探索自我伤害的意图如何影响英格兰西北部医疗保健从业人员的观点,态度和临床决策:一项定性研究
Destiny Priya Kumari1, Kathryn Jane Gardner2, Peter Taylor1
1Division of Psychology and Mental Health, School of Health Sciences, University of Manchester, Manchester Academic Health Sciences Centre, Manchester M13 9PL, UK.
International journal of environmental research and public health
|October 29, 2025
概括
了解自我伤害背后的意图对于医疗保健专业人员来说至关重要. 这项研究揭示了自杀和非自杀自伤之间的区别如何影响实习医生的临床决策和态度.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 医疗保健专业培训 医疗保健专业培训
背景情况:
- 在医疗保健机构中,自我伤害经常被污名化.
- 自伤的意图 (自杀与非自杀) 对临床医生的判断的影响仍未得到充分研究.
- 了解这些细微差别对于有效的患者护理至关重要.
研究的目的:
- 研究自我伤害的意图如何影响实习医生的观点,态度和临床决策.
- 探索在临床实践中区分自杀和非自杀自我伤害的挑战和实用性.
- 识别潜在的偏见,并为管理自我伤害病例的实习生提供支持.
主要方法:
- 一项采用半结构化在线访谈的定性研究.
- 涉及15名跨越各个学科的实习医疗保健从业者.
- 数据使用反射主题分析来分析.
主要成果:
- 实习生观察到员工的污名化观点,但没有分享它们.
- 意图显著告知学员的判断,导致对自杀自伤的紧急护理,但治疗干预较少.
- 实习生对意图区分表示矛盾,但它影响了治疗,风险和护理决策.
结论:
- 对自杀性和非自杀性自我伤害的一致方法至关重要.
- 医疗保健系统必须支持学员管理困难的情绪和挑战耻辱感.
- 促进同情心和减少责怪文化对于改善对自我伤害个人的护理至关重要.
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