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Development and Evaluation of a Guideline for Nursing Care of Suicidal Patients With Schizophrenia
Authors:Esther L. Meerwijk RN  MSc  Berno Van Meijel RN  PhD  Jan Van Den Bout PhD  Ad Kerkhof PhD  Wim De Vogel RN  Mieke Grypdonck RN  PhD
Affiliation:1. Esther L. Meerwijk, * RN, MSc, is a Doctoral Student at the University of California San Francisco, School of Nursing, San Francisco, CA, USA;2. Berno van Meijel, RN, PhD, is a Professor of Mental Health Nursing and Director of the Research Group Mental Health Nursing, INHolland University for Applied Sciences, Amsterdam, The Netherlands;3. Jan van den Bout, PhD, is a Professor of Clinical Psychology, Department of Clinical and Health Psychology, Utrecht University, Utrecht, The Netherlands;4. Ad Kerkhof, PhD, is a Professor of Clinical Psychology, Psychopathology and Suicide Prevention, Department of Clinical Psychology, EMGO+ Institute, Vrije University, Amsterdam, The Netherlands;5. Wim de Vogel, RN, is Team Leader, Center of Expertise on Psychotic Disorders, Dimence Mental Health Care Center, Deventer, The Netherlands;6. Mieke Grypdonck, RN, PhD, is a Professor of Nursing Science, Julius Center for Health Sciences and Primary Care, Department of Nursing Science, University Medical Center Utrecht, Utrecht, The Netherlands.
Abstract:PURPOSE. The purpose of this study was to develop and test an evidence-based guideline that would support nursing care for suicidal patients with schizophrenia. DESIGN AND METHODS. Systematic review of the literature and consultation of experts preceded completion of the guideline. Twenty-one nurses from two mental health institutions tested the guideline for feasibility in nursing practice. FINDINGS. The guideline was found to support discussing suicidality with patients and assessing suicide risk. Participants endorsed implementation of the guideline in mental health care. PRACTICE IMPLICATIONS. Nurses who care for patients with schizophrenia are advised to use this guideline as a foundation for their care.
Keywords:Guideline  nursing assessment  schizophrenia  suicide
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