Nurses’ attitudes towards patients hospitalised for self-harm

Hodgson, Kimberley

doi:10.7748/ns.30.31.38.s44

Cited by 17 publications

(16 citation statements)

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“…In a recent review study on caring for patients with mental illness in the ED, Clarke and colleagues (2014) found that ED staff perceive patients with mental illness as challenging, instilling fear and anger in health care professionals. ED physicians and nurses, in particular, are shown to have negative attitudes toward patients seeking psychiatric care in the ED, which influences their therapeutic interactions with these patients (Bodner et al, 2015; Hadfield, Brown, Pembroke, & Hayward, 2009; Hodgson, 2016; Sulzer, 2015). In turn, patients view staff frustration as a dismissal of their needs.…”

Section: Discussionmentioning

confidence: 99%

Exploring the Experiences of Persons Who Frequently Visit the Emergency Department for Mental Health-Related Reasons

et al. 2017

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In this qualitative study, the experiences of persons who frequently visit the emergency department (ED) for mental health-related reasons were explored. Interpretive Description guided the design, and data were collected through interviews with 10 adults who made 12+ ED visits within a 1-year time frame (2015). Thematic analysis was used to analyze data inductively. The participants' experiences were described with the help of three themes emerging from the data: The Experience, The Providers, and Protective Factors. The participants felt compelled to come to hospital. For them, every visit was necessary, and dismissal of their needs by staff was interpreted as disrespect and prejudice. We noted differences in ED utilization patterns according to psychiatric diagnosis, and more research is needed to explore the phenomenon of frequent use by particular patient populations. Furthermore, health care providers implementing interventions designed to improve emergency care should consider tailored approaches rather than a one-size-fits-all strategy.

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Section: Discussionmentioning

confidence: 99%

Exploring the Experiences of Persons Who Frequently Visit the Emergency Department for Mental Health-Related Reasons

et al. 2017

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“…However, a level of discomfort was experienced for some participants and was associated with the severity of the self‐injury, the demands of managing several patients with self‐harm concurrently and the increasing number of presentations. Several studies have also reported that working with self‐harm can be emotionally challenging (O'Connor & Glover, 2017; Patterson, Whittington, & Bogg, 2007) and repeated self‐harm behaviour could negatively influence therapeutic relationships (Hodgson, 2016; Murphy et al , 2019).…”

Section: Discussionmentioning

confidence: 99%

“…People who self‐harm require MHNs with advanced nursing skills (Tofthagen et al ., 2014) and an accurate understanding of the functions of self‐harm, to provide therapeutic interventions. MHNs are at the forefront of working with people who self‐harm, and consequently require ongoing support and education, with training targeting knowledge, attitudes, effective interventions and debriefing following distressing encounters (Hodgson, 2016).…”

Section: Discussionmentioning

confidence: 99%

Mental health nurses' perspectives of people who self‐harm

McGough

Wynaden

Ngune

et al. 2020

Int J Mental Health Nurs

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Self‐harm is a significant health issue, a leading cause of serious injury and is an indicator of psychological distress. Nurses play an important role in providing therapeutic care to people who self‐harm. The aim of this study was to explore mental health nurses’ (MHNs) experience of working with people who self‐harm. Data were collected using semi‐structured interviews and transcribed verbatim from 14 MHNs across Australia. Elo and Kyngäs’ inductive content analysis was used to extract meaning from the data which is reported in accordance with the consolidated criteria for qualitative research guidelines (COREQ). Two categories were identified which captured the MHNs’ experiences of working with people who self‐harm: (i) Nurses’ level of preparedness to work with people who self‐harm; and (ii) The healthcare system. Several sub‐categories were identified. Attitudes, knowledge, skills, and support from others influenced their experience of working with people who self‐harm. Clinical and life experience, undergraduate programme preparation and ongoing education all contributed towards developing therapeutic care with this group of patients. Nurses are vital in the care of people who self‐harm and an accurate understanding of the functions of self‐harm focuses therapeutic interactions to manage psychological distress and reduce further self‐harm and lessen the risk of suicide.

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“…However, there is a distinct paucity of mental health training for rCNs, resulting in feelings of unpreparedness to meet the unique and often challenging needs of CYP who self-harm (Horrocks et al, 2005). This has resulted in rCNs expressing a lack of confidence in their ability to work with this often stigmatized patient group (Hodgson, 2016). In addition, previous studies have shown that rCN attitudes towards patients with mental health problems are not always positive and at times are shown to be stigmatizing, resulting in discriminatory behaviour that can impact negatively on the patient’s experience and well-being (Ross and Goldner, 2009).…”

Section: Introductionmentioning

confidence: 99%

“…In addition, previous studies have shown that rCN attitudes towards patients with mental health problems are not always positive and at times are shown to be stigmatizing, resulting in discriminatory behaviour that can impact negatively on the patient’s experience and well-being (Ross and Goldner, 2009). There have been urgent calls for rCN training in mental health and effective provision of care for patients who have self-harmed and present at the ED (Coulter et al, 2013; Hodgson, 2016). CYP admitted for treatment following self-harm feel that they are treated differently from other patients and their views indicate there are still significant improvements needed to change the attitudes and behaviour of health professionals to ensure they receive a high-quality service (Horrocks et al, 2005; McHale and Felton, 2010).…”

Section: Introductionmentioning

confidence: 99%

Co-producing a digital educational programme for registered children’s nurses to improve care of children and young people admitted with self-harm

Latif

Carter

Rychwalska-Brown

et al. 2017

J Child Health Care

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Despite the increasing prevalence of hospital admissions for self-harm in children and young people (CYP), there is paucity of registered children's nurse (rCN) training or involvement of children to improve care for this often stigmatized patient group. This article describes a participatory approach towards using co-production with CYP and rCN to develop a digital educational programme to improve nurses' knowledge, attitudes and confidence in caring for CYP with self-harm injuries. A priority-setting workshop with rCNs was used to establish consensus of information needs. This was followed by an e-learning content development workshop undertaken with CYP whom had previously experienced hospital admissions for self-harm injuries. Findings from the nurse priority-setting workshop identified three educational priorities: (1) knowledge of self-harm, (2) effective communication and (3) risk management. The CYP subsequently developed these topic areas to ensure the contents and design of the e-learning resource had fidelity by reflecting the experiences of CYP and needs when cared for in hospital. This article illustrates that involving service users to co-develop educational materials is a feasible and important step in designing educational resources and ensures the content is relevant, appropriate and sensitive to both the recipient of care and those responsible for its delivery.

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Nurses’ attitudes towards patients hospitalised for self-harm

Cited by 17 publications

References 0 publications

Exploring the Experiences of Persons Who Frequently Visit the Emergency Department for Mental Health-Related Reasons

Exploring the Experiences of Persons Who Frequently Visit the Emergency Department for Mental Health-Related Reasons

Mental health nurses' perspectives of people who self‐harm

Co-producing a digital educational programme for registered children’s nurses to improve care of children and young people admitted with self-harm

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