如何,为什么和何时:护理人员与自杀风险评估工具工作的经验
Rikard Wärdig1, Isabella Wallerstedt1, Anna Mattison Nyström1
1Division of Nursing and Reproductive Health, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Nursing open
|November 3, 2024
概括
精神病护士发现,直接对话和患者的知识是自杀风险评估的关键,比标准化仪器更重要. 虽然仪器可以提供支持,但了解患者的观点至关重要.
科学领域:
- 精神病学护理 精神病学护理
- 心理健康评估 心理健康评估
- 自杀学是一种自杀学.
背景情况:
- 自杀导致全球每年约有720,000人死亡.
- 近20%的自杀者最近接触过专门的精神病医疗服务.
- 准确的自杀风险评估对于精神病护理人员至关重要,因为自杀行为的复杂性和不可预测性.
研究的目的:
- 探索精神病护理人员与自杀风险评估仪器的经验.
- 了解护理人员如何在临床实践中感知这些工具的有效性.
主要方法:
- 采用了一种描述性的定性研究设计.
- 数据是通过与经验丰富的精神病护理人员 (超过2年) 进行半结构面试来收集的.
- 传统的内容分析被用来分析采访数据.
主要成果:
- 护理人员优先考虑自然对话和他们自己的经验/患者知识,而不是标准化的自杀风险评估工具.
- 一些工作人员很少使用这些仪器,认为它们可能有助于治疗,但对临床判断来说是次要的.
- 仪器有时被发现有助于对话支持和文档安全.
结论:
- 虽然自杀风险评估工具在特定情况下可能是有价值的,但它们不能取代同情的对话.
- 有效的自杀风险评估的核心在于通过对话了解患者对自杀的独特观点.
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