The Importance of Time: Nurses' Experiences of Working With Suicide Prevention and Suicide Risk Assessment in the Care of Older People

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing Pub Date : 2024-09-21 DOI:10.1111/opn.12650

Emelie Eriksson, Karin Säfströmer, Sally Hultsjö, Anna Persdotter, Rikard Wärdig

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引用次数: 0

Abstract

Aim

To describe nurses' experiences of working with suicide prevention and suicide risk assessment in the care of older people.

Background

Suicide is a problem among older people, worldwide. Risk factors for suicide are, among others, depression, illness and pain and a feeling of isolation. Nurses have valuable experience in suicide prevention and risk assessments. This study can shed light on what is needed to promote the mental health of older people, which has been partly overlooked in previous research.

Methods/Design

A descriptive qualitative study was conducted. Ten nurses working in care of older people across four different municipalities were interviewed. Conventional content analysis was used to analyse the data.

Results

Despite shortcomings in guidelines, nurses describe performing suicide risk assessments and suicide prevention in a similar manner. The importance of giving the patients time is emphasised, although time is exactly what appears to be lacking.

Conclusion

By engaging with the experiences of nurses, important aspects that require further attention are highlighted. Nurses should inquire about suicidal ideation, even if older persons do not explicitly express such thoughts. Normal ageing needs to be comprehended and considered in assessments. In this work, time is important.

Patient or Public Contribution

The results were coproduced by means of interviews with nurses working in care of older people.

Reporting Method

The study was conducted in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines.

Implications for Practice

Encountering older people who may have experienced the loss of loved ones and addressing one's personal capabilities in the context of the ageing body imposes substantial challenges on nursing care, necessitating a capacity to adeptly navigate and address these complex issues.

Abstract Image

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时间的重要性：护士在护理老年人过程中预防自杀和评估自杀风险的工作经验

目的介绍护士在护理老年人时开展自杀预防和自杀风险评估工作的经验。背景自杀是全世界老年人面临的一个问题。自杀的风险因素包括抑郁、疾病和疼痛以及孤独感。护士在自杀预防和风险评估方面拥有宝贵的经验。本研究可以揭示促进老年人心理健康所需的条件，而以往的研究在一定程度上忽视了这一点。方法/设计进行了一项描述性定性研究。对四个不同城市中从事老年人护理工作的十名护士进行了访谈。采用传统的内容分析法对数据进行分析。结果尽管指导方针存在缺陷，但护士们对自杀风险评估和自杀预防的描述大同小异。给患者时间的重要性得到了强调，尽管时间似乎恰恰是最缺乏的。结论通过了解护士的经验，需要进一步关注的重要方面得到了强调。即使老年人没有明确表达自杀的想法，护士也应该询问他们是否有这种想法。在评估中需要理解和考虑正常的老龄化。在这项工作中，时间非常重要。患者或公众贡献通过对从事老年人护理工作的护士进行访谈，共同得出了研究结果。报告方法本研究根据定性研究报告综合标准（COREQ）指南进行。对实践的启示遇到可能经历过失去亲人的老年人，并在身体老化的背景下解决个人能力问题，这对护理工作提出了巨大挑战，要求护理人员有能力驾驭和解决这些复杂问题。

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来源期刊

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.