- 作者：Catherine Martin ; RN ; BSc(Hons) ; MBiostats ; cathy.martin@monashhealth.org.au" class="auth_mail (Research Associate Emergency Nursing) ; Rose Chapman ; RN ; PhD ; MSc (Nursing) (Professor of Emergency Nursing)
- 关键词：Deliberate self-harm ; Deliberate self-poison ; Attitude ; Emergency department ; Emergency nursing ; Mixed-method ; Questionnaires
- 刊名：International Emergency Nursing
- 出版年：April, 2014
- 年：2014
- 卷：22
- 期：2
- 页码：98-104
- 全文大小：296 K
Introduction
Deliberate self-poisoning is one of the frequent presentation types to emergency departments. It has been reported that attitudes of emergency staff may have negative consequences for the wellbeing of the self-poisoning patient.Aim
Determine the attitude of nursing and medical staff towards patients who present with deliberate self-poisoning and to identify if differences exist between the two groups.
Design
Mixed-method.
Methodology
The 鈥淎ttitudes towards Deliberate Self-Harm Questionnaire鈥?was distributed to all nursing and medical staff who had direct patient contact at three emergency departments (N = 410). Total and factor scores were generated and analysed against variables age, gender, length of experience working in the emergency department, level of education and by profession. Two open ended questions asked staff to write their perceptions and stories about patients who deliberate self-poison and were analysed using qualitative data analysis.
Results
Forty-five percent of staff returned the questionnaire. The attitude of emergency nurses and doctors was positive towards patients who deliberately self-poison. Doctors had significantly higher total and Factor 2 鈥榙ealing effectively with the deliberate self-poisoning patient鈥?scores than nurses. After adjusting for length of time working in the emergency department only Factor 2 鈥榙ealing effectively with the deliberate self-poisoning patient鈥?remained statistically significant. Staff reported high levels of frustration, in particular to patients who represent.
Conclusion/relevance to practice
This information may be used to develop and implement educational strategies for staff to improve the experiences of and better support patients presenting to the emergency department who deliberately self-poison.