Nursing Open最新文献

{"title":"Experience Among Postnatal Nurses With Two or Three Children Returning to Work Within 3 Months in China: A Qualitative Study.","authors":"Meng Liu, Guangling Yang, Qingxiang Zhu, Dan Chen","doi":"10.1002/nop2.70084","DOIUrl":"10.1002/nop2.70084","url":null,"abstract":"<p><strong>Aim: </strong>To analyse experience in postnatal nurses returning to work within 3 months following the delivery of a second or third child and recommend appropriate measures to relieve pressure and enhance work engagement among this group.</p><p><strong>Methods: </strong>This study adopted a descriptive phenomenological approach. Semi-structured interview was carried out with 12 postnatal nurses who had returned to work in the postpartum period following the delivery of a second or third child. The collected data were analysed using the Colaizzi method.</p><p><strong>Results: </strong>Experience among postnatal nurses with two or three children was found to stem from three factors: declining physical quality after childbirth (pelvic floor disorder, fatigue, postpartum memory decline and sleep disturbance), poor psychological adjustment after childbirth (work-family conflict, conflict between clinical work and breastfeeding and role maladjustment) and lack of clear career planning.</p><p><strong>Conclusion: </strong>This study emphasised the importance of psychological experience when postnatal nurses returning to clinical work in the early phase. Postnatal nurses and nurse leaders can use these results to make comprehensive solution in order to improve work engagement in the postpartum return.</p><p><strong>Public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70084"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11557511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The incidence and risk factors of gastrointestinal dysfunction during enteral nutrition in mechanically ventilated critically ill patients.","authors":"Ling Shi, Jianmei Shao, Yuxia Luo, Guiyan Liu, Miao OuYang","doi":"10.1002/nop2.2247","DOIUrl":"10.1002/nop2.2247","url":null,"abstract":"<p><strong>Aim: </strong>To assess the occurrence and risk factors of gastrointestinal (GI) dysfunction during enteral nutrition (EN) in critically ill patients supported with mechanical ventilation.</p><p><strong>Design: </strong>Prospective observational study.</p><p><strong>Methods: </strong>Totally 252 patients admitted at a mixed medical-surgical ICU were enrolled. GI symptoms and the potential risk variables were recorded during the first 14 days of EN.</p><p><strong>Results: </strong>The incidence of GI dysfunction was 65.5%, and the incidence of diarrhoea, constipation, abdominal distension, and upper GI intolerance was 28.2%, 18.3%, 6.7% and 12.3%, respectively. The median onset days of constipation, diarrhoea, abdominal distension and UDI was 3, 5, 5 and 6 days, respectively. Multivariable Cox regression analysis showed a significant relationship between GI dysfunction and age (HR = 2.321, 95% CI: 1.024-5.264, p = 0.004), APACHE-II score at ICU admission (HR = 7.523, 95% CI: 4.734-12.592, p = 0.018), serum albumin level (HR = 0.594, 95% CI: 0.218-0.889, p = 0.041), multidrug-resistant bacteria-positive culture (HR = 6.924, 95% CI: 4.612-10.276, p<0.001), negative fluid balance (HR = 0.725, 95% CI: 0.473-0.926, p = 0.037), use of vasopressor drugs (HR = 1.642, 95% CI: 1.297-3.178, p<0.001), EN way (HR = 6.312, 95% CI: 5.143-11.836, p<0.001), infusion rate (HR = 1.947, 95% CI: 1.135-3.339, p<0.001), and intra-abdominal hypertension (HR = 3.864, 95% CI: 2.360-5.839, p<0.001).</p><p><strong>Conclusion: </strong>Critically ill patients supported with mechanical ventilation are at a high risk of GI dysfunction. Interventions such as the use of laxatives or prokinetic agents, control of EN infusion rate, and maintaining a normal state of hydration, might be beneficial for the prevention of GI dysfunction in critically ill patients.</p><p><strong>Patient or public contribution: </strong>No.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e2247"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11523002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparative Study of the Perspectives of Long-Stay Immigrants, Nurses and Cultural Mediators on Intercultural Communication: A Secondary Qualitative Analysis.","authors":"Francesc Ramos-Roure, Maria Feijoo-Cid, Josep Maria Manresa-Dominguez, Jordi Segura-Bernal, Rosa García-Sierra, Maria Isabel Fernández-Cano, Antonia Arreciado Marañón, Eduard Moreno-Gabriel, Clara Flamarich Gol, Pere Toran-Monserrat","doi":"10.1002/nop2.70074","DOIUrl":"10.1002/nop2.70074","url":null,"abstract":"<p><strong>Aim: </strong>To compare the perspective of nurses, long-stay immigrants and cultural mediators on intercultural communication in care encounters.