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Journal Article

Citation

McGough S, Wynaden D, Ngune I, Janerka C, Hasking P, Rees C. Collegian 2022; 29(1): 38-43.

Copyright

(Copyright © 2022, Royal College of Nursing, Australia, Publisher Ink Press International)

DOI

10.1016/j.colegn.2021.04.004

PMID

unavailable

Abstract

BACKGROUND: Self-harm is a deliberate act to cause physical harm to oneself. People who self-harm are at greater risk for suicide than people who do not self-harm. Emergency nurses are first responders to many people who present to the emergency department (ED) with self-harm. The care they provide can influence future presentations to the emergency department and long-term outcomes.

AIM: The aim was to explore ED nurses' experiences of working with people who self-harm.

METHODS: Semi-structured interviews were conducted with 18 emergency nurses from different locations in Australia in 2019. Elo and Kyngäs' inductive content analysis research method guided all stages of the research.

RESULTS: The category "health care system" emerged from the data. It comprised five subcategories: (i) Complexity of the work environment; (ii) ED staff attitudes and care provision; (iii) the mental health patient; (iv) facilitators and barriers to providing care to people who self-harm; and (v) lack of community resources.

DISCUSSION: This study found there were several factors influencing ED nurses' knowledge, skills and confidence in caring for people who self-harm and several factors influenced their experience.

CONCLUSION: While participants felt confident to manage the physical injuries associated with self-harm, they were less confident to engage with the person about their self-harm. The article provides guidance for ED nurses to assess and intervene with people who present with self-harm. © 2021


Language: en

Keywords

Mental health; Self-injurious behaviour; Emergency nursing; Emergency departments; Staff attitude

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