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澳大利亚急救人员对蓄意自我中毒患者的看法:定性研究视角

Perceptions of Australian emergency staff towards patients presenting with deliberate self-poisoning: a qualitative perspective.

作者信息

Chapman Rose, Martin Catherine

机构信息

Monash Health, 135 David Street, Dandenong, Vic. 3175, Australia; Australian Catholic University, 115 Victoria Parade, Fitzroy Vic 3065, Australia; Curtin University, Kent Street Bentley, WA, Australia.

Monash Health, 135 David Street, Dandenong, Vic. 3175, Australia; Australian Catholic University, 115 Victoria Parade, Fitzroy Vic 3065, Australia.

出版信息

Int Emerg Nurs. 2014 Jul;22(3):140-5. doi: 10.1016/j.ienj.2014.03.002. Epub 2014 Apr 1.

Abstract

INTRODUCTION/BACKGROUND: Attitude of staff towards patients who present to the emergency department following deliberate self-poisoning may be integral to the outcome of these events. There is little in-depth understanding of emergency staff perceptions about this vulnerable group.

AIM

Explore staff perceptions about caring for patients who present to the emergency department following deliberate self-poisoning.

DESIGN

Qualitative descriptive study.

METHODS

Two open-ended questions enabled 186 clinicians to describe their perceptions about caring for people who present to the emergency department following deliberate self-poisoning. Data were analysed using qualitative data analysis procedures.

RESULTS

Three themes emerged from the data representing staff perceptions about caring for patients who deliberately self-poisoned and included depends on the patient, treat everyone the same, and skilled and confident to manage these patients.

CONCLUSION

Staff reported mixed reactions to patients presenting with deliberate self-poisoning. These included feelings of empathy or frustration, and many lacked the skills and confidence to effectively manage these patients.

RELEVANCE TO PRACTICE

Health networks are required to ensure that emergency staff have specialist support, knowledge, skills, and guidelines to provide effective care for this vulnerable population.

摘要

引言/背景:工作人员对蓄意自我中毒后前往急诊科就诊患者的态度可能是这些事件结果的一个重要组成部分。对于急诊科工作人员对这一弱势群体的看法,目前缺乏深入了解。

目的

探讨工作人员对护理蓄意自我中毒后前往急诊科就诊患者的看法。

设计

定性描述性研究。

方法

通过两个开放式问题,让186名临床医生描述他们对护理蓄意自我中毒后前往急诊科就诊患者的看法。使用定性数据分析程序对数据进行分析。

结果

数据中出现了三个主题,代表了工作人员对护理蓄意自我中毒患者的看法,包括取决于患者、一视同仁以及有技能和信心管理这些患者。

结论

工作人员对蓄意自我中毒就诊患者的反应不一。这些反应包括同理心或挫败感,而且许多人缺乏有效管理这些患者的技能和信心。

与实践的相关性

卫生网络需要确保急诊科工作人员获得专业支持、知识、技能和指南,以便为这一弱势群体提供有效的护理。

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