
@article{ref1,
title="Mental health nurses' dispositional decision-making for people presenting to the emergency department with deliberate self-harm: an exploratory study",
journal="Perspectives in psychiatric care",
year="2014",
author="Phillips, Grant and Gerdtz, Marie Frances and Elsom, Stephen James and Weiland, Tracey J. and Castle, David",
volume="51",
number="2",
pages="148-153",
abstract="BACKGROUND: There is no clear treatment pathway for people presenting to Australian emergency departments with deliberate self-harm. <br><br>PURPOSE: To explore variations in mental health nurses' disposition decisions for patients following risk assessment for deliberate self-harm. DESIGN AND METHOD: A survey was distributed to mental health nurses. This survey comprised demographic items and questions in response to nine vignettes describing episodes of deliberate self-harm. Dispositional decision and reasoning were also sought for each vignette. <br><br>FINDINGS: Poor levels of agreement for disposition were found. PRACTICE IMPLICATIONS: There was a lack of consensus regarding dispositional outcomes. This suggests a high level of subjectivity in decision-making which needs to be taken into account within clinical governance.<p /> <p>Language: en</p>",
language="en",
issn="0031-5990",
doi="10.1111/ppc.12086",
url="http://dx.doi.org/10.1111/ppc.12086"
}