Provision and evaluation of a suicide prevention and management programme by frontline nurses in Hong Kong (original) (raw)
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The qualitative evaluation of a suicide prevention and management programme by general nurses
Journal of Clinical Nursing, 2008
Aim. To evaluate the effect of an education programme on nurses’ knowledge, attitude and competence on suicide prevention and management for patients with suicide attempt or ideation and their family members; and to examine the strengths and weaknesses of the programme from the participants’ perspectives.Background. Providing care for patients with suicidal ideation or after suicidal acts in general hospitals often poses particular challenges for general nurses. Education programme may help these nurses acquire appropriate attitude, knowledge and competence in suicide prevention and intervention.Design. An 18-hour education programme on suicide prevention and management was developed based on needs analysis and literature and was provided to the study group. Fifty-four registered general nurses from the medical and surgical units of two general hospitals completed the education programme. Focus groups were used for process (n = 24) and outcome evaluation (n = 18).Results. Findings suggested that the education intervention had benefited the participants by improving their attitude, confidence and professional skills in responding to patients with suicidal intent.Conclusion. Barriers in the practice environment influenced nurses’ abilities to give optimal care to this group of patients and their family members.Relevance to clinical practice. This study identified the essential content in an education intervention for prevention and management of suicide by frontline nurses and helped to understand the difficulties that nurses’ encountered in practice.
Indian Journal of Forensic medicine and Toxicology, 2020
Suicide is a major public health problem and one of the leading causes of deaths worldwide. The effects of suicide go beyond the person who acts to take his/her life; it can have lasting effect on family, friends and communities. The role of a nurse specific to suicide prevention includes both system and patient level interventions. Objectives of the study: • To assess the existing knowledge and attitude regarding care of attempted suicide patients among staff nurses. • To evaluate the effectiveness of self-instructional module regarding care of attempted suicide patients among staff nurses. • To find out the association of post-test knowledge and attitude regarding care of attempted suicide patients among staff nurses with selected demographic variables. Materials and Methods: In this pre-experimental research study non probability convenient sampling technique was used to select 60 staff nurses from selected Hospitals. A self-structured questionnaire and attitude scale was used to assess the knowledge and attitude of the staff nurses regarding the care of attempted suicide patients. Result: The finding of the study revealed that majority 95% (57)of staff nurses had moderate knowledge and only 5% (3) had inadequate knowledge regarding care of attempted suicide patients in pre-test. After going through Self Instructional Module, 83.37 % (50) of the staff nurses had adequate knowledge and 16.66% (10) had moderate knowledge regarding care of attempted suicide patients. The attitude scale findings revealed that 100% (60)of staff nurses had neutral attitude regarding care of attempted suicide patients in pre-test and in post-test 100%(60) had positive attitude regarding care of attempted suicide patients. Conclusion: Study concludes that going through Self-Instructional module helps method in improving knowledge and attitude of the staff nurses regarding care of attempted suicide patients.
Suicide remains a global public health issue and a major governmental concern. The World Health Organisation argues for continued investment in education for front-line professionals, with a particular focus on nurses, to address the rising suicide levels. Considering this rate, it could be argued that suicide has impacted on the lives of many, including the student nurse population. Understanding the psychological impact, and influence on learning, whilst developing suicide intervention knowledge is crucial. However, little is known of the student experience in this complex and challenging area of skills development. This phenomenographic study examines the experiences of second year Bachelor of Nursing (mental health) students who participated in the Applied Suicide Intervention Skills Training (ASIST). Experiences were illuminated through two focus groups, Experiences were distilled and categorised through hierarchically relationships to construct a group experiential field to illustrate understandings of the impact this approach has on learning Students found ASIST to be emotionally challenging yet an extremely positive experience through bonding, peer learning, and class cohesion. The supportive workshop facilitation was essential allowing for full immersion into role simulation thus developing student confidence. Appropriate pedagogy and student support must be considered whilst developing suicide intervention in the pre -registration curricula.
