急性和重症监护护士对住院患者预防自杀的看法：探讨障碍、促进因素、兴趣和培训机会。
Acute and intensive care nurses' perspectives on suicide prevention with medically hospitalized patients: Exploring barriers, facilitators, interests, and training opportunities.
机构信息
Department of Psychiatry & Behavioral Sciences, University of Washington, Seattle, Washington, USA.
School of Nursing and Harborview Medical Center, Department of Professional Development and Nursing Excellence, University of Washington, Seattle, Washington, USA.
出版信息
J Adv Nurs. 2023 Sep;79(9):3351-3369. doi: 10.1111/jan.15650. Epub 2023 Mar 21.
AIMS
To explore opportunities for acute and intensive care nurses to engage in suicide prevention activities with patients hospitalized for medical, surgical or traumatic injury reasons.
DESIGN
A qualitative descriptive study.
METHODS
We conducted two studies consisting of 1-h focus groups with nurses. Study 1 occurred prior to the onset of the COVID-19 pandemic during January and February of 2020 and identified barriers and facilitators of engaging in an eLearning training in suicide safety planning and engaging patients on their units in suicide safety planning. Study 2 occurred in December of 2020 and explored nurses' perspectives on their role in suicide prevention with patients on their units and training needs related to this. The research took place at an urban level 1 trauma center and safety net hospital where nurses universally screen all admitted patients for suicide risk. We conducted a rapid analysis of the focus group transcripts using a top-down, framework-driven approach to identify barriers, facilitators, strategies around barriers, and training interests mentioned.
RESULTS
Twenty-seven registered nurses participated. Nurses indicated they serve a population in need of suicide prevention and that the nursing role is an important part of suicide care. A primary barrier was having adequate uninterrupted time for suicide prevention activities and training; however, nurses identified various strategies around barriers and offered suggestions to make training successful.
CONCLUSION
Findings suggest training in suicide prevention is important for nurses in this context and there are opportunities for nurses to engage patients in interventions beyond initial screening; however, implementation will require tailoring interventions and training to accommodate nurses' workload in the hospital context.
IMPACT
Acute and intensive care nurses play a key role in the public health approach to suicide prevention. Understanding perspectives of bedside nurses is critical for guiding development and deployment of effective brief interventions.
NO PUBLIC OR PATIENT INVOLVEMENT
This study is focused on eliciting and exploring perspectives of acute and intensive care nurses.
目的
探讨急诊和重症监护护士在因医疗、外科或创伤原因住院的患者中开展预防自杀活动的机会。
设计
定性描述性研究。
方法
我们进行了两项研究，包括与护士进行 1 小时的焦点小组讨论。研究 1 在 COVID-19 大流行之前的 2020 年 1 月和 2 月进行，确定了参与自杀安全计划电子学习培训以及在其科室中与患者一起进行自杀安全计划的障碍和促进因素。研究 2 于 2020 年 12 月进行，探讨了护士在其科室中与患者一起预防自杀的角色以及与这方面相关的培训需求。研究在一家城市一级创伤中心和安全网医院进行，那里的护士普遍对所有入院患者进行自杀风险筛查。我们使用自上而下的框架驱动方法对焦点小组的记录进行了快速分析，以确定提到的障碍、促进因素、障碍周围的策略和培训兴趣。
结果
27 名注册护士参与了研究。护士表示，他们为需要预防自杀的人群服务，护士的角色是自杀护理的重要组成部分。一个主要障碍是进行预防自杀活动和培训的充足、不间断时间；然而，护士确定了各种障碍周围的策略，并提出了使培训成功的建议。
结论
研究结果表明，在这种情况下，对护士进行预防自杀培训非常重要，并且护士有机会参与超越初始筛查的患者干预措施；然而，实施需要针对医院背景下护士的工作量对干预措施和培训进行调整。
影响
急性和重症监护护士在预防自杀的公共卫生方法中发挥着关键作用。了解床边护士的观点对于指导开发和部署有效的简短干预措施至关重要。
无公众或患者参与
本研究重点是征求和探讨急诊和重症监护护士的观点。
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