provides De-Escalation and Aggression Management at Large Tertiary Children’s Hospital. Colorado Journal of Psychiatry and Psychology, 3(1), 5–9.
Sanders, K., Staubitz, J., Juárez, A. P., Marler, S., Browning, W., Mcdonnell, E., … Warren, Z. (2020). Addressing Challenging Behavior During Hospitalizations for Children with Autism: A Pilot Applied Behavior Analysis Randomized Controlled Trial. Autism Research, 13(7), 1072–1078. https://doi.org/10.1002/aur.2308
Zicko, C. J. M., Schroeder, L. R. A., Byers, C. W. S., Taylor, L. A. M., & Spence, C. D. L. (2017). Behavioral Emergency Response Team: Implementation Improves Patient Safety, Staff Safety, and Staff Collaboration. Worldviews on Evidence-Based Nursing, 14(5), 377–384. https://doi.org/10.1111/wvn.12225
https://www.youtube.com/watch?reload=9&v=JA96Fba-WHk&feature=emb_title
https://www.youtube.com/watch?v=DgDR_gYk_a8
https://www.youtube.com/watch?v=dKCdV20zLMs
https://www.youtube.com/watch?v=-4drTQsSLXg