临床医生对自杀预防实践的态度及其实施:安全研究系统的发现
Celine Larkin1, Catarina I Kiefe1, Alexandra L Morena1
1Departments of Emergency Medicine (Larkin, Rahmoun, Sefair, Boudreaux), Psychiatry (Larkin, Boudreaux), and Population and Quantitative Health Sciences (Kiefe, Lazar), University of Massachusetts Chan Medical School, Worcester; Department of Psychology, University of Massachusetts Lowell, Lowell (Morena).
Psychiatric services (Washington, D.C.)
|December 21, 2023
概括
临床医生 临床医生
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 心理健康护理 心理健康护理
背景情况:
- 评估临床医生对自杀相关实践的态度对于有效实施自杀预防模型至关重要.
- 在系统范围内的变化之前,了解不同角色和环境中的信心和态度的变化是必不可少的.
研究的目的:
- 在采用零自杀模式之前,评估医疗保健临床医生的关于预防自杀的态度和做法.
- 确定影响临床医生对自杀相关护理的信心和态度的因素,包括角色,环境和持续质量改进 (CQI).
主要方法:
- 对5559名临床医生进行了一项调查,评估了人口统计,信心,自我报告的做法,领导力支持以及对自杀预防,安全规划和CQI的态度.
- 统计分析 (克鲁斯卡尔-瓦利斯H测试,t测试,F测试) 用于检查提供者特征和他们的反应之间的关联.
主要成果:
- 虽然大多数临床医生对自杀查有信心,但对其他与自杀有关的护理的信心下降. 行为健康提供者和急诊室 (ED) 工作人员报告了更高的信心.
- 女性和行为健康提供者对安全规划的态度更为积极. 对CQI的积极态度与特定的人口统计和角色有关 (例如男性,年轻人,行政人员,ED,门诊人员,医疗提供者).
结论:
- 临床角色和护理环境显著影响临床医生的自杀预防信心和实践. 需要有针对性的干预措施来支持缺乏自信的群体,例如护士.
- 持续质量改进 (CQI) 可以成为一个有价值的工具,让更广泛的临床医生参与改善与自杀有关的护理.
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