Citation

Diana AH, Olfson M, Cullen SW, Marcus SC. J. Am. Psychiatr. Nurs. Assoc. 2020; 26(3): 288-292.

Copyright

(Copyright © 2020, American Psychiatric Nurses Association, Publisher SAGE Publishing)

DOI

10.1177/1078390319889673

PMID

31747823

PMCID

PMC10373860

Abstract

OBJECTIVE: To understand the extent to which implementation of evidence-based practices affects emergency department (ED) nurse managers' perceptions of quality of care provided to deliberate self-harm patients.

METHODS: ED nursing leadership from a nationally representative sample of 513 hospitals completed a survey on the ED management of deliberate self-harm patients, including the quality of care for deliberate self-harm patients on a 1 to 5 point Likert-type scale. Unadjusted and adjusted analyses, controlling for relevant hospital characteristics, examined associations between the provision of evidence-based practices and quality of care.

RESULTS: The overall mean quality rating was 3.09. Adjusted quality ratings were higher for EDs that routinely engaged in discharge planning (β = 0.488) and safety planning (β = 0.736) processes. Ratings were also higher for hospitals with higher levels of mental health staff (β = 0.368) and for teaching hospitals (β = 0.319).

CONCLUSION: Preliminary findings suggest a national institutional readiness for further implementation of evidence-based practices for deliberate self-harm patients.

Language: en

Keywords

Humans; Adult; Female; Male; Middle Aged; Perception; suicide prevention; emergency department; Quality of Health Care; Self-Injurious Behavior; Surveys and Questionnaires; Emergency Service, Hospital; Patient Discharge; Evidence-Based Practice; deliberate self-harm; Mental Disorders; evidence-based practices; quality of care