International Journal of Mental Health Nursing, 2019
Suicide prevention is an important imperative in psychiatric hospitals, where nurses have a crucial role in and make essential contributions to suicide prevention and promoting the recovery of patients experiencing suicidal ideation. The present qualitative grounded theory study aimed to uncover and understand the actions and aims of nurses in psychiatric hospitals during their interactions with patients experiencing suicidal ideation. Interviews were conducted with 26 nurses employed on 12 wards in four psychiatric hospitals. The data analysis was inspired by the Qualitative Analysis Guide of Leuven. The findings show that nurses' actions and aims in their interactions with patients experiencing suicidal ideation are captured in the core element 'promoting and preserving safety and a life-oriented perspective'. This core element represents the three interconnected elements 'managing the risk of suicide', 'guiding patients away from suicidal ideation', and 'searching for balance in the minefield'. The enhanced understanding of nurses' actions and aims can inform concrete strategies for nursing practice and education. These strategies should aim to challenge overly controlling and directing nursing approaches and support nurses' capacity and ability to connect and collaborate with patients experiencing suicidal ideation.
https://ijshr.com/IJSHR\_Vol.6\_Issue.2\_April2021/IJSHR-Abstract.036.html, 2021
Background: Everyone in the mental health system may be at one time or the other, at risk for self harm and suicide. This study was done to assess the suicidal risk of patients who are admitted in psychiatric ward of a tertiary care hospital at Kochi, Kerala and to develop a guidelines for suicidal prevention for staff nurses. Materials and Methods: The research design adopted for this study was non-experimental descriptive design. The sample for the present study consisted of 30 patients who are admitted in psychiatry ward of Amrita Institute of Medical Science, Kochi. The sampling technique used is convenience sampling. The researchers developed a suicide risk assessment scale. The validity and reliability of the tool was tested. The method used in this study was interview with structured questionnaire. Result: Results shown that 100% did not have suicidal plan as such, but 13.3% of them had death wishes. Majority of the subjects i.e. 96.6% had symptoms such as guilt, hopelessness, helplessness, shame, impaired problem solving. In 69% of the subjects there were more than 4 symptoms, 90% of the subjects had significant life events such as financial loss, loss of loved one, love failure, failure in examination, majority of them i.e. 74.1% had at least 2 events. History of suicide attempt is seen only in 6.7% of the subjects, 93.3% of them didn't have any such attempts. Moreover 16.7% of them have family history of suicide and 83.3% of them didn't have any significant history. There was a significant association between suicidal risk and educational level. Conclusion: Many patients had expressed the depressive symptoms and also it has been observed that there was a significant association between suicidal risk and educational level. A guideline for suicidal prevention has been distributed to all staff nurses working in the psychiatric ward after getting validated from experts.
Nurses' experiences of inpatients suicide in a general hospital
When suicide occurs, it is regarded as an adverse event. Often, little attention is given to the nurses who cared for the patients prior to the adverse event. Instead the affected nurses are expected to write statements and incident reports about the adverse event. The aim was to explore the experiences of nurses who cared for patients who successfully committed suicide whilst admitted at a specific general hospital in Gauteng Province, South Africa. A qualitative exploratory research was conducted. Data were collected through in-depth interviews with a purposive sample of six nurses and content analysis was done. Nurses experienced feelings of shock; blame and condemnation; inadequacy and feared reprisal. This study suggests a basis for development of support strategies to assist the nurses to deal with their emotions following experience of adverse events.
Registered nurses’ experiences of working with suicidal patients
Sykepleien Forskning
Background: Each year, approximately 650 people take their own lives in Norway. Registered nurses (RNs) have a key role in the care provided to patients admitted after a suicide attempt. RNs must be able to regulate their own emotions and emotional expressions, as well as balancing their own involvement and distance to ensure good care for suicidal patients. The emotional reactions experienced by RNs can lead to burnout, as well as a desire to stop working with suicidal patients. Objective: To examine how registered nurses who work with suicidal patients are affected. We also wanted to examine the reactions experienced by RNs when working with patients at risk of suicide, how they perceived that they themselves were looked after, as well as what they learned. Method: This is a qualitative study in which the data have been obtained from individual, semi-structured interviews. The informants are five RNs, three of whom were specialist nurses and two who were in the process of specialising. Results: One of the main findings was that the RNs relied upon their own feelings in the form of gut instincts in interactions with patients for whom they were responsible. The RNs were exposed to intense impressions in their everyday working situation, in which their patients experienced hopelessness, existential pain, a lack of privacy and autonomy, and some actually took their own lives. Nevertheless, the RNs often decline offers of supervision. Conclusion: The informants in this study used themselves and their own bodies as tools when assessing the risk of suicide. Furthermore, they developed a clinical eye and created arenas in which the patients could share vulnerable and oppressive feelings and thoughts. They also experienced moral stress, where informal collegial support was vital. They felt that there were inadequate opportunities for debriefing, guidance and increasing knowledge. This finding highlights the duty of the employer to facilitate the care of the staff, to prevent burnout and high staff turnover.