试点实施设计和初步准备在第三级护理中心的紧急部门进行普遍自杀风险查计划,尼泊尔:混合方法研究
Anmol Purna Shrestha1, Roshana Shrestha1, Renu Shakya2
1Department of General Practice and Emergency Medicine, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.
JNMA; journal of the Nepal Medical Association
|July 14, 2025
概括
这项在尼泊尔的试点研究表明,培训急诊室工作人员可以改善自杀风险查. 共同设计的策略和指导有助于克服障碍,展示了发展中国家可持续自杀预防计划的潜力.
科学领域:
- 全球健康 全球健康
- 公共卫生 公共卫生
- 心理健康系统 心理健康系统
背景情况:
- 自杀是全球主要的健康问题,不成比例地影响发展中国家.
- 有限的基于证据的策略存在于低资源环境中的自杀检测和预防.
- 紧急部门是识别有风险的人的关键点.
研究的目的:
- 评估在尼泊尔紧急部门实施通用自杀风险查计划的可行性.
- 评估员工对自杀查的看法和知识.
- 识别项目实施的障碍和促进因素.
主要方法:
- 试点实施试验包括初步培训阶段和分阶段的辅导指导.
- 与工作人员和领导层共同设计重点小组,以制定实施方案.
- 嵌入式民族学观察实施过程并识别障碍.
- 评估员工的可接受性,适当性,信心,系统优先级和神话知识.
主要成果:
- 培训显著提高了员工的适当性,信心,系统优先级和自杀神话知识.
- 共同设计的策略和分阶段的指导促进了查的普及.
- 人种学观察发现了障碍,包括耻辱感,不愿意参与家庭活动和不信任推.
结论:
- 试点计划表明,培训提高了员工对自杀风险查的能力.
- 共同设计的战略和指导在克服实施障碍方面是有效的.
- 这些发现强调了在类似的低资源环境中,可持续的自杀预防计划的潜力.
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