Sun F-K, Long A, Boore J, Tsao L-I
Department of Nursing, Tajen Institute of Technology, Taiwan.
J Psychiatr Ment Health Nurs. 2005 Jun;12(3):275-82. doi: 10.1111/j.1365-2850.2005.00831.x.
Suicide is a major mental health problem in Taiwan. Estimations revealed that approximately 41% of people who committed suicide had a previous history of psychiatric inpatient care. To date, a suicide nursing care theory has not been developed. Consequently, the aim of this study was to formulate a suicide nursing care theory with the aim of enhancing and advancing the nursing care provided to people who attempt suicide or have suicidal thoughts. A qualitative approach using grounded theory was adopted. A total of 15 peoples who had either suicidal ideas or had attempted suicide and 15 psychiatric nurses were interviewed and observed. Data were analysed using open, axial and selective coding and the NUD*IST software program. A substantive theory of suicide nursing care was developed from the emergent findings. Four categories surfaced in the nursing care theory relating to the nurses' 'action/interaction strategies'. They were: the holistic assessment of people who are suicidal; providing protection; providing basic care; and providing advanced care. The findings from this study could be used to influence and advance nurse education and training, clinical practice, management and further research.
自杀是台湾一个主要的心理健康问题。据估计，约41%的自杀者曾有过精神科住院治疗史。迄今为止，尚未形成自杀护理理论。因此，本研究的目的是制定一种自杀护理理论，以加强和改进对自杀未遂者或有自杀念头者的护理。采用了基于扎根理论的定性研究方法。共对15名有自杀想法或自杀未遂者以及15名精神科护士进行了访谈和观察。使用开放式、轴心式和选择性编码以及NUD*IST软件程序对数据进行了分析。从得出的研究结果中形成了一种自杀护理的实质性理论。在护理理论中出现了与护士的“行动/互动策略”相关的四个类别。它们是：对有自杀倾向者进行全面评估；提供保护；提供基础护理；以及提供高级护理。本研究的结果可用于影响和推进护士教育与培训、临床实践、管理及进一步的研究。
