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时间的重要性:护士在老年人护理中预防自杀和评估自杀风险方面的工作体验。

The Importance of Time: Nurses' Experiences of Working With Suicide Prevention and Suicide Risk Assessment in the Care of Older People.

机构信息

Department of Psychiatry, Region Värmland, Karlstad, Sweden.

Department of Child and Adolescent Psychiatry, Region Värmland, Karlstad, Sweden.

出版信息

Int J Older People Nurs. 2024 Sep;19(5):e12650. doi: 10.1111/opn.12650.

Abstract

AIM

To describe nurses' experiences of working with suicide prevention and suicide risk assessment in the care of older people.

BACKGROUND

Suicide is a problem among older people, worldwide. Risk factors for suicide are, among others, depression, illness and pain and a feeling of isolation. Nurses have valuable experience in suicide prevention and risk assessments. This study can shed light on what is needed to promote the mental health of older people, which has been partly overlooked in previous research.

METHODS/DESIGN: A descriptive qualitative study was conducted. Ten nurses working in care of older people across four different municipalities were interviewed. Conventional content analysis was used to analyse the data.

RESULTS

Despite shortcomings in guidelines, nurses describe performing suicide risk assessments and suicide prevention in a similar manner. The importance of giving the patients time is emphasised, although time is exactly what appears to be lacking.

CONCLUSION

By engaging with the experiences of nurses, important aspects that require further attention are highlighted. Nurses should inquire about suicidal ideation, even if older persons do not explicitly express such thoughts. Normal ageing needs to be comprehended and considered in assessments. In this work, time is important.

PATIENT OR PUBLIC CONTRIBUTION

The results were coproduced by means of interviews with nurses working in care of older people.

REPORTING METHOD

The study was conducted in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines.

IMPLICATIONS FOR PRACTICE

Encountering older people who may have experienced the loss of loved ones and addressing one's personal capabilities in the context of the ageing body imposes substantial challenges on nursing care, necessitating a capacity to adeptly navigate and address these complex issues.

摘要

目的

描述护士在老年人护理中预防自杀和进行自杀风险评估的经验。

背景

自杀是全球老年人面临的一个问题。自杀的风险因素包括抑郁、疾病和疼痛以及孤独感。护士在预防自杀和风险评估方面拥有宝贵的经验。这项研究可以揭示在以前的研究中部分被忽视的促进老年人心理健康所需的条件。

方法/设计:进行了一项描述性定性研究。采访了来自四个不同直辖市的十名从事老年人护理工作的护士。使用常规内容分析法对数据进行分析。

结果

尽管指南存在缺陷,但护士们以类似的方式描述进行自杀风险评估和预防自杀的过程。强调给患者时间的重要性,尽管时间似乎正是缺乏的。

结论

通过关注护士的经验,突出了需要进一步关注的重要方面。护士应该询问自杀意念,即使老年人没有明确表达这种想法。在评估中需要理解和考虑正常的衰老过程。在这项工作中,时间是重要的。

患者或公众参与

通过与从事老年人护理工作的护士进行访谈,共同产生了研究结果。

报告方法

该研究符合定性研究报告的统一标准(COREQ)指南。

对实践的影响

遇到可能经历过失去亲人的老年人,并在老龄化身体的背景下处理个人能力,这对护理提出了重大挑战,需要有能力熟练地处理和解决这些复杂问题。

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