Giacchero Vedana K G, Magrini D F, Zanetti A C G, Miasso A I, Borges T L, Dos Santos M A
Ribeirao Preto College of Nursing, University of Sao Paulo, Ribeirao Preto, Brazil.
Ribeirão Preto School of Nursing, University of São Paulo-USP, Sao Paulo, Brazil.
J Psychiatr Ment Health Nurs. 2017 Nov;24(9-10):651-659. doi: 10.1111/jpm.12413. Epub 2017 Sep 4.
WHAT IS KNOWN ON THE SUBJECT?: Self-confident health professionals with positive and understanding attitudes can take better care of people with suicidal behaviour, but the factors associated with these attitudes are not known. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: The majority of nursing professionals had no experience or training in mental health or suicide. They were less self-confident and had more negative attitudes. Nurses and nursing assistants who worked before in mental health services were more understanding with people with suicidal behaviour. Nurses and nursing assistants who were working in prehospital services were less self-confident to taking care of people with suicidal behaviour. Some members of the nursing team had already seriously considered committing suicide. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The practicing, support and training in mental health may improve the nurses' attitudes and emotional competencies. It is important to know why few nurses had suicide-related training, despite the relevance of this issue. Training in mental health or suicide need to include attitudinal and emotional competencies. It is important to offer emotional support to emergency nursing professionals.
Background The attitudes towards suicide of emergency nurses may affect the care provided. However, the factors associated with these attitudes remain unclear. Objective To investigate attitudes towards suicidal behaviour and associated factors among nursing professionals working in emergency settings. Methods A cross-sectional observational study including 28 nurses and 118 who were nursing assistants employed at two emergency services in Brazil was conducted. Data were collected in 2015 using a self-administered sociodemographic questionnaire and the Suicide Behavior Attitude Questionnaire (SBAQ). Results The majority of participants reported having no experience or training in mental health or suicide. They reported more negative feelings towards the patient and a lower self-perception of professional competence regarding suicidal behaviours, and these attitudes seemed to reinforce each other. Nurses who worked in mental health services reported less moralistic/judgemental attitudes. Working in prehospital services was associated with having a lower self-perception of professional competence. There were professionals who reported thinking seriously about committing suicide. Conclusion When combined with support and training, practicing mental health nursing may serve as an opportunity to develop favourable attitudes and emotional competences, and these issues need to be addressed in suicide education strategies.
关于该主题已知的信息有哪些？自信且态度积极包容的医护人员能够更好地照料有自杀行为的患者，但与这些态度相关的因素尚不清楚。本文对现有知识的补充有哪些？大多数护理专业人员没有心理健康或自杀方面的经验或培训。他们自信心较低且态度更消极。曾在心理健康服务机构工作过的护士和护理助理对有自杀行为的患者更有包容心。在院前服务机构工作的护士和护理助理在照料有自杀行为的患者时自信心较低。护理团队的一些成员曾认真考虑过自杀。对实践有哪些启示？心理健康方面的实践、支持和培训可能会改善护士的态度和情感能力。尽管这个问题很重要，但了解为何很少有护士接受与自杀相关的培训很关键。心理健康或自杀方面的培训需要包括态度和情感能力方面的内容。为急诊护理专业人员提供情感支持很重要。
背景 急诊护士对自杀的态度可能会影响所提供的护理。然而，与这些态度相关的因素仍不明确。目的 调查在急诊环境中工作的护理专业人员对自杀行为的态度及相关因素。方法 开展一项横断面观察性研究，纳入了巴西两家急诊服务机构的28名护士和118名护理助理。2015年使用自行填写的社会人口学问卷和自杀行为态度问卷（SBAQ）收集数据。结果 大多数参与者表示没有心理健康或自杀方面的经验或培训。他们对患者表现出更多负面情绪，对自杀行为的专业能力自我认知较低，而且这些态度似乎相互强化。曾在心理健康服务机构工作的护士表现出较少的道德评判态度。在院前服务机构工作与专业能力自我认知较低有关。有专业人员表示曾认真考虑过自杀。结论 结合支持和培训，开展心理健康护理可能是培养良好态度和情感能力的契机，并且这些问题需要在自杀教育策略中加以解决。
