Predictors of A&E staff attitudes to self-harm patients who use self-laceration: Influence of previous training and experience
Predictors of A&E staff attitudes to self-harm patients who use self-laceration: Influence of previous training and experience
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DOI：
10.1016/j.jpsychores.2005.07.007
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发表时间：
2006-03-01
影响因子：
4.7
通讯作者：
Mitchell, AJ
中科院分区：
文献类型：
--
作者：
Friedman, T;Newton, C;Mitchell, AJ
目的：本研究的目的是调查事故和急救 (A&E) 工作人员对撕裂伤自残患者的态度。方法：我们使用焦点小组方法制定了一份调查问卷。调查问卷已分发给 117 名急症室工作人员。结果： 53.8% 的员工做出了回应。工作人员认为自伤是一个重要问题，但感觉在管理患者方面不熟练。工作人员不确定自伤与精神疾病和自杀风险之间的关系。他们之前几乎没有接受过处理这种情况的培训。在那些没有接受过培训的工作人员中，在急症室工作的时间越长，与对患者的愤怒程度越高以及不将患者视为精神病患者的倾向相关。急症室工作人员热衷于进一步培训，并希望更多的患者接受专业心理健康服务。结论：这项研究强调需要加强急症室员工培训。尽管我们在该领域拥有丰富的经验，但我们发现一些员工态度无益的证据。对于之前没有接受过 DSH 培训的高级工作人员来说尤其如此，他们作为一个群体，对这组患者不太同情。卫生专业人员的不利态度可能会对使用自伤以及其他自残方法的 DSH 患者提供的临床护理质量产生不利影响。 (c) 2006 Elsevier Inc. 保留所有权利。
Objective: The aim of this Study was to investigate the attitudes of accident and emergency (A&E) staff towards patients who self-harm through laceration. Methods: We developed a questionnaire using focus group methodology. Questionnaires were distributed to 117 A&E staff members. Results: Of the staff, 53.8% responded. The staff believed that self-laceration was an important problem but felt unskilled in managing patients. The staff were unsure of the relationship between self-laceration and both mental illness and risk of suicide. They had previously received little training in managing this condition. In those staff Without previous training, a longer period working in A&E was Correlated with higher levels of anger towards patients and an inclination not to view patients as mentally ill. A&E staff were keen for further training and wanted a higher proportion of patients to be seen by specialist mental health services. Conclusions: This study highlights the need for greater staff training in A&E. Despite considerable experience in the field, we found evidence for unhelpful attitudes amongst some staff. This is particularly true for more senior staff without previous DSH training, who, as a group, were less sympathetic to this group of patients. Unfavourable attitudes of health professionals are likely to adversely influence the quality of clinical care delivered to DSH patients who use self-laceration as well as those who use other methods of self-harm. (c) 2006 Elsevier Inc. All rights reserved.