Deliberate self-harm: emergency department nurses' attitudes, triage and care intentions
Deliberate self-harm: emergency department nurses' attitudes, triage and care intentions
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DOI：
10.1111/j.1365-2702.2006.01555.x
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发表时间：
2007-09-01
影响因子：
4.2
通讯作者：
Harvey, Isabel
中科院分区：
文献类型：
--
作者：
McCann, Terence V.;Clark, Eileen;Harvey, Isabel
目的和目标。本研究探讨急诊科护士对有自我伤害行为病患之态度。它检查他们的态度，分流和护理决定，病人谁自我伤害。急诊科护士有时表现出冷漠的态度，对病人谁目前与自我伤害，这些可能会导致难以评估和提供适当的照顾。使用了修改后的自杀意见问卷。来自澳大利亚一家大型医院的43名急诊科护士参加了这项研究。使用SPSS软件对数据进行分析。大多数护士没有接受过护理自我伤害患者的教育准备;超过20%的人声称，该部门要么没有故意自我伤害的实践指南，要么他们不知道它们的存在，三分之一知道它们的人没有读过它们。总体而言，护士对自我伤害的患者，包括专业和奠定故意自我伤害的概念化的同情态度。他们在分诊和护理决策中没有歧视这组患者。这项探索性研究的结果很重要，因为态度会影响护理决策。建议提高急诊科护士的教育准备，提高认识和实践指南的实施，并改善对故意自残患者的态度。需要进一步的研究来证实这些结果。
Aims and objectives. This exploratory study investigates emergency department nurses' attitudes towards patients who engage in deliberate self-harm. It examines their attitudes towards, and triage and care decisions with, patients who self-harm.Background. Emergency department nurses sometimes show unsympathetic attitudes towards patients who present with self-harm and these can contribute to difficulties in assessing and providing appropriate care.Design. A modified version of the Suicide Opinion Questionnaire was used. A non-probability sample of 43 emergency department nurses from a large Australian hospital participated in the study. Data were analysed using SPSS.Results. Most nurses had received no educational preparation to care for patients with self-harm; over 20% claimed that the department either had no practice guidelines for deliberate self-harm or they did not know of their existence and one-third who knew of them had not read them. Overall, nurses had sympathetic attitudes towards patients who self-harm, including both professional and lay conceptualizations of deliberate self-harm. They did not discriminate against this group of patients in their triage and care decisions.Conclusions. The findings of this exploratory study are important because attitudes can affect care decisions. Recommendations are made for improving the educational preparation of emergency department nurses, for improving awareness and implementation of practice guidelines, and for improving attitudes towards patients with deliberate self-harm. Further research is needed to confirm these results.