Nurses' Psychosocial Barriers to Suicide Risk Management
Suicide remains a serious health care problem and a sentinel event tracked by The Joint Commission. Nurses are pivotal in evaluating risk and preventing suicide. Analysis of nurses' barriers to risk management may lead to interventions to improve management of suicidal patients. These data emer...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Nursing Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2011/650765 |
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| author | Sharon Valente |
| author_facet | Sharon Valente |
| author_sort | Sharon Valente |
| collection | DOAJ |
| description | Suicide remains a serious health care problem and a sentinel event tracked by The Joint Commission. Nurses are pivotal in evaluating risk and preventing suicide. Analysis of nurses' barriers to risk management may lead to interventions to improve management of suicidal patients. These data emerged from a random survey of 454 oncology nurses' attitudes, knowledge of suicide, and justifications for euthanasia. Instruments included a vignette of a suicidal patient and a suicide attitude questionnaire. Results. Psychological factors (emotions, unresolved grief, communication, and negative judgments about suicide) complicate the nurse's assessment and treatment of suicidal patients. Some nurses (𝑛=122) indicated that euthanasia was never justified and 11 were unsure of justifications and evaluated each case on its merits. Justifications for euthanasia included poor symptom control, poor quality of life, incurable illness or permanent disability, terminal illness, and terminal illness with inadequate symptom control or impending death, patient autonomy, and clinical organ death. The nurses indicated some confusion and misconceptions about definitions and examples of euthanasia, assisted suicide, and double effect. Strategies for interdisciplinary clinical intervention are suggested to identify and resolve these psychosocial barriers. |
| format | Article |
| id | doaj-art-1b32af7e01234810bd2a20ca82c124a6 |
| institution | Kabale University |
| issn | 2090-1429 2090-1437 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Nursing Research and Practice |
| spelling | doaj-art-1b32af7e01234810bd2a20ca82c124a62025-02-03T06:11:38ZengWileyNursing Research and Practice2090-14292090-14372011-01-01201110.1155/2011/650765650765Nurses' Psychosocial Barriers to Suicide Risk ManagementSharon Valente0Research and Education, Department of Veterans Affairs, 11301 Wilshire Boulevard, Room 6235, Los Angeles, CA 90073, USASuicide remains a serious health care problem and a sentinel event tracked by The Joint Commission. Nurses are pivotal in evaluating risk and preventing suicide. Analysis of nurses' barriers to risk management may lead to interventions to improve management of suicidal patients. These data emerged from a random survey of 454 oncology nurses' attitudes, knowledge of suicide, and justifications for euthanasia. Instruments included a vignette of a suicidal patient and a suicide attitude questionnaire. Results. Psychological factors (emotions, unresolved grief, communication, and negative judgments about suicide) complicate the nurse's assessment and treatment of suicidal patients. Some nurses (𝑛=122) indicated that euthanasia was never justified and 11 were unsure of justifications and evaluated each case on its merits. Justifications for euthanasia included poor symptom control, poor quality of life, incurable illness or permanent disability, terminal illness, and terminal illness with inadequate symptom control or impending death, patient autonomy, and clinical organ death. The nurses indicated some confusion and misconceptions about definitions and examples of euthanasia, assisted suicide, and double effect. Strategies for interdisciplinary clinical intervention are suggested to identify and resolve these psychosocial barriers.http://dx.doi.org/10.1155/2011/650765 |
| spellingShingle | Sharon Valente Nurses' Psychosocial Barriers to Suicide Risk Management Nursing Research and Practice |
| title | Nurses' Psychosocial Barriers to Suicide Risk Management |
| title_full | Nurses' Psychosocial Barriers to Suicide Risk Management |
| title_fullStr | Nurses' Psychosocial Barriers to Suicide Risk Management |
| title_full_unstemmed | Nurses' Psychosocial Barriers to Suicide Risk Management |
| title_short | Nurses' Psychosocial Barriers to Suicide Risk Management |
| title_sort | nurses psychosocial barriers to suicide risk management |
| url | http://dx.doi.org/10.1155/2011/650765 |
| work_keys_str_mv | AT sharonvalente nursespsychosocialbarrierstosuicideriskmanagement |