Nurses’Attitudes and Difficulties in Nursing Intervention towardSuicidal Behavior in Emergency Departmennt

• Main Authors: S.J. Leu, 呂素珍
• Other Authors: M.S. Yang
• Format: Others
• Language: zh-TW
• Published: 2002
• Online Access: http://ndltd.ncl.edu.tw/handle/14102193440215489920

碩士 === 高雄醫學大學 === 護理學研究所 === 90 === Abstract The aim of this study was to explore the attitudes and difficulties in nursing interventions toward suicidal behavior of nurses working in the emergency department（ED） . Cross-sectional and retrospective method was applied and 194 ED nurses from three medical centers and five district hospitals in southern Taiwan were recruited with the convenience sampling method. Participants were asked to respond to a valid and reliable questionnaire requiring the attitudes and difficulties in nursing interventions to suicidal behavior. Descriptive and inferential statistics were applied to analyze the data. The results were as follows（1）The mean score of ED nurses’ attitudes toward suicidal behavior on 4 points scale was 2.4, and the leading three of negative attitudes as proportion were “ Patients with a history of repeated suicidal attempts should pay the medical fee by themselves ,because they wasted the social medical resources.” , “Suicide is a selfish behavior” and “Suicide is aimed behavior, not worthy to sympathize.”（2）The standardized score of the difficulties to care suicidal patients and their families was at the medium level（50.9-54.4）. The most difficult nursing interventions were “To encourage expression of feeling ”,“To assess and resolve the factor which evoke a patient to suicide”,” To assess and resolve the family’s problem in caring the patient”（3）The ED nurses who participated religious activity regularly, had more emergency nursing experience, had more positive attitudes toward suicidal patients.（4）The ED nurses who were elder, had more positive attitudes toward suicidal behavior, more general and emergency nursing experience, received training program about the care of patients with suicidal behavior, had lower difficulty to nurse the patient who made an attempt on her self’s life by cutting wrist.（5）Patient’s incorporative attitude, inadequate time and staffing were the major factors to induce the difficulty of nursing the patient with suicidal behavior. The results of this study could be used for reference in providing the training program for ED nurses to improve positive attitudes and reduce difficulties in nursing interventions toward patients with suicidal behavior, thereby raising the level of emergency nursing quality in the care of suicidal patients and their families.