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将“零自杀”框架应用于成人急诊环境:护士领导者的策略。

Adapting the Zero Suicide framework to the adult emergency department setting: Strategies for nurse leaders.

机构信息

Center to Improve Veteran Involvement in Care (CIVIC), VA Portland Health Care System, U.S. Department of Veterans Affairs (VA), 3710 SW US Veterans Hospital Road, Portland, OR 97239, United States of America; Portland VA Research Foundation, 3710 SW US Veterans Hospital Road, Portland, OR 97239, United States of America; Department of Psychiatry, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, United States of America.

Center to Improve Veteran Involvement in Care (CIVIC), VA Portland Health Care System, U.S. Department of Veterans Affairs (VA), 3710 SW US Veterans Hospital Road, Portland, OR 97239, United States of America; Department of Psychiatry, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, United States of America.

出版信息

Arch Psychiatr Nurs. 2024 Aug;51:76-81. doi: 10.1016/j.apnu.2024.05.011. Epub 2024 May 20.

DOI:10.1016/j.apnu.2024.05.011
PMID:39034098
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11261162/
Abstract

The ED has been increasingly recognized as a key setting for suicide prevention. Zero Suicide (ZS) is an aspirational goal to eliminate suicide for all patients within a health care system through utilization of best practices. However, there has been limited exploration of ZS implementation within the ED. As ED nurses play an important role in suicide prevention through their close contact with patients at risk for suicide, ZS implementation would benefit from tailored strategies for ED nurse leadership. We describe the ZS framework and provides strategies for nurse leaders to adapt each ZS component in the adult ED.

摘要

急诊科越来越被认为是预防自杀的重要场所。零自杀(ZS)是通过利用最佳实践,在医疗保健系统内为所有患者消除自杀的一个理想目标。然而,在急诊科实施零自杀的探索有限。由于急诊科护士通过与有自杀风险的患者密切接触,在预防自杀方面发挥着重要作用,因此,为急诊科护士领导力制定专门的策略将使零自杀的实施受益。我们描述了零自杀框架,并为护士领导者提供了在成人急诊科适应每个零自杀组成部分的策略。

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本文引用的文献

1
Evidence-Based vs Informal Suicide Training: Nurse Confidence and Comfort With Suicidal Patient Care.基于证据的自杀培训与非正式自杀培训:护士对自杀患者护理的信心与舒适度
J Emerg Nurs. 2023 Mar;49(2):266-274. doi: 10.1016/j.jen.2022.12.003. Epub 2023 Jan 3.
2
Studying the implementation of Zero Suicide in a large health system: Challenges, adaptations, and lessons learned.研究大型医疗系统中零自杀的实施情况:挑战、调整及经验教训。
Contemp Clin Trials Commun. 2022 Sep 17;30:100999. doi: 10.1016/j.conctc.2022.100999. eCollection 2022 Dec.
3
Feasibility of Peer-Delivered Suicide Safety Planning in the Emergency Department: Results From a Pilot Trial.在急诊科实施同伴提供的自杀安全计划的可行性:一项试点试验的结果。
Psychiatr Serv. 2022 Oct 1;73(10):1087-1093. doi: 10.1176/appi.ps.202100561. Epub 2022 May 3.
4
Implementation of Columbia Suicide Severity Rating Scale (C-SSRS) as a Universal Suicide Risk Screening tool in a High Volume Emergency Department.哥伦比亚自杀严重程度评定量表(C-SSRS)在高流量急诊科作为通用自杀风险筛查工具的实施。
Arch Suicide Res. 2023 Apr-Jun;27(2):769-779. doi: 10.1080/13811118.2022.2066495. Epub 2022 Apr 28.
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Formative evaluation of Zero Suicide in the emergency department: Identifying strategies to overcome implementation barriers.急诊零自杀实施:识别克服实施障碍的策略。
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Exploring mental health clinicians' perceptions of the Zero Suicide Prevention Initiative.探索心理健康临床医生对零自杀预防计划的看法。
Int J Ment Health Nurs. 2022 Jun;31(3):536-543. doi: 10.1111/inm.12975. Epub 2021 Dec 29.
7
Risk Assessment of Self-Injurious Behavior and Suicide Presentation in the Emergency Department: An Integrative Review.风险评估的自伤行为和自杀表现的急诊科:一个综合审查。
J Emerg Nurs. 2022 Jan;48(1):57-73. doi: 10.1016/j.jen.2021.10.002. Epub 2021 Nov 13.
8
Adapting Caring Contacts for Veterans in a Department of Veterans Affairs Emergency Department: Results From a Type 2 Hybrid Effectiveness-Implementation Pilot Study.在退伍军人事务部急诊科为退伍军人调整关怀接触:一项2型混合有效性-实施试点研究的结果
Front Psychiatry. 2021 Oct 13;12:746805. doi: 10.3389/fpsyt.2021.746805. eCollection 2021.
9
Emergency psychiatric assessment, treatment, and healing (EmPATH) unit decreases hospital admission for patients presenting with suicidal ideation in rural America.急危重症精神病评估、治疗和康复(EmPATH)单元可减少美国农村有自杀意念患者的住院率。
Acad Emerg Med. 2022 Feb;29(2):142-149. doi: 10.1111/acem.14374. Epub 2021 Sep 7.
10
Implementing a systems approach to suicide prevention in a mental health service using the Zero Suicide Framework.在精神卫生服务中采用零自杀框架实施系统方法预防自杀。
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