The psychological experiences of nurses after inpatient suicide: A meta‐synthesis of qualitative research studies

Shao, Qinwen; Wang, Yanjie; Hou, Kunhua; Zhao, Haiping; Sun, Xianghong

doi:10.1111/jan.14885

Cited by 11 publications

(10 citation statements)

References 21 publications

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“…Exposure to risk behaviours facilitated learning and development. However, a variety of negative psychological and physical symptoms were reported, which is consistent with previous reviews (Clua‐García et al., 2021; Hilton et al., 2022; Shao et al., 2021). This Review demonstrated that fear and anxiety around suicide reduced with more experience, but increased exposure to aggression resulted in increased anxiety.…”

Section: Discussionsupporting

confidence: 90%

“…Much of the qualitative research exploring high‐risk behaviours to date focuses on specific interventions of risk behaviours or their impact, and there is limited research capturing the variety of experiences nurses have during these incidents. A recent collection of qualitative systematic reviews on nurses' experiences of either patient suicide (Shao et al., 2021), self‐harm (Clua‐García et al., 2021; O'Connor & Glover, 2017) or aggression (Fletcher et al., 2021) in inpatient settings, all highlighted the negative psychological impact, insufficient training and support that staff experience. Given that nursing staff are likely to experience all of these high‐risk behaviours within their practice, research is needed to develop a novel conceptual framework for how these experiences are collectively understood, which specifically explores how the various high‐risk behaviours converge and diverge in their management as well as their impact on staff.…”

Section: Introductionmentioning

confidence: 99%

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A systematic review and thematic synthesis of inpatient nursing staff experiences of working with high‐risk patient behaviours

Richardson Velmans,

Joseph,

Wood

et al. 2023

Psychiatric Ment Health Nurs

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IntroductionNursing staff are frequently exposed to high‐risk patient behaviours within inpatient health services, yet staff commonly report a lack of training and support in managing these behaviours.AimThe aim of the study was to examine nursing staff experiences of high‐risk behaviours in inpatient mental health settings.MethodsFour electronic databases (CINAHL, Medline, PsycINFO, EMBASE) were searched. The protocol for this review was prospectively registered in PROSPERO (Ref: CRD42022334739). A meta‐synthesis of nursing staff's experiences of high‐risk behaviours in inpatient mental health settings was conducted.ResultsWe identified 30 eligible studies. Six themes were constructed from the meta‐synthesis: the social contract of care; the function of risk behaviours; the expectation of risk; risk as a relational concept; navigating contradictions in care; the aftermath.DiscussionNursing staff conceptualize risk as a meaningful behaviour shaped by patient, staff and environmental factors. Managing risk is an ethical dilemma for nursing staff and they require more training and support in ethical risk decision‐making.Implications for PracticeInpatient mental healthcare services should formulate and manage risk as a relational concept comprising staff, patient and environmental factors. Future research and clinical practice should place further consideration on the varied experiences of different types of risk behaviours.Relevance StatementNursing staff are frequently exposed to high‐risk patient behaviours within inpatient health services, yet staff commonly report a lack of training and support in managing these behaviours. This systematic review offers insights into how high‐risk behaviours are experienced by nursing staff and makes recommendations about how to improve the understanding and management of them. Inpatient mental healthcare services should formulate and manage risk as a relational concept comprising staff, patient and environmental factors. Future research and clinical practice should place further consideration on the varied experiences of different types of risk behaviours.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

A systematic review and thematic synthesis of inpatient nursing staff experiences of working with high‐risk patient behaviours

Richardson Velmans,

Joseph,

Wood

et al. 2023

Psychiatric Ment Health Nurs

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“…The scores for each dimension were 0–3 points, with a total score of 0–21. A higher score indicated poorer sleep quality, and a PSQI total score >7 indicated sleep disorder [ 11 ]. The Cronbach's α coefficient of PSQI scale was 0.88.…”

Section: Methodsmentioning

confidence: 99%

Cohort Study on the Effect of Psychological Education for Nurses in Psychiatric Department

Chu

Qian

2022

Emergency Medicine International

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With the deepening of the medical and health system, high-quality nursing service with the reform of nursing service model and the provision of holistic nursing care for patients as the core connotation is being comprehensively carried out. With the continuous improvement of medical quality, people’s awareness of health has gradually increased. They have put forward higher requirements for medical quality, nursing service quality, and medical care safety. Under the influence of these conditions, the workload and work pressure of clinical nurses continue to increase, and mental health problems become increasingly prominent. According to relevant data, the detection rate of occupational stress among nurses was 100%, and the proportion of nurses who perceived considerable stress was 60.9%, which seriously affected their work efficiency and quality of life. However, the physical and mental health of the frontline nurses working in psychiatric hospitals is not optimistic. This study explored the effects of psychological education among nurses in the department of psychiatry. The results showed that psychological education intervention among nurses in the department of psychiatry could alleviate their professional tiredness, effectively improve their psychological elasticity and happiness index, and thus improve sleep quality and promote their physical and mental health development.

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“…This support can include managing emotional experiences and self-reflection to develop coping strategies. Furthermore, knowledge about suicide and support to face negative events can be helpful (Shao et al 2021).…”

Section: Discussionmentioning

confidence: 99%

Nurses’ experiences of suicide attempts in palliative care

Hultsjö

Persdotter

Jakobsson³

et al. 2023

Pall Supp Care

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Objectives To describe nurses’ experiences of caring for individuals who have attempted suicide in specialized palliative care and to describe if the care of these individuals changed after the suicide attempt. Methods A qualitative, descriptive study was conducted. Nine nurses working in specialized palliative care units were interviewed following a semi-structured interview guide. Conventional content analysis was used in the analysis process. Results The results are presented in 3 categories: “A suicide attempt evokes strong emotions,” “Health-care efforts changed after the suicide attempt,” and “Experiences for the rest of working life.” Suicide attempts aroused emotions in nurses such as frustration, compassion, and feelings of being manipulated. The relationship between the nurse and the individual was strengthened after the suicide attempt, and their conversations became deeper and changed in nature. Health-care efforts relating to the individual increased after the suicide attempt. Significance of results The results of the study can create an awareness that the palliative process also includes the risk of suicide and can be used to create conditions for nurses to be able to handle questions about suicide without fear. The results of the study can be used as an “eye opener” to the fact that suicidality occurs in palliative care. In summary, there is a critical need for nursing education in suicide risk assessment and continued follow-up care for patients at risk of suicide within palliative care.

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The psychological experiences of nurses after inpatient suicide: A meta‐synthesis of qualitative research studies

Cited by 11 publications

References 21 publications

A systematic review and thematic synthesis of inpatient nursing staff experiences of working with high‐risk patient behaviours

A systematic review and thematic synthesis of inpatient nursing staff experiences of working with high‐risk patient behaviours

Cohort Study on the Effect of Psychological Education for Nurses in Psychiatric Department

Nurses’ experiences of suicide attempts in palliative care

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