Hadfield Jo, Brown Dora, Pembroke Louise, Hayward Mark
Berkshire Healthcare NHS Foundation Trust, Wokingham, Berkshire, United Kingdom.
Qual Health Res. 2009 Jun;19(6):755-65. doi: 10.1177/1049732309334473.
Self-harm is a prevalent phenomenon regularly faced by doctors and nurses working in accident and emergency (A&E) departments. We argue that the treatment decisions A&E doctors make are fundamental to decreasing the high risk of suicide among this group. In this article we present a qualitative study exploring how doctors working in A&E respond to treating people who self-harm. In total, five A&E doctors were interviewed and the data were analyzed using interpretative phenomenological analysis. Three main themes were extracted: treating the body, silencing the self, and mirroring cultural and societal responses to self-harm. Within these themes, we identified both facilitative and unhelpful aspects of the relationships between people who self-harm and A&E doctors. We consider the clinical implications of these findings within the context of A&E doctors having limited opportunities to address the relational nature of the care they offer to this group.
自我伤害是急诊部门的医生和护士经常面临的普遍现象。我们认为，急诊医生做出的治疗决策对于降低这一群体中自杀的高风险至关重要。在本文中，我们呈现了一项定性研究，探讨急诊医生如何应对自我伤害者的治疗。总共采访了五位急诊医生，并使用解释现象学分析对数据进行了分析。提取了三个主要主题：治疗身体、让自我沉默以及反映文化和社会对自我伤害的反应。在这些主题中，我们确定了自我伤害者与急诊医生之间关系的促进和不利方面。我们在急诊医生解决他们为这一群体提供的护理的关系性质的机会有限的背景下考虑这些发现的临床意义。