</p><p><strong>Design: </strong>Qualitative secondary analysis of data obtained in two primary studies.</p><p><strong>Methods: </strong>Two sets of data from two primary studies on nurses and long-stay immigrants (including in total two focus groups and 15 in-depth interviews) were merged. The sample was extended to include a focus group of cultural mediators. An amplified analysis was conducted using Charmaz's approach to grounded theory.</p><p><strong>Results: </strong>The results are structured under the core category \"Agreements and discrepancies in intercultural communication,\" split into two subcategories: (1) Communication and the role of culture; (2) (Non) equitable and culturally (in)sensitive care. Immigrant patients and mediators detect barriers associated with generic aspects of communication, while nurses and mediators value culture. Nurses recognise paternalistic attitudes, while long-stay immigrants sometimes detect biased treatment that mediators do not see. Immigrant patients and mediators value informal conversation as a strategy for cultural learning and building mutual trust, while nurses request regulated training.</p><p><strong>Conclusion: </strong>The findings show that there are always discrepancies in this relationship. Changes to health care should be based on the participation of all actors. Communication skills training programs should be implemented.</p><p><strong>Implications for the profession and/or patient care: </strong>The convergences and divergences of nurses, immigrants and mediators expose new ways to approach care. Communication skills training programs should be implemented. Changes to health care should be based on the participation of all actors, including immigrant patients and mediators, and allow them to voice their opinions and make decisions.</p><p><strong>Impact: </strong>This study addresses intercultural communication from three different perspectives: nurses, long-stay immigrants and cultural mediators. Nurses, long-stay immigrants and cultural mediators sometimes show convergence but never completely agree. The research may have an impact on primary-care nursing by making it more culturally competent.</p><p><strong>Patient or public contribution: </strong>Each participating long-stay immigrant, nurse and cultural mediator reviewed their own interview. The findings were reviewed by a verifier member of each group (a nurse, patient and mediator).</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70074"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interventional Strategies to Mitigate Maternal Stress and Enhance Coping Skills During Neonatal Admission Into Intensive Care Units in Low- and Middle-Income Countries: A Scoping Review.","authors":"N Siva, Binil Velayudhan, Baby S Nayak, Leslie Edward S Lewis, Faiza Iqbal, Judith Angelitta Noronha","doi":"10.1002/nop2.70071","DOIUrl":"10.1002/nop2.70071","url":null,"abstract":"<p><strong>Background: </strong>Mothers of high-risk neonates experience tremendous stress during neonatal intensive care unit (NICU) admission. This stress has a negative impact on mothers' participation in neonatal care activities, psychological health and coping skills in the NICU.</p><p><strong>Objective: </strong>To determine the impact of interventional strategies to reduce maternal stress and enhance coping skills during neonatal admission to the NICU.</p><p><strong>Design: </strong>A scoping review was carried out following the methodological framework outlined by Arksey and O'Malley.</p><p><strong>Methods: </strong>This scoping review was conducted as per the Joanna Briggs Institute guidelines, including a quality appraisal checklist for randomised and nonrandomised controlled trials. Patterns, advances, gaps, evidence for practice and research recommendations from the review (PAGER framework) were used to report the results. The following international databases were used to search for primary articles: Medline via PubMed, EBSCOhost via CINAHL, Scopus, Web of Science and the ProQuest Medical Library. Original studies published in English between January 2011 and January 2023 from low- and middle-income countries (LMICs) that assessed maternal stress and coping skills during neonatal NICU admission were included in the review.