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Related Experiment Videos

Nurses' attitudes towards clients who self-harm.

Margaret McAllister1, Debra Creedy, Wendy Moyle

  • 1School of Nursing, Griffith University, Brisbane, Queensland, Australia. m.mcallister@mailbox.gu.edu.au

Journal of Advanced Nursing
|November 20, 2002
PubMed
Summary
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Emergency department (ED) nurses often encounter patients who self-harm, but negative attitudes persist. Developing targeted professional development is crucial to improve care and nurses

Area of Science:

  • Nursing
  • Psychiatry
  • Emergency Medicine

Background:

  • Deliberate self-harm is a common presentation in emergency departments (EDs).
  • Patients experiencing self-harm often report dissatisfaction with care.
  • ED nurses frequently experience complex emotions, including ambivalence and frustration, when caring for these patients.

Purpose of the Study:

  • To develop and validate a scale measuring ED nurses' attitudes towards patients presenting with self-injury.
  • To identify key dimensions influencing nurses' perceptions and approaches to self-harm patients.

Main Methods:

  • Development of the Attitudes Towards Deliberate Self-Harm Questionnaire (ADSHQ) using literature review and focus groups.
  • Pilot testing of the ADSHQ with 20 ED nurses.

Related Experiment Videos

  • Large-scale survey of 1008 ED nurses across public and private hospitals in Queensland, Australia.

    • Main Results:

    • A response rate of 35% (352 returned questionnaires) was achieved.
    • Four factors emerged, reflecting nurses' confidence in assessment/referral, client interaction skills, empathy, and regulatory coping.
    • A generally negative attitude towards self-harm patients was observed, with correlations between ED experience and overall/empathic attitudes.

    Conclusions:

    • Continuing professional development is essential to address negative attitudes among ED nurses.
    • Practical strategies and updated clinical protocols are needed to enhance care for patients who self-harm.
    • Interventions should focus on improving nurses' confidence, empathy, and ability to navigate practice regulations.