Left with a Sisyphean task - the experiences of nurse practitioners with treating non-suicidal self-injury in the emergency department: a descriptive qualitative study.

Autor: Roed K; Mental Health Center Glostrup, Centre for Applied Research in Mental Health Care, Copenhagen University Hospital - Mental Health Services CPH, Nordstjernevej 41, Glostrup, 2600, Denmark. kickan.roed@regionh.dk., Brauner CR; Mental Health Center Glostrup, Centre for Applied Research in Mental Health Care, Copenhagen University Hospital - Mental Health Services CPH, Nordstjernevej 41, Glostrup, 2600, Denmark., Yigzaw S; Mental Health Center Glostrup, Centre for Applied Research in Mental Health Care, Copenhagen University Hospital - Mental Health Services CPH, Nordstjernevej 41, Glostrup, 2600, Denmark., Midtgaard J; Mental Health Center Glostrup, Centre for Applied Research in Mental Health Care, Copenhagen University Hospital - Mental Health Services CPH, Nordstjernevej 41, Glostrup, 2600, Denmark.; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3B, Copenhagen N, 2200, Denmark.
Jazyk: angličtina
Zdroj: BMC emergency medicine [BMC Emerg Med] 2023 Oct 05; Vol. 23 (1), pp. 117. Date of Electronic Publication: 2023 Oct 05.
DOI: 10.1186/s12873-023-00888-6
Abstrakt: Background: Non-suicidal self-injury (NSSI) is a prevalent phenomenon in somatic emergency departments, where nurses are the most consistent group of healthcare professionals who treat people with NSSI, which means they may affect the NSSI trajectory and help-seeking in the future. The objective of this study was to describe the experiences of nurse practitioners with treatment of people presenting with NSSI in the emergency department.
Methods: Individual, semi-structured telephone interviews were conducted with seventeen purposefully recruited nurse practitioners from three emergency departments in the Capital Region of Denmark. Interview transcripts were analysed using inductive content analysis, as described by Graneheim and Lundman.
Results: The analysis resulted in the formulation of three categories and 10 subcategories describing how nurse practitioners feel confident and competent in treating physical injuries due to NSSI but at the same time insecure about how to provide adequate care and engage in conversations about NSSI and mental wellbeing with people with NSSI. An overarching theme, 'Left with a Sisyphean task', reflects the nurses' feeling of being handed the responsibility for performing a laborious, never-ending, and futile task.
Conclusion: The findings indicate that nurse practitioners feel confident and competent in treating physical injuries due to NSSI but insecure about how to provide adequate care. Therefore, there is a need for training and guidelines.
(© 2023. BioMed Central Ltd., part of Springer Nature.)
Databáze: MEDLINE
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