TY  - JOUR
PY  - 2022//
TI  - Emergency nurses' perceptions of the health care system and how it impacts provision of care to people who self-harm
JO  - Collegian
A1  - McGough, S.
A1  - Wynaden, D.
A1  - Ngune, I.
A1  - Janerka, C.
A1  - Hasking, P.
A1  - Rees, C.
SP  - 38
EP  - 43
VL  - 29
IS  - 1
N2  - 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 "health care system" 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>
LA  - en
SN  - 1322-7696
UR  - http://dx.doi.org/10.1016/j.colegn.2021.04.004
ID  - ref1
ER  -