The Relationship Between Evidence-Based Practices and Emergency Department Managers' Perceptions on Quality of Care for Self-Harm Patients

被引：7

作者：

Diana, Amaya H. ^{[1
]}

Olfson, Mark ^{[2
]}

Cullen, Sara Wiese ^{[1
]}

Marcus, Steven C. ^{[1
]}

机构：

[1] Univ Penn, Philadelphia, PA 19104 USA

[2] Columbia Univ, New York, NY USA

来源：

JOURNAL OF THE AMERICAN PSYCHIATRIC NURSES ASSOCIATION | 2020年 / 26卷 / 03期

基金：

美国国家卫生研究院;

关键词：

emergency department; deliberate self-harm; suicide prevention; evidence-based practices; quality of care;

D O I：

10.1177/1078390319889673

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

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. METHOD: 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 (beta = 0.488) and safety planning (beta = 0.736) processes. Ratings were also higher for hospitals with higher levels of mental health staff (beta = 0.368) and for teaching hospitals (beta = 0.319). CONCLUSION: Preliminary findings suggest a national institutional readiness for further implementation of evidence-based practices for deliberate self-harm patients.

引用

收藏

页码：288 / 292

页数：5

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