‘I can actually talk to them now’: qualitative results of an educational intervention for emergency nurses caring for clients who self‐injure
- 7 September 2009
- journal article
- Published by Wiley in Journal of Clinical Nursing
- Vol. 18 (20), 2838-2845
- https://doi.org/10.1111/j.1365-2702.2008.02540.x
Abstract
Aim and objectives. This Australian study evaluated the effectiveness of a solution-focused education intervention in extending and improving emergency nursing responses to patients who present because of self-injury.Background. Emergency nurses commonly report lack of training and feeling unskilled in managing people who present because of self-harm. Most educational interventions have provided content knowledge, yet rarely have they focused on conveying the value of health promotion strategies such as proactive skills and coping strategies.Design. A mixed method pretest–posttest group design was used.Methods. Nurses (n ¼ 36) were interviewed to examine differences in professional identity, awareness of self-injury and clinical reasoning.Results. The qualitative results are presented in this paper and these showed improvements in knowledge and understanding of self-harm, self-belief in nurses’ capacity to positively influence clients and the value of health promotion skills. The intervention produced a positive attitudinal shift towards clients and an expressed intention to act in ways that were more person-centred and change oriented.Conclusions. The solution-focused education intervention appears to show promise as an intervention for enabling nurses to value their unique contribution to providing a health service that is more proactive and health-promoting.Relevance to clinical practice. Interactive education bringing psychosocial skills to technical nursing staff builds confidence, competence and more person-focused careKeywords
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