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Titre : | Counseling Suicidal Patients About Access to Lethal Means: Attitudes of Emergency Nurse Leaders (2018) |
Auteurs : | Marian E. Betz ; Ashley Brooks-Russell ; Sara Brandspigel ; Douglas K. Novins ; Gregory J. Tung ; Carol Runyan |
Type de document : | Article |
Dans : | Journal of Emergency Nursing (Vol. 44, n° 5, September 2018) |
Article en page(s) : | p. 499-504 |
Note générale : | DOI: https://doi.org/10.1016/j.jen.2018.03.012 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Autorité ; Prévention primaire ; Relation d'aide ; Services des urgences médicales ; Suicide |
Mots-clés: | Moyens létaux |
Résumé : |
Introduction
For ED patients at risk of suicide, counseling to reduce access to lethal means (including firearms) is recommended yet not routine. To enhance practice uptake, we sought to examine the attitudes and beliefs of emergency nurse leaders concerning the acceptability and effectiveness of lethal-means counseling. Methods We invited a nurse leader (ED nurse manager or Chief Nursing Officer [CNO]) at each hospital-based emergency department in the 8-state Mountain West region of the United States to complete a closed-ended telephone survey. Questions assessed current practices and leaders views on suicide prevention and lethal-means counseling. Reponses were weighted to all eligible hospitals to adjust for nonresponse. Results From 363 eligible hospitals, 190 emergency nurse leaders responded (overall response rate: 52%). Emergency nurse leaders thought providers at their emergency departments did an excellent job of safety counseling (74%) for suicidal patients. Most respondents believed that talking about firearms with suicidal patients is acceptable to patients (77%), supported by hospital administration (64%), effective in preventing suicide (69%), and something that providers should do (91%). However, the majority also had doubts about whether suicide is preventable (60%). Discussion Despite expressing high levels of support for the acceptability and effectiveness of lethal-means counseling, high proportions of emergency nurse leaders expressed skepticism regarding the preventability of suicide, a finding consistent with previous work. Our results support the need to address and modify misperceptions about prevention of suicide in any efforts for widespread implementation and dissemination of lethal-means counseling. Image 1 Contribution to Emergency Nursing Practice Examination of ED nurse leaders across the United States Mountain West region found general support for lethal-means counseling for patients at risk of suicide. Skepticism about the preventability of suicide highlights the need for better, focused suicide prevention training of nurses during training and through continuing education. Efforts to implement, sustain, or improve lethal-means counseling practices in emergency departments can be more successful if they engage nurse leaders. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
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REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |