Attitudes of Nurses Caring for Suicide Attempters in Critical Care and Emergency Centers : A Quantitative Study of Factors and Tendencies

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  • 救命救急センターで勤務する看護師の自殺未遂患者に対する態度 : 構成要素と傾向についての量的研究
  • キュウメイ キュウキュウ センター デ キンム スル カンゴシ ノ ジサツ ミスイ カンジャ ニ タイスル タイド コウセイ ヨウソ ト ケイコウ ニ ツイテ ノ リョウテキ ケンキュウ

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Abstract

[Objective] The purpose of this study was to examine factors and tendencies in the attitudes of nurses caring for suicide attempters in critical care and emergency centers. [Methods] One hundred and sixty critical care and emergency centers were extracted at random. Sixty-three facilities agreed to participate in this study, and 1442 nurses who worked there were the subjects of this study. The instrument consisted of closed-ended questions about what kinds of attitude (feeling, cognitive and action tendency) they have formed toward suicide attempters, making use of Urizaki & Kuwana (2009). This was mailed, and 1255 responses were received. The response rate was 87.0%. The 906 valid responses were analyzed by quantitative methods. [Results] As for factors of attitude, 3 factors were "disapproval of suicidal behavior" (17 items; Cronbach's a=.91), "crisis intervention" (14 items; Cronbach's a=.87) and "concern about patient's prognosis" (17 items; Cronbach's a=.85). Correlation of "disapproval of suicidal behavior" with "crisis intervention" was negative (r=-.33, p<.01), "disapproval of suicidal behavior" with "concern about patient's prognosis" negative (r=-.30, p<.01), and "crisis intervention" with "concern about patient's prognosis" positive (r=.54, p<.01). As for tendencies of attitude, 398 nurses (43.9%) formed an ambivalent attitude, 329 nurses (36.3%) avoidance, and 179 nurses (19.8%) a feeling of closeness. [Discussion] It was suggested that an attitude change in nurses is essential, because a negative attitude of nurses affects both themselves and patients in a bad way. It was suggested that psychological support for nurses is necessary, because many nurses had a conflict over caring for suicide attempters.

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