Survey on Nursing Education and the Perceived Burden of Borderline Personality Disorder in France.

Abstract

Borderline personality disorder (BPD) is a complex psychiatric condition often linked with self-harm, comorbidities, and high healthcare use. Nurses, frequently on the front line of care, report relational difficulties that may stem from insufficient training. A cross-sectional survey was conducted among nurses in three psychiatric hospitals in Northern France. An anonymous online questionnaire assessed professional identity, nursing school training, transition into practice, perceptions of BPD, and comfort in care. 210 nurses were included. Most judged their psychiatric training incomplete, citing limited theory, insufficient practice, and uneven placements. While 93% recognized BPD features, only half felt comfortable providing care. Comfort was positively associated with longer psychiatric experience. Respondents strongly requested additional training, especially in therapeutic approaches and simulation. Significant gaps in psychiatric nursing education regarding BPD reduce confidence and contribute to ambivalence in care. Strengthened curricula, simulation, and advanced practice mentorship may improve preparedness and patient outcomes.