面对沉默的危机:护士职业中的自杀想法和自杀
Alyssa M Schutz1, Susan McKee2, Paul Thomas Clements3
1Alyssa M. Schutz, MSN APRN FNP-C PMHNP-BC, College of Nursing, Texas A&M University, Bryan, TX, USA.
Journal of the American Psychiatric Nurses Association
|February 11, 2026
概括
由于职业压力和耻辱,护士面临自杀的高风险. 解决这一问题需要进行系统性变革,包括创伤知情护理和政策改革,以支持护理行业的心理健康.
科学领域:
- 护理 护理 护理
- 心理健康 心理健康
- 职业健康 职业健康 职业健康
背景情况:
- 护士经历了不成比例地高的心理痛苦和自杀率.
- 尽管护士扮演着值得信赖的角色,但他们仍面临着严重的道德伤害和心理健康挑战的风险.
研究的目的:
- 综合护士自杀率,风险因素和理论框架的证据.
- 指导预防和干预策略,提供创伤信息,组织和政策层面的建议.
主要方法:
- 使用了Joiner的自杀人际理论,工作需求控制支持 (JDCS) 模型和创伤信息化护理 (TIC) 原则.
- 描述了负担感,被挫败的归属感和创伤暴露如何增加护士的自杀风险.
主要成果:
- 慢性职业压力,同情疲劳,欺凌,道德困扰和有限的自主权有助于护士自杀.
- 围绕心理健康寻求帮助的耻辱和制度上的沉默加剧了危机.
- 对许可后果的恐惧和缺乏保密服务是寻求帮助的重大障碍.
结论:
- 为了应对护士自杀危机,全面的多层次反应至关重要.
- 护士领导应该促进心理安全的环境和同行支持.
- 系统层面的变化,包括保密报告和许可改革,对于预防至关重要.
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