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Suicide assessment by psychiatric nurses: a phenomenographic study.
John M Aflague1, Ginette G Ferszt
1Rhode Island College, School of Nursing, Smithfield, Rhode Island and Providence, 600 Mount Pleasant Ave., Fogarty Life Science, Providence, RI 02908-1991, USA. jaflague@ric.edu
Issues in Mental Health Nursing
|March 12, 2010
Summary
Nurses’ approaches to suicide assessment vary, relying on past cases, intuition, or experience. This study identified four key differences, offering insights into nursing practice and improving suicide risk evaluation.
Area of Science:
- Nursing
- Psychology
- Sociology
Background:
- Suicide assessment is crucial in healthcare.
- Previous research has not focused on nurses' perspectives.
- Phenomenographic approaches are underutilized in this field.
Purpose of the Study:
- To explore nurses' experiences and understanding of suicide assessment.
- To identify qualitative differences in how nurses conduct suicide assessments.
- To develop a theoretical structure for nurses' suicide assessment.
Main Methods:
- Phenomenographic research design.
- Data collection through observations, vignettes, and interviews.
- Qualitative analysis of nurse participants' assessments.
Main Results:
- Identified four qualitative differences in suicide assessment: reliance on examples of other suicide cases, intuition, others' assessments, and prior experience.
- Developed a three-dimensional theoretical structure: Knowledge, Method, and Reference.
- Highlighted variability in nurses' assessment approaches.
Conclusions:
- Understanding the variability in nurses' suicide assessment is essential for practice.
- The findings provide a framework for enhancing suicide risk evaluation by nurses.
- Further research can build upon this structure to improve patient safety.
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