Orygen, 35 Poplar Road, Parkville, VIC 3052, Australia; Centre for Youth Mental Health, The University of Melbourne, VIC, Australia; Department of Medical Education, The University of Melbourne, VIC, Australia.
Orygen, 35 Poplar Road, Parkville, VIC 3052, Australia; Centre for Youth Mental Health, The University of Melbourne, VIC, Australia; Department of Medical Education, The University of Melbourne, VIC, Australia.
Australas Emerg Care. 2024 Mar;27(1):15-20. doi: 10.1016/j.auec.2023.07.002. Epub 2023 Jul 27.
Emergency departments (EDs) are often the first point of contact for people with self-harm; however, they do not always receive optimal care. The study objective was to examine the perspectives of ED staff who respond to self-harm presentations, perceived barriers to providing optimal, guideline-concordant care, and staff's familiarity with existing guidelines.
An online cross-sectional survey comprising purpose-designed questions concerning self-harm in the ED was completed by 131 staff (83.2% nurses) from two hospitals in Victoria, Australia. Survey results were analysed using Stata version 16 and frequencies and percentages were calculated.
Respondents reported knowledge of how to appropriately manage a person presenting with self-harm. However, lack of space (62.3%) and time (78.7%) to conduct the appropriate assessments, lack of self-harm training (71.8%), and limited awareness of or access to guidelines and recommendations for self-harm management within the ED (63.6%), were identified as primary barriers to their ability to appropriately manage these presenters.
Improvements to the ED environment and processes, as well as the provision of regular self-harm specific education and training for all ED staff are needed. Implementation of best-practice standards should prioritise guideline-concordant care, with a particular focus on the education needs of nursing staff.
急诊科（ED）通常是自残者寻求帮助的第一站；然而，他们并不总是能得到最佳的护理。本研究的目的是调查急诊科工作人员对自残就诊的看法，了解他们认为在提供最佳、符合指南的护理方面存在哪些障碍，以及他们对现有指南的熟悉程度。
我们对澳大利亚维多利亚州的两家医院的 131 名工作人员（83.2%为护士）进行了一项在线横断面调查，调查内容包括急诊科中与自残相关的特定问题。我们使用 Stata 版本 16 对调查结果进行分析，并计算了频率和百分比。
受访者报告说，他们了解如何恰当地管理自残就诊者。然而，缺乏空间（62.3%）和时间（78.7%）进行适当的评估、缺乏自残方面的培训（71.8%），以及对 ED 内的自残管理指南和建议的认识有限或获取途径有限（63.6%），这些都是他们无法恰当地管理这些就诊者的主要障碍。
需要改善 ED 的环境和流程，为所有 ED 工作人员提供定期的、专门针对自残问题的教育和培训。实施最佳实践标准应优先考虑符合指南的护理，特别关注护理人员的教育需求。
