@article{ref1,
title="Emergency nurses' perceptions of the health care system and how it impacts provision of care to people who self-harm",
journal="Collegian",
year="2022",
author="McGough, S. and Wynaden, D. and Ngune, I. and Janerka, C. and Hasking, P. and Rees, C.",
volume="29",
number="1",
pages="38-43",
abstract="BACKGROUND: Self-harm is a deliberate act to cause physical harm to oneself. People who self-harm are at greater risk for suicide than people who do not self-harm. Emergency nurses are first responders to many people who present to the emergency department (ED) with self-harm. The care they provide can influence future presentations to the emergency department and long-term outcomes. <br><br>AIM: The aim was to explore ED nurses' experiences of working with people who self-harm. <br><br>METHODS: Semi-structured interviews were conducted with 18 emergency nurses from different locations in Australia in 2019. Elo and Kyngäs' inductive content analysis research method guided all stages of the research. <br><br>RESULTS: The category &quot;health care system&quot; emerged from the data. It comprised five subcategories: (i) Complexity of the work environment; (ii) ED staff attitudes and care provision; (iii) the mental health patient; (iv) facilitators and barriers to providing care to people who self-harm; and (v) lack of community resources. <br><br>DISCUSSION: This study found there were several factors influencing ED nurses' knowledge, skills and confidence in caring for people who self-harm and several factors influenced their experience. <br><br>CONCLUSION: While participants felt confident to manage the physical injuries associated with self-harm, they were less confident to engage with the person about their self-harm. The article provides guidance for ED nurses to assess and intervene with people who present with self-harm. © 2021<p /><p>Language: en</p>",
language="en",
issn="1322-7696",
doi="10.1016/j.colegn.2021.04.004",
url="http://dx.doi.org/10.1016/j.colegn.2021.04.004"
}