Engagement between adults in suicidal crises and nurses in mental health wards: a qualitative study of patients' perspectives

Vandewalle, Joeri; Hoe, Caressa Van; Debyser, Bart; Deproost, Eddy; Verhaeghe, Sofie

doi:10.1016/j.apnu.2021.07.011

Cited by 3 publications

(3 citation statements)

References 46 publications

(89 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Such involvement undermines the patient's trust and limits the patient's ability to express their suffering. Participants experience stagnation in relationships with patients, and the literature indicates that patients were able to express their suicidal ideations to nurses who demonstrated an open and sensitive approach (Vandewalle et al., 2021). Van Orden et al.…”

Section: Discussionmentioning

confidence: 99%

Experiences of general home visiting nurses regarding patients with suicidal ideation in Japan: Results from semi‐structured interviews

Chijiiwa,

Ishimura

2024

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

Accessible SummaryWhat is known on the subject? The leading reason for suicide attempts in Japan is health problems, among which depression is the most common, followed by physical illnesses. Patients with physical illness and suicide ideation are not rare among patients receiving home‐based care. General home visiting nurses (GHVNs) without knowledge, skills or experience in psychiatric care are required to provide care for patients with physical illness who are at risk of suicide in Japan. What this paper adds to existing knowledge? More detailed understanding of GHVNs' experiences and perspectives on working with suicidal patients in home care. This study enriches our understanding of how suicide prevention strategies should be developed for GHVNs. What are the implications for practice? Focusing education on therapeutic communication skills and meanings with relationships with patients is required by GHVNs. Training for suicide risk assessment and guidelines appropriate to GHVNs' situation is crucial. Establishing a liaison service system with a multidisciplinary team, including psychiatric home‐visiting nurses, is necessary for home healthcare to achieve continuity of care. AbstractIntroductionIn Japan, even a general home visiting nurse (GHVN) lacking psychiatric experience and training can provide home nursing care to patients at risk of suicide. Little attention is given to nursing care for suicide by GHVNs who care for patients with physical illness. However, these patients with suicidal ideation for home care are surprisingly common.Aim/QuestionWe explored the experiences of GHVNs who cared for patients with suicidal ideation and focused on the nurses' perceptions and interactions.MethodWe conducted semi‐structured interviews with 15 GHVNs. We discussed the nurses' experiences caring for patients with suicidal ideation, their perceptions during these interactions and their response.ResultsGeneral home visiting nurses were perplexed upon learning of the patient's suicidal ideation. They interacted with such patients by ‘avoiding the core of the matter’ while focusing on maintaining a relationship with them.DiscussionNot addressing the patient's suicidal thoughts will not only disable the suicide risk assessment but also lead to patient isolation. Suicide prevention care needs to consider the unique characteristics of home care.Implications for PracticeGeneral home visiting nurses require training in suicide risk assessment and communication skills. Establishing a liaison service, including psychiatric home visiting nurses, is necessary to achieve continuity of care.

show abstract

Section: Discussionmentioning

confidence: 99%

Experiences of general home visiting nurses regarding patients with suicidal ideation in Japan: Results from semi‐structured interviews

Chijiiwa,

Ishimura

2024

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

show abstract

“…The importance of good relationships in recovery processes, with professionals, family, and friends, is well known (Borg & Kristiansen, 2004;Topor et al, 2006). Nonetheless, professionals and people with lived experience still call for relational approaches and interpersonal engagement in suicide prevention efforts (Espeland et al, 2021;Vandewalle et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Lifesaving turning points: First-person accounts of recovery after suicide attempt(s)

2022

View full text Add to dashboard Cite

This study explores the recovery processes of persons who had attempted suicide. Semistructured interviews were conducted with eight persons who had attempted suicide and the data were analyzed by means of systematic text condensation. The participants described lifesaving turning points, which were connected to meaningful relationships, taking control over one's own life, and establishing a new everyday life. Suicide prevention efforts must be adapted to individual needs. First-person knowledge is important if we are to understand what is seen as helpful and should be emphasized when implementing suicide prevention work.

show abstract

“…The way of recruiting participants was in line with positive experiences from previous research by Vandewalle et al . (2021a, 2021b).…”

Section: Methodsmentioning

confidence: 99%

Nursing handover involving consumers on inpatient mental healthcare units: A qualitative exploration of the consumers’ perspective

Velde

Hecke

Cleemput³

et al. 2021

Int J Mental Health Nurs

View full text Add to dashboard Cite

Handovers between nurses are a significant cause of communication problems and possible consumer safety issues. A potential solution for both problems is the nursing handover involving consumers, in which the consumer is present at the time of handover. This practice invites consumers to be more involved in their care process and supports a recovery‐oriented practice. Research into nursing handovers involving consumers on inpatient mental health units is however very limited. A qualitative, phenomenological study was conducted. Semi‐structured interviews with 13 consumers staying on an inpatient mental health unit of a general hospital were used. The interviews were transcribed verbatim and thematically analysed. Data saturation was reached after 11 interviews when no new themes or codes emerged from the data. Three themes were generated from the interviews: (i) the first moments on the inpatient mental health unit; (ii) the nurse as an ally; and (iii) informing each other. The COREQ‐checklist was used. According to consumers, nursing handover involving consumers initiated a change in the relationship between consumers and nurses. Consumers and nurses got to know each other better during handover and built a relationship of trust. The introduction of nursing handover involving consumers created an accessible opportunity for consumers to exchange information with nurses and ask questions concerning their admission. Consumers felt jointly responsible for the continuity of the information about their healthcare process. Due to the use of nursing handover involving consumers, consumers experienced the opportunity to take more control in their health process and ensured that information is correct and complete.

show abstract

Engagement between adults in suicidal crises and nurses in mental health wards: a qualitative study of patients' perspectives

Cited by 3 publications

References 46 publications

Experiences of general home visiting nurses regarding patients with suicidal ideation in Japan: Results from semi‐structured interviews

Experiences of general home visiting nurses regarding patients with suicidal ideation in Japan: Results from semi‐structured interviews

Lifesaving turning points: First-person accounts of recovery after suicide attempt(s)

Nursing handover involving consumers on inpatient mental healthcare units: A qualitative exploration of the consumers’ perspective

Contact Info

Product

Resources

About