Evaluating STORM skills training for managing people at risk of suicide
Evaluating STORM skills training for managing people at risk of suicide
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DOI：
10.1111/j.1365-2648.2006.03875.x
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发表时间：
2006-06-01
影响因子：
3.8
通讯作者：
Green, Gillian
中科院分区：
文献类型：
--
作者：
Gask, Linda;Dixon, Clare;Green, Gillian
瞄准本文报告了一项研究，评估风险管理技能培训（STORM）培训计划在英格兰西北部的三个精神卫生服务，英国。背景。对卫生工作者的培训已被广泛提倡为预防自杀的关键途径。然而，文献中的评价报告很少。在以前的研究中，我们已经证明，风暴干预的结果，在收购新的技能，并可以在社区setting. Method传播。2002年，三名心理健康护士在六个月的时间里提供了培训，她们是临时借调到该项目的。定量评价评估态度、信心、技能掌握和满意度的变化，采用了前测/后测设计，参与者作为自己的对照。定性访谈进行了一个有目的的样本16名参与者，以探讨对临床实践的影响，并在研究结束时与三名培训师。在6个月期间收集了458名工作人员的数据。积极的态度和信心的变化，但以前的证据的技能获得没有被复制。定性访谈揭示了重要的见解，在临床实践中的变化，特别是经验不足或不合格的护理人员，但也关注缺乏教育文化，以促进和支持这种干预措施在实践中的组织。STORM培训用于评估和管理自杀风险在心理健康信托中是可行和可接受的。然而，考虑到企业缺乏高级员工的参与，以及组织管理层缺乏相关的监督和支持来加强技能获取和发展，我们仍然不确定其长期影响。我们认为，将STORM培训与实际临床经验联系起来的定期监督是理想的。
Aim. This paper reports a study evaluating the Skills Training On Risk Management (STORM) training initiative in three mental health services in the North-West of England, UK.Background. Training for health workers has been widely advocated as a key route to suicide prevention. However, reports of evaluations are scarce in the literature. In previous research, we have demonstrated that the STORM intervention results in acquisition of new skills and can be disseminated in a community setting.Method. The training was delivered during a 6-month period in 2002 by three mental health nurses who were seconded part-time to the project. The quantitative evaluation, which assessed change in attitudes, confidence, acquisition of skills and satisfaction, used a pretest/post-test design, with participants acting as their own controls. Qualitative interviews were conducted with a purposive sample of 16 participants to explore the impact on clinical practice, and with the three trainers at the end of the study.Findings. Data from 458 staff members were collected during a 6-month period. Positive changes in attitudes and confidence were shown, but previous evidence of skill acquisition was not replicated. Qualitative interviews revealed important insights into changes in clinical practice, particularly for less experienced or unqualified nursing staff, but also concerns about the lack of an educational culture to foster and support such interventions in practice within the organizations.Conclusion. STORM training for the assessment and management of suicide risk is both feasible and acceptable in mental health trusts. However, we remain uncertain of its longer-term impact, given the lack of engagement of senior staff in the enterprise and the absence of linked supervision and support from the organizational management to reinforce skill acquisition and development. We consider that regular supervision that links STORM training to actual clinical experience would be the ideal.