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护士自杀预防教育计划的效果。

The Effectiveness of Suicide Prevention Education Programs for Nurses.

机构信息

1 School of Nursing and Midwifery, University of South Australia, Adelaide, SA, Australia.

2 School of Nursing and Midwifery, University of South Australia, Mount Gambier, SA, Australia.

出版信息

Crisis. 2018 Mar;39(2):96-109. doi: 10.1027/0227-5910/a000479. Epub 2017 Oct 6.

Abstract

BACKGROUND

Education to improve health professionals' responses to suicide is considered an important suicide prevention strategy. However, the effectiveness of this approach for nurses is unclear.

AIM

To systematically review the peer-reviewed literature regarding the effectiveness of suicide prevention education programs for nurses.

METHOD

Nine academic databases (CINAHL, Cochrane Reviews & Trials, Embase, Informit Health Collection, Joanna Briggs Institute, Medline, PsycINFO, Scopus, and Web of Science) were searched in November 2016, utilizing search terms related to suicide, education, and nurses, with no limits placed on publication date or study design.

RESULTS

The search yielded 5,456 identified articles, 11 of which met the inclusion criteria. Studies were primarily quantitative (RCTs n = 3; quasi-experimental n = 6; qualitative n = 2), and involved nurses (range = 16-561) working in a diversity of settings, particularly hospitals (n = 9). Studies revealed positive changes in nurses' competence, knowledge, and attitudes associated with training over the short term.

LIMITATIONS

The heterogeneity of education programs and methodological weaknesses of included studies limit the conclusions drawn.

CONCLUSION

There is a moderate body of evidence to support the effectiveness of suicide prevention education programs for nurses. Future research should examine longer-term changes in clinical practice and strategies for continuing education, with more rigorous study designs.

摘要

背景

提高卫生专业人员对自杀反应的教育被认为是预防自杀的重要策略。然而,这种方法对护士的效果尚不清楚。

目的

系统回顾有关预防自杀教育计划对护士有效性的同行评议文献。

方法

2016 年 11 月,使用与自杀、教育和护士相关的搜索词,在 9 个学术数据库(CINAHL、Cochrane 评价与试验、Embase、Informit 健康收藏、Joanna Briggs 研究所、Medline、PsycINFO、Scopus 和 Web of Science)中进行了搜索,未对出版日期或研究设计设置任何限制。

结果

搜索共产生了 5456 篇已识别文章,其中有 11 篇符合纳入标准。研究主要是定量的(RCTs n = 3;准实验 n = 6;定性 n = 2),涉及在各种环境中工作的护士(范围为 16-561),特别是医院(n = 9)。研究表明,在短期培训中,护士的能力、知识和态度与培训相关的变化呈阳性。

局限性

教育计划的异质性和纳入研究的方法学弱点限制了结论的得出。

结论

有一定数量的证据支持预防自杀教育计划对护士的有效性。未来的研究应检查更长期的临床实践变化和继续教育策略,采用更严格的研究设计。

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