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Self-injury and harm minimisation on acute wards
Chris Holley1, Rachel Horton1, Lisa Cartmail2
1St George's Hospital, Stafford.
Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|January 11, 2017
Summary
Practitioner attitudes towards self-injury management in inpatient settings differ significantly. This study explored staff perceptions and patient experiences to inform the development of clinical guidelines for safe self-injury practices.
Area of Science:
- Mental Health
- Clinical Psychology
- Healthcare Management
Background:
- Practitioner attitudes regarding self-injury in inpatient settings exhibit considerable variation.
- Some healthcare professionals advocate for advising on safe self-injury, while others prioritize patient protection by removing implements and increasing observations.
Purpose of the Study:
- To explore self-injurious behavior within inpatient settings.
- To investigate staff knowledge and perceptions concerning self-injury.
- To understand service users' experiences with self-injury in care.
Main Methods:
- Exploration of self-injurious behavior in inpatient settings.
- Assessment of staff knowledge and perceptions.
- Gathering of service user experiences.
- Discussion of clinical guideline development for safe self-injury.
Main Results:
- Wide variation in practitioners' attitudes towards managing self-injury in inpatient settings.
- Divergent approaches ranging from advising on safe practices to stringent prevention measures.
- Exploration of staff and service user perspectives is crucial for effective guideline development.
Conclusions:
- Understanding diverse practitioner attitudes is essential for developing effective self-injury management strategies.
- Service user experiences must be integrated into clinical guideline development.
- Guidelines for safe self-injury practices in inpatient settings require careful consideration of both staff and patient viewpoints.