Mental Health Nurses' Dispositional Decision-Making for People Presenting to the Emergency Department With Deliberate Self-Harm: An Exploratory Study

被引：6

作者：

Phillips, Grant ^{[1
]}

Gerdtz, Marie Frances ^{[2
,3
,4
]}

Elsom, Stephen James ^{[5
]}

Weiland, Tracey J. ^{[6
,7
]}

Castle, David ^{[8
,9
]}

机构：

[1] St Vincents Mental Hlth, Melbourne, Vic, Australia

[2] Univ Melbourne, Dept Nursing, Melbourne, Vic, Australia

[3] Melbourne Hlth, Emergency Serv, Melbourne, Vic, Australia

[4] Melbourne Hlth, Trauma Serv, Melbourne, Vic, Australia

[5] Univ Melbourne, Ctr Psychiat Nursing, Carlton, Vic 3053, Australia

[6] St Vincents Hosp, Emergency Med Innovat Ctr, Melbourne, Vic, Australia

[7] Univ Melbourne, Melbourne, Vic, Australia

[8] Univ Melbourne, Psychiat, Melbourne, Vic, Australia

[9] St Vincents Mental Hlth, Psychiat, Melbourne, Vic, Australia

来源：

PERSPECTIVES IN PSYCHIATRIC CARE | 2015年 / 51卷 / 02期

关键词：

Deliberate self-harm; disposition decision; emergency department; mental health nurse; SUICIDE;

D O I：

10.1111/ppc.12086

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

BackgroundThere is no clear treatment pathway for people presenting to Australian emergency departments with deliberate self-harm. PurposeTo explore variations in mental health nurses' disposition decisions for patients following risk assessment for deliberate self-harm. Design and MethodA 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. FindingsPoor levels of agreement for disposition were found. Practice ImplicationsThere 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.

引用

页码：148 / 153

页数：6

共 14 条

[1]

[Anonymous], 2001, Inf. Technol. Learn. Perform. J

[2]

Kalucy R, 2005, AUST NZ J PSYCHIAT, V39, P74, DOI 10.1080/j.1440-1614.2005.01512.x

[3] Hopelessness as a Predictor of Attempted Suicide among First Admission Patients with Psychosis: A 10-year Cohort Study [J].