急救护士和自残者的护理:元人种志

IF 1.8 4区 医学 Q2 NURSING
Luke Molloy , Hadwan Aldahmashi , Tammy Tran Merrick , Kelly Lewer , Faisal Khalaf Alanazi , Louise Doyle , Brian Keogh , Timothy Wand
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引用次数: 0

摘要

自残是一个重大的公共卫生问题,也是全球卫生政策的重点。急诊科(EDs)经常看到自残病例,急救护士起着至关重要的作用。然而,由于缺乏循证实践和护士态度不一,护理不一致和不合格。目的综合定性研究结果,了解急诊护士护理自残患者的社会背景。方法采用noblit和Hare的元人种学方法进行综合定性研究。检索了2013年10月至2025年7月期间的三个数据库(PsychINFO、CINAHL和MEDLINE)的相关研究。纳入了5项定性资料丰富的研究。结果护士在护理自残患者时,由于缺乏知识和信心,往往会感到不舒服和不确定。沮丧和愤怒等情绪反应会对护理质量产生负面影响。服务障碍,包括时间限制、缺乏隐私和指南不充分,进一步阻碍了最佳护理。然而,有了经验和教育,护士会更舒适,技能也会更好。精神卫生专家在急诊科的存在提高了护士的信心和护理质量。有针对性的教育和培训对于改变态度和改善对自残患者的护理至关重要。结论元民族志强调了对急诊科护士进行精神卫生教育和培训的必要性。改善急诊科的物理环境,培养共同承担精神卫生保健责任的文化,可以改善服务使用者的结果和护士的职业满意度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Emergency nurses and the care of people who have self-harmed: A meta-ethnography

Background

Self-harm is a significant public health issue and a key focus of health policies globally. Emergency departments (EDs) often see self-harm cases, with emergency nurses playing a crucial role. However, care is inconsistent and substandard due to a lack of evidence-based practices and mixed attitudes among nurses.

Objective

To understand the social context of emergency nurses’ practice with self-harm patients by synthesising qualitative research findings.

Method

Noblit and Hare’s meta-ethnography method was used to synthesise qualitative studies. Three databases (PsychINFO, CINAHL, and MEDLINE) were searched for relevant studies over the period October 2013 to July 2025. Five studies with rich qualitative data were included.

Results

Nurses often feel discomfort and uncertainty when caring for self-harm patients due to a lack of knowledge and confidence. Emotional responses like frustration and anger can negatively impact care quality. Service barriers, including time constraints, lack of privacy, and inadequate guidelines, further hinder optimal care. However, with experience and education, nurses develop greater comfort and skills. The presence of mental health specialists in EDs enhances nurses’ confidence and care quality. Focused education and training are crucial for changing attitudes and improving care for self-harm patients.

Conclusion

The meta-ethnography highlights the need for improved education and training for ED nurses in mental health care. Enhancing the physical environment of EDs and fostering a culture of shared responsibility for mental health care can improve service users’ outcomes and professional satisfaction for nurses.
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来源期刊
CiteScore
3.20
自引率
11.10%
发文量
85
期刊介绍: International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.
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