Measuring emergency department nurses' attitudes towards deliberate self-harm using the Self-Harm Antipathy Scale
Measuring emergency department nurses' attitudes towards deliberate self-harm using the Self-Harm Antipathy Scale
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DOI：
10.1016/j.ienj.2010.08.001
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发表时间：
2012-01-01
影响因子：
1.8
通讯作者：
O'Tuathail, Claire
中科院分区：
文献类型：
--
作者：
Conlon, Mary;O'Tuathail, Claire
急诊科是治疗自残患者的重要门户。护士对自残患者的态度可能是消极的，护士常常会感到沮丧、无助、矛盾和反感。患者往往对所提供的护理不满意，积极或消极的态度极大地影响了他们是否寻求额外的帮助。采用定量设计来衡量急诊科护士对故意自残的态度。 “自残反感量表”是一份经过验证的问卷，对爱尔兰共和国四个急诊科的护士进行了随机抽样调查。共回收问卷 87 份（回复率为 87%）。结果显示，护士总体上表现出轻微的负面反感，表明对自残患者持积极态度。根据护士年龄的不同，态度也有显着差异。教育和社会判断也有助于护士看待、互动和做出有关自残患者的道德决定的方式。证据表明，需要改善护理自残患者的护士的培训、监督和支持，并且应实施切实可行的策略来管理疏离过程并为实践提供信息。 (C) 2010 Elsevier Ltd. 保留所有权利。
The emergency department is an important gateway for the treatment of self-harm patients. Nurses' attitudes towards patients who self-harm can be negative and often nurses experience frustration, helplessness, ambivalence and antipathy. Patients are often dissatisfied with the care provided, and meeting with positive or negative attitudes greatly influences whether they seek additional help.A quantitative design was utilised to measure emergency department nurses' attitudes towards deliberate self-harm. The 'Self-Harm Antipathy Scale', a validated questionnaire, was administered to a random sample of nurses in four emergency departments in the Republic of Ireland. A total of 87 questionnaires were returned (87% response rate). Results reveal that nurses show slightly negative antipathy overall, indicating positive attitudes towards self-harming patients. Attitudes were significantly different in accordance with a nurse's age. Education and social judgment also contribute to the way nurses view, interact and make moral decisions regarding self-harm patients.Evidence indicates there is need to improve the training, supervision and support of nurses caring for patients who self-harm, and that practical strategies should be implemented to manage the alienation process and inform practice. (C) 2010 Elsevier Ltd. All rights reserved.