Sevda Öztürk , Duygu Hiçdurmaz , Mark Lewis Soileau
{"title":"在精神病诊所管理自杀风险:关于科维德-19 大流行期间护士工作氛围的人种学研究","authors":"Sevda Öztürk , Duygu Hiçdurmaz , Mark Lewis Soileau","doi":"10.1016/j.apnu.2024.10.010","DOIUrl":null,"url":null,"abstract":"<div><div>The aim of this study was to describe the approaches of nurses working in an inpatient psychiatry clinic during the pandemic period to managing suicide risk in the context of their work atmosphere. This ethnographic research design used a sample of 13 psychiatric nurses in a psychiatric clinic in Ankara, Turkey. Data were collected with in-depth interviews and 612h of observation. Qualitative thematic analysis was used for data analysis. Two themes emerged from the data analysis, including ‘De-prioritizing the uniqueness of the patient in managing suicide risk’ and ‘A condition that remains important for uniqueness: personality disorders’. The current risk assessment methods for suicide, pandemic measures, and past inadequacies in the approach to patients with personality disorders have revealed the risk of alienating from the individual risk factors as well as the patients' history in risk management. Risk management practices that consider the psychosocial assets of patients at risk of suicide, addressing the risk level with a safe measurement scale and performing triage according to this grading system can provide an atmosphere that allows nurses to make risk assessments greater self-confidence.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"53 ","pages":"Pages 232-241"},"PeriodicalIF":2.2000,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Managing the risk of suicide in a psychiatry clinic: An ethnographic study on the work atmosphere of nurses during the Covid-19 pandemic\",\"authors\":\"Sevda Öztürk , Duygu Hiçdurmaz , Mark Lewis Soileau\",\"doi\":\"10.1016/j.apnu.2024.10.010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>The aim of this study was to describe the approaches of nurses working in an inpatient psychiatry clinic during the pandemic period to managing suicide risk in the context of their work atmosphere. This ethnographic research design used a sample of 13 psychiatric nurses in a psychiatric clinic in Ankara, Turkey. Data were collected with in-depth interviews and 612h of observation. Qualitative thematic analysis was used for data analysis. Two themes emerged from the data analysis, including ‘De-prioritizing the uniqueness of the patient in managing suicide risk’ and ‘A condition that remains important for uniqueness: personality disorders’. The current risk assessment methods for suicide, pandemic measures, and past inadequacies in the approach to patients with personality disorders have revealed the risk of alienating from the individual risk factors as well as the patients' history in risk management. Risk management practices that consider the psychosocial assets of patients at risk of suicide, addressing the risk level with a safe measurement scale and performing triage according to this grading system can provide an atmosphere that allows nurses to make risk assessments greater self-confidence.</div></div>\",\"PeriodicalId\":55466,\"journal\":{\"name\":\"Archives of Psychiatric Nursing\",\"volume\":\"53 \",\"pages\":\"Pages 232-241\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2024-10-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of Psychiatric Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0883941724002000\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Psychiatric Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0883941724002000","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Managing the risk of suicide in a psychiatry clinic: An ethnographic study on the work atmosphere of nurses during the Covid-19 pandemic
The aim of this study was to describe the approaches of nurses working in an inpatient psychiatry clinic during the pandemic period to managing suicide risk in the context of their work atmosphere. This ethnographic research design used a sample of 13 psychiatric nurses in a psychiatric clinic in Ankara, Turkey. Data were collected with in-depth interviews and 612h of observation. Qualitative thematic analysis was used for data analysis. Two themes emerged from the data analysis, including ‘De-prioritizing the uniqueness of the patient in managing suicide risk’ and ‘A condition that remains important for uniqueness: personality disorders’. The current risk assessment methods for suicide, pandemic measures, and past inadequacies in the approach to patients with personality disorders have revealed the risk of alienating from the individual risk factors as well as the patients' history in risk management. Risk management practices that consider the psychosocial assets of patients at risk of suicide, addressing the risk level with a safe measurement scale and performing triage according to this grading system can provide an atmosphere that allows nurses to make risk assessments greater self-confidence.
期刊介绍:
Archives of Psychiatric Nursing disseminates original, peer-reviewed research that is of interest to psychiatric and mental health care nurses. The field is considered in its broadest perspective, including theory, practice and research applications related to all ages, special populations, settings, and interdisciplinary collaborations in both the public and private sectors. Through critical study, expositions, and review of practice, Archives of Psychiatric Nursing is a medium for clinical scholarship to provide theoretical linkages among diverse areas of practice.