Phillips Grant, Gerdtz Marie Frances, Elsom Stephen James, Weiland Tracey J, Castle David
St. Vincent's Mental Health, Melbourne, Victoria, Australia.
Perspect Psychiatr Care. 2015 Apr;51(2):148-53. doi: 10.1111/ppc.12086. Epub 2014 Oct 20.
There is no clear treatment pathway for people presenting to Australian emergency departments with deliberate self-harm.
To explore variations in mental health nurses' disposition decisions for patients following risk assessment for deliberate self-harm.
A survey was distributed to mental health nurses. This survey comprised demographic items and questions in response to nine vignettes describing episodes of deliberate self-harm. Dispositional decision and reasoning were also sought for each vignette.
Poor levels of agreement for disposition were found.
There was a lack of consensus regarding dispositional outcomes. This suggests a high level of subjectivity in decision-making which needs to be taken into account within clinical governance.
对于前往澳大利亚急诊科蓄意自伤的患者，尚无明确的治疗途径。
探讨心理健康护士在对蓄意自伤患者进行风险评估后做出处置决定时的差异。
向心理健康护士发放了一份调查问卷。该问卷包括人口统计学项目以及针对描述蓄意自伤事件的九个 vignette 的问题。同时还针对每个 vignette 询问了处置决定和理由。
发现处置方面的一致性水平较低。
在处置结果方面缺乏共识。这表明决策过程存在高度主观性，临床治理中需要加以考虑。