</p><p><strong>Results: </strong>The review included 15 articles from LMICs, of which 60% were from middle-income, 25% were from lower-middle-income and 15% were from low-income countries. Interventional strategies were described under five categories. Maternal stress decreased significantly across all three subscales of the PSPS: 'sight and sound', 'baby looks and behavior' and 'parental relationship with baby and role alteration' during neonatal NICU admission. Interventional strategies involving family-centred care and emotional and psychological supportive care have been reported to have a consistently positive impact on alleviating maternal stress and enhancing coping skills in the NICU.</p><p><strong>Conclusion: </strong>Healthcare professionals, especially nurses, are pivotal in promptly recognising maternal stress and NICU stressors. The participation of mothers in neonatal care, such as through family-centred care and emotional support interventions, significantly reduces maternal stress and enhances coping skills.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70071"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142575682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comfort Need of Hospitalised Patients With Covid-19 During Isolation Precaution: A Qualitative Study.","authors":"Chiyar Edison, Agung Waluyo, Sri Yona, Tris Eryando","doi":"10.1002/nop2.70075","DOIUrl":"10.1002/nop2.70075","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to explore the experiences of hospitalised patients with Covid-19 in terms of the meeting of their comfort needs and the source of discomfort during isolation precautions.</p><p><strong>Design: </strong>Qualitative descriptive phenomenological approach was applied in this study.</p><p><strong>Methods: </strong>There were 16 hospitalised patients with Covid-19 and 11 nurses who were thoroughly interviewed. Content analysis was conducted to examine the data of the interviews and then managed using Atlas ti-9 software.</p><p><strong>Results: </strong>Five central themes were identified that describe the comfort needs and the source of discomfort, as follows: (1) nursing professionalism; (2) physical discomfort; (3) psychological responses; (4) poor sleep quality; and (5) spiritual adaptations.</p><p><strong>Public contribution: </strong>The study promoted further explanation about comfort need in patients with Covid-19 in isolation room. This study also highlighted that nursing care played a pivotal part in assisting patients to reach their highest comfort level.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70075"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse Educators and Faculty Members Challenges Towards Online Teaching During COVID-19 Pandemic Crisis: A Qualitative Descriptive Study.","authors":"Friyal Mubarak Alqahtani","doi":"10.1002/nop2.70062","DOIUrl":"10.1002/nop2.70062","url":null,"abstract":"<p><strong>Aim: </strong>The effects of COVID-19 have brought numerous changes in society in the past several months. Lifestyles, business sectors, educational facilities and healthcare services have been greatly affected, causing individuals to be alarmed about future repercussions. This study investigated the various challenges of nursing faculties in conducting online teaching during the COVID-19 pandemic crisis.</p><p><strong>Design: </strong>Qualitative description.</p><p><strong>Method: </strong>Individual interviews were conducted among 20 nurse educators and faculty members, including professors, lecturers and demonstrators utilising a semistructured interview guide. This study utilised qualitative content analysis. COREQ criteria list was used in the qualitative data reporting.</p><p><strong>Result: </strong>Three major themes were generated from the experiences of the participants namely: (1) 'lack of teacher-student interaction' (2) 'digital literacy and technical issues' and (3) 'curriculum structure and programme quality'. The study's benefits will enable the nurse faculties to realise and conceptualise ways and means to mitigate the challenges in conducting online teaching since the effects of COVID-19 continue to increase. Nurse faculties must prepare various strategies approach to deliver education without compromising their quality.</p><p><strong>Patient or public contribution: </strong>Experts from various fields were consulted in the planning of the data gathering procedures, analysis of data and reviewing of the manuscript.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70062"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11535099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142575788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse-Authored Patents and Their Influencing Factors Analysis Among Oncology Nurses Based on the Structural Equation Model.","authors":"Hong Yang, Zhichao Feng, Wen Li, Yuhan Lu","doi":"10.1002/nop2.70077","DOIUrl":"10.1002/nop2.70077","url":null,"abstract":"<p><strong>Aims: </strong>This study analysed the status of nurse-authored patents and their influencing factors. In particular, this study examined the effects of nurses' innovative behaviour and creative self-efficacy on nurse-authored patent output via structural equation modelling (SEM).</p><p><strong>Design: </strong>A descriptive cross-sectional study.</p><p><strong>Methods: </strong>Nurses were recruited from one tertiary cancer hospital in Beijing, China. Among them, 352 oncology nurses completed the online versions of the Nurse Innovative Behavior Scale and Creative Self-Efficacy Scale in 2023.</p><p><strong>Results: </strong>We collected a total of 332 valid questionnaires. Fifty-seven (17.2%) nurses had 1-3 patents, and only 6 (1.8%) had more than three patents. The final model revealed a chain reaction between creative self-efficacy, innovation behaviour and nurse-authored patent output (χ² = 11.962, df = 7, p = 0.102). Significant differences were observed in the number of nurse-authored patents and based on age, educational profile, professional title, length of service, position, participation in science and technology innovation training, and experience in project presentation (all p < 0.05).</p><p><strong>Conclusion: </strong>Nurses still play a minor role in the field of medical technology innovation. It is necessary to promote innovative behaviour among nurses and improve their creative self-efficacy in terms of innovation.</p><p><strong>Impact: </strong>Developing intervention strategies to encourage nurses to pursue clinical innovations is crucial for nursing managers and technological innovation promoters.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70077"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11543858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multidisciplinary Inpatient Community Rehabilitation Programmes for Frail Older People: A Scoping Review.","authors":"Muireann McDonnell, Mary Bell, Fiona Lawler, Anita Duffy, Michael Connolly","doi":"10.1002/nop2.70088","DOIUrl":"10.1002/nop2.70088","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this review was to examine the evidence on multidisciplinary inpatient community rehabilitation intervention programmes for frail older people to establish what frailty rehabilitation programmes if any have been described within the literature and to identify gaps in knowledge and outcome measures used.</p><p><strong>Design: </strong>A scoping review was conducted.</p><p><strong>Methods: </strong>Using the Joanna Briggs Institute approach to scoping reviews, a comprehensive literature search was conducted accessing MEDLINE via PubMed, PsychINFO (via Proquest), CINAHL Complete (via EBSCO) and the Cochrane Library and a limited search of the grey literature was undertaken.</p><p><strong>Results: </strong>Four articles met the inclusion criteria. A heterogenous approach to geriatric rehabilitation was evident across the literature. While the reported rehabilitation interventions were aimed at frail older people, the predominant focus of frailty rehabilitation programmes were on the physical functionality of the older person with an absence or limited measurement of any psychosocial, cognitive or spiritual outcomes or aspects of quality of life.</p><p><strong>Conclusion: </strong>This scoping review exposed the paucity of scientific evidence supporting the need for inpatient multidisciplinary rehabilitative programmes for frail older people wishing to remain at home.</p><p><strong>Relevance to clinical practice: </strong>Timely access to inpatient integrated frailty rehabilitation programmes can improve the quality of life and reduce the likelihood of hospital admissions for frail older people who wish to remain living in their own homes. With the current dearth of published evidence available, there is a necessity to undertake further research to understand the form, content and best models of delivery for frailty rehabilitative services for clinical, policy and practice purposes.