How, Why and When: Nursing Staff's Experiences of Working With Suicide Risk Assessment Instruments.

IF 2 4区 医学 Q2 NURSING Nursing Open Pub Date : 2024-11-01 DOI:10.1002/nop2.70068
Rikard Wärdig, Isabella Wallerstedt, Anna Mattison Nyström, Sally Hultsjö
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Abstract

Aims and objectives: To describe psychiatric nursing staff´s experiences of working with suicide risk assessment instruments.

Background: Around the world, approximately 720,000 people die by suicide each year, of which almost 20% have an ongoing contact with specialist psychiatry during their last month alive. To identify which patients have an increased risk of suicide is a highly important task for nursing staff. Suicidal behaviour is complex and unpredictable. Nursing staff work closely with patients in everyday psychiatric care and often possess unique patient knowledge. These professionals must therefore be able to know when a patient's eventual suicidality requires further attention and efforts.

Design: A descriptive qualitative study.

Methods: Convenience sampling including nursing staff with more than 2 years of experience in specialist psychiatry. The data collection took place through semi-structured interviews and was then analysed according to conventional content analysis.

Results: The nursing staff felt that a natural conversation is superior suicide risk assessment instruments and that experience and patient knowledge are the primary factors for facilitating a suicide risk assessment. This meant that some nursing staff rarely used suicide risk assessment instruments, although they sometimes could be a useful support in the conversation and provided a sense of personal security when documenting results.

Conclusion: Suicide risk assessment instrument can be significant and helpful in certain cases, but the essential components of a suicide risk assessment consist of a conversation to understand the meaning of suicide from the patient's perspective.

Patient or public contribution: Psychiatric nursing staff contributed to this study by sharing their experiences through interviews.

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如何、为何、何时?护理人员使用自杀风险评估工具的经验。
目的和目标描述精神科护理人员在使用自杀风险评估工具时的经验:背景:全世界每年约有 72 万人死于自杀,其中近 20% 的人在生前最后一个月与精神科专家保持联系。对于护理人员来说,识别哪些病人有更高的自杀风险是一项非常重要的任务。自杀行为既复杂又难以预测。护理人员在日常精神病护理工作中与病人密切接触,通常对病人有独特的了解。因此,这些专业人员必须能够知道患者的最终自杀倾向何时需要进一步关注和努力:描述性定性研究:方法:随机抽样,包括在精神科专科工作两年以上的护理人员。通过半结构化访谈收集数据,然后按照传统的内容分析法进行分析:结果:护理人员认为,自然的对话是更好的自杀风险评估工具,经验和对病人的了解是促进自杀风险评估的主要因素。这意味着一些护理人员很少使用自杀风险评估工具,尽管这些工具有时能在谈话中提供有用的支持,并在记录结果时提供一种个人安全感:结论:自杀风险评估工具在某些情况下可以起到重要的帮助作用,但自杀风险评估的基本要素是通过对话,从患者的角度理解自杀的意义:精神科护理人员通过访谈分享了他们的经验,为本研究做出了贡献。
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来源期刊
Nursing Open
Nursing Open Nursing-General Nursing
CiteScore
3.60
自引率
4.30%
发文量
298
审稿时长
17 weeks
期刊介绍: Nursing Open is a peer reviewed open access journal that welcomes articles on all aspects of nursing and midwifery practice, research, education and policy. We aim to publish articles that contribute to the art and science of nursing and which have a positive impact on health either locally, nationally, regionally or globally
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