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Working effectively with clients who self-injure using a solution focused approach

journal contribution
posted on 06.12.2017, 00:00 by Margaret Mcallister, M Zimmer-