The Effectiveness of Interactive Discussion Group Intervention to Improve Nurses' Abilities of Risk Identification and Assessment on People With Suicide Attempt or Self-harm Behavior
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 111
- 试验地点
- 2
- 主要终点
- Correctness rate and the scores of the nurses to identify the risk factors of a case vignette using an assessment tool, the SAD PERSONS Scale.
研究概览
简要总结
Suicide attempters or people with self-harm have a high percentage in seeking medical services before and after their suicidal or self-harm behaviour compared to general population. Studies revealed that apart from psychiatric services, they were more likely to seek help from doctors of various units (e.g. emergency departments, general medicine, medical-surgical units) across different healthcare systems (i.e. hospitals or district clinics). Besides, suicide event was possibly heard on in-patients of psychiatric or non-psychiatric units. People with self-harm experienced poor communication with healthcare personnel, and they perceived staff's lacking knowledge about suicide as serious problems. In Taiwan it was also found that emergency nurses and general practitioners were in need of improving negative attitudes and enhancing knowledge towards suicidal behaviour. From the point that nurses are the healthcare personnel that spend the most time with in-patients compared to others in the hospital, suicide risk assessment training may enhance nurses' attitudes and ability of risk awareness and assessment towards people with self-harm, which may in turn significantly increase the identification rate of the high risk group for suicide. Currently there is a lack of suicide training program as a reference for nursing education in Taiwan. The study therefore aims to strengthen suicide risk assessment ability among clinical nurses through interactive discussion groups. Using quasi-experimental design with randomized cluster sampling strategy, a case vignettes will be used for suicide risk assessment together with other measurements regarding suicide knowledge and attitudes for both experiment and control groups before and after the training course.
详细描述
Title:
The effectiveness of interactive discussion group intervention to improve nurses' abilities of risk identification and assessment on people with suicide attempt or self-harm behavior
A.Background
Suicide has become an important issue in the public health and medical-related field in the past decade and has also aroused the attention of government in Taiwan. It has been one of the top ten cause of death since 1997 . The high percentage of people who act on suicide idea in different age groups pose great challenge to healthcare personnel. Clinical workers are first-line gatekeepers of patient health and safety. They are supposed to be willing to care for people with suicide risk and can be equipped with the ability to identify patients with suicide risk. However, the negative attitudes of medical workers towards people who have suicide attempt and self-harm behavior may affect the patients' intention to seek professional help and the nurses' quality of care for these people . At present, the investigators have limited nursing curriculum related to the concept of and guidance for suicide prevention and limited resources that guide nurses to do suicide risk assessment. Few information about suicide process and suicide risks are available for nurses , which may result in their inability to provide proper care for this group of people. If the investigators can improve the ability of suicide risk identification of the nurses, the investigators may promote nurses' confidence and change their attitudes in caring for such patients. Also, nurses can learn how to empathize suicidal patients, intervene at early stage of patients' hospitalization, and potentially build good nurse-patient relationship with patients under high risk for suicide. Furthermore, the investigators can refer patients to receive appropriate therapy and to provide adequate support to reduce their suicide attempts. The investigators addressed the background and importance of this study in the following sub-sections:
The importance of suicide prevention throughout the process of nursing education and clinical training
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •nurses who work in a variety of wards such as Hematology, Oncology, Stroke and Rehabilitation where potential cases with high suicide risk may be identified.
排除标准
- 未提供
结局指标
主要结局
Correctness rate and the scores of the nurses to identify the risk factors of a case vignette using an assessment tool, the SAD PERSONS Scale.
时间窗: 12 months
The study aims to strengthen suicide risk assessment ability among clinical nurses through training group discussions. In the group sessions the nurses will be facilitated to discuss the suicide risk factors of a case vignette and use an assessment tool, the SAD PERSONS Scale, to learn those factors. The primary outcome measures will be the correctness rate and scores the nurses ascertained in suicide risk assessment of both groups. We hypothesise that the experimental group will have higher correctness rate after the study intervention.
次要结局
未报告次要终点