Shih Jillian, Sellers Christina M, Gavis-Hughson Sky, Fein Alina, O'Brien Kimberly
School of Nursing, Simmons University, Boston, MA, USA.
School of Social Work, Simmons University, Boston, MA, USA.
Issues Ment Health Nurs. 2023 Mar;44(3):144-151. doi: 10.1080/01612840.2022.2164097. Epub 2023 Jan 20.
Nurses are front line providers for people who have been hospitalized following a suicide attempt, yet few studies have explored this population's experiences specifically with nursing care in inpatient psychiatric units. The purpose of this study was to hear directly from people who have survived a suicide attempt about their experiences with inpatient psychiatric nursing care following a suicide attempt in order to identify strengths and weaknesses of current practices and elicit suggested improvements. Qualitative in-depth interviews were conducted with people who were previously psychiatrically hospitalized following a suicide attempt ( = 9; =42). Applied thematic analysis was used to identify themes related to positive and negative experiences with nursing care during hospitalization and advice for nurses. Findings demonstrated that positive experiences with nurses related to empathy, friendliness, feeling supported, flexibility, and active listening, while negative experiences centered around feeling stigmatized, invalidated, degraded, and coerced. Advice for nurses included being self-aware of preconceived or stigmatized notions, practicing empathy, listening, and humanity. The results of this study indicate the need for compassionate care, training to reduce nurse stigma, and adequate resources for nurses to mitigate emotional strain and burnout.
护士是自杀未遂后住院患者的一线护理人员，但很少有研究专门探讨这一人群在住院精神科病房接受护理的经历。本研究的目的是直接听取自杀未遂幸存者关于他们在自杀未遂后接受住院精神科护理的经历，以确定当前做法的优点和缺点，并征求改进建议。对曾因自杀未遂而入住精神科病房的患者进行了定性深入访谈（n = 9；年龄范围 = 42岁）。采用应用主题分析法来确定与住院期间护理的积极和消极经历相关的主题以及给护士的建议。研究结果表明，与护士的积极经历与同理心、友好、感到被支持、灵活性和积极倾听有关，而消极经历则集中在感到被污名化、不被认可、被贬低和被强迫。给护士的建议包括自我意识到先入为主或被污名化的观念，践行同理心、倾听和人性关怀。本研究结果表明需要提供富有同情心的护理、开展减少护士污名化的培训，以及为护士提供足够的资源以减轻情绪压力和职业倦怠。