</p><p><strong>Patient or public contribution: </strong>There was no patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70088"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Psychological Resilience on Posttraumatic Growth Among Midwives: The Mediating Roles of Perceived Stress and Positive Coping Strategies.","authors":"Yu Zheng, Xin Wang, Yuan Deng, Jia Wang","doi":"10.1002/nop2.70076","DOIUrl":"10.1002/nop2.70076","url":null,"abstract":"<p><strong>Aim: </strong>To explore the relationship between midwives' psychological resilience and posttraumatic growth, and the mediating role of perceived stress and positive coping strategies.</p><p><strong>Design: </strong>A multicentre cross-sectional survey was used.</p><p><strong>Review methods: </strong>Data were conducted among 339 midwives from 24 Grade III A hospitals in Sichuan Province from April to July 2023, using the Chinese version of the Connor Davidson Resilience Scale, Chinese version Perceived Stress Scale, Simplified Coping Style Questionnaire, Chinese-Posttraumatic Growth Inventory and General Demographic Data Questionnaire. A descriptive statistical approach, Pearson's correlation analysis and the Mplus 8.3 were used to analyse the available data.</p><p><strong>Results: </strong>There was a significant correlation between psychological resilience, perceived stress, positive coping strategies and PTG. Psychological resilience could have a direct positive impact on PTG of midwives, but it could also indirectly affect PTG of midwives through three pathways: the mediating effect of perceived stress, the mediating effect of positive coping strategies and the chain mediating effect of perceived stress and positive coping strategies.</p><p><strong>Conclusion: </strong>Results suggest that nursing managers should help to improve the psychological resilience of midwives and to reduce individual stress perception, enhance coping abilities and achieve positive growth.</p><p><strong>Impact: </strong>Prior to data collection, we obtained approval from the nursing department of each hospital. Midwives who met the inclusion and exclusion criteria gave informed consent and invited to participate in this study.</p><p><strong>Reporting method: </strong>This study was guided by STROBE.</p><p><strong>Patient or public contribution: </strong>During the data collection phase, 349 midwives took the time to carefully answer the questionnaire items related to this study.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70076"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How, Why and When: Nursing Staff's Experiences of Working With Suicide Risk Assessment Instruments.","authors":"Rikard Wärdig, Isabella Wallerstedt, Anna Mattison Nyström, Sally Hultsjö","doi":"10.1002/nop2.70068","DOIUrl":"10.1002/nop2.70068","url":null,"abstract":"<p><strong>Aims and objectives: </strong>To describe psychiatric nursing staff´s experiences of working with suicide risk assessment instruments.</p><p><strong>Background: </strong>Around the world, approximately 720,000 people die by suicide each year, of which almost 20% have an ongoing contact with specialist psychiatry during their last month alive. To identify which patients have an increased risk of suicide is a highly important task for nursing staff. Suicidal behaviour is complex and unpredictable. Nursing staff work closely with patients in everyday psychiatric care and often possess unique patient knowledge. These professionals must therefore be able to know when a patient's eventual suicidality requires further attention and efforts.</p><p><strong>Design: </strong>A descriptive qualitative study.</p><p><strong>Methods: </strong>Convenience sampling including nursing staff with more than 2 years of experience in specialist psychiatry. The data collection took place through semi-structured interviews and was then analysed according to conventional content analysis.</p><p><strong>Results: </strong>The nursing staff felt that a natural conversation is superior suicide risk assessment instruments and that experience and patient knowledge are the primary factors for facilitating a suicide risk assessment. This meant that some nursing staff rarely used suicide risk assessment instruments, although they sometimes could be a useful support in the conversation and provided a sense of personal security when documenting results.</p><p><strong>Conclusion: </strong>Suicide risk assessment instrument can be significant and helpful in certain cases, but the essential components of a suicide risk assessment consist of a conversation to understand the meaning of suicide from the patient's perspective.</p><p><strong>Patient or public contribution: </strong>Psychiatric nursing staff contributed to this study by sharing their experiences through interviews.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70068"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}