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“我想让他知道我站在他这边……” 从急诊科护士的角度理解自杀护理的本质。

"I want him to know that I'm on his side…" understanding the nature of suicide care from the perspectives of emergency department nurses.

作者信息

İnan Figen Şengün, Ünsal Erkan, Bolak Tuğba

机构信息

Gazi University, Faculty of Nursing Psychiatric and Mental Health Nursing Department 06490 Çankaya, Ankara, Turkey.

Ege University, Faculty of Nursing, Mental Health and Diseases Nursing Department, 35030 Bornova, Izmir, Turkey.

出版信息

Int Emerg Nurs. 2025 Feb;78:101563. doi: 10.1016/j.ienj.2024.101563. Epub 2024 Dec 20.

Abstract

INTRODUCTION

This study was aimed at understanding emergency department (ED) nurses' experiences of caring for people who attempted suicide. ED nurses provide care to a great number of patients who have attempted suicide. EDs are accepted as an important environment to prevent repeat suicidal behavior and the importance of initiating interventions to prevent repeated attempts is emphasized.

METHOD

This study was a descriptive qualitative study. The study was conducted with 15 ED nurses who provided care to individuals who attempted suicide in two university hospitals in Turkey. Data were collected through face-to-face, semi-structured in-depth interviews. The data were analyzed using content analysis. Consolidated criteria for reporting qualitative studies (COREQ) were used to ensure the comprehensive reporting of this qualitative study protocol.

RESULTS

The data were categorized under the following four themes: elements of current care, barriers to effective care, dimensions that should be improved in providing care, and needs.

CONCLUSION

Biomedical approaches constitute the basic elements of nurses' care provided to a suicidal patient, and nurses have difficulty in providing emotional support. Caring for a suicidal patient creates an emotional burden for nurses. Nurses stated that they were faced with barriers related to emotional burden, stigma, lack of time, knowledge gaps, and unsuitable physical environment.

摘要

引言

本研究旨在了解急诊科护士对自杀未遂者的护理体验。急诊科护士为大量自杀未遂患者提供护理。急诊科被视为预防重复自杀行为的重要场所,且强调开展干预措施以防止再次自杀未遂的重要性。

方法

本研究为描述性定性研究。研究对象为土耳其两家大学医院中为自杀未遂者提供护理的15名急诊科护士。数据通过面对面、半结构化深度访谈收集。采用内容分析法对数据进行分析。运用定性研究报告的统一标准(COREQ)以确保全面报告本定性研究方案。

结果

数据分为以下四个主题:当前护理要素、有效护理的障碍、护理中应改进的方面以及需求。

结论

生物医学方法构成了护士对自杀患者护理的基本要素,且护士在提供情感支持方面存在困难。护理自杀患者给护士带来情感负担。护士表示他们面临与情感负担、污名、时间不足、知识差距以及不合适的物理环境相关的障碍。

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