A mixed method study to determine the attitude of Australian emergency health professionals towards patients who present with deliberate self-poisoning |
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| Institution: | 1. School of Nursing, Laurentian University, Ramsey Lake Road, Sudbury, Ontario P3E 2C6, Canada;2. Epidemiology, Outcomes & Evaluation, Northeast Cancer Centre, Health Sciences North, 41 Ramsey Lake Road, Sudbury, Ontario, Canada;1. Department of Liaison Psychiatry, Beaumont Hospital, Dublin 9, Ireland;2. Department of Psychiatry, Royal College of Surgeons in Ireland, Beaumont Hospital, Dublin 9, Ireland;1. Emergency Department, Alice Ho Miu Ling Nethersole Hospital, Tai Po, New Territories, Hong Kong Special Administrative Region;2. Emergency Department, Tuen Mun Hospital, New Territories West, Hong Kong Special Administrative Region;3. The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong Special Administrative Region;1. Research group Economics and Public Policy, Faculty of Business Economics, Hasselt University, Belgium;2. Emergency Department, Heilig Hart Ziekenhuis Roeselare, Belgium;3. Emergency Department, University Hospitals Leuven, Belgium;1. Emergency Department, Mona Vale Hospital, 1 Coronation Street, Mona Vale, NSW 2103, Australia;2. Children’s Hospital Westmead, Gastroenterology Department, Westmead, NSW 2145, Australia;3. Nursing and Midwifery Directorate NSLHD, Royal North Shore Hospital, Level 7 Kolling Building, St Leonards, NSW 2065, Australia |
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| Abstract: | IntroductionDeliberate self-poisoning is one of the frequent presentation types to emergency departments. It has been reported that attitudes of emergency staff may have negative consequences for the wellbeing of the self-poisoning patient.AimDetermine the attitude of nursing and medical staff towards patients who present with deliberate self-poisoning and to identify if differences exist between the two groups.DesignMixed-method.MethodologyThe “Attitudes towards Deliberate Self-Harm Questionnaire” was distributed to all nursing and medical staff who had direct patient contact at three emergency departments (N = 410). Total and factor scores were generated and analysed against variables age, gender, length of experience working in the emergency department, level of education and by profession. Two open ended questions asked staff to write their perceptions and stories about patients who deliberate self-poison and were analysed using qualitative data analysis.ResultsForty-five percent of staff returned the questionnaire. The attitude of emergency nurses and doctors was positive towards patients who deliberately self-poison. Doctors had significantly higher total and Factor 2 ‘dealing effectively with the deliberate self-poisoning patient’ scores than nurses. After adjusting for length of time working in the emergency department only Factor 2 ‘dealing effectively with the deliberate self-poisoning patient’ remained statistically significant. Staff reported high levels of frustration, in particular to patients who represent.Conclusion/relevance to practiceThis information may be used to develop and implement educational strategies for staff to improve the experiences of and better support patients presenting to the emergency department who deliberately self-poison. |
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| Keywords: | Deliberate self-harm Deliberate self-poison Attitude Emergency department Emergency nursing Mixed-method Questionnaires |
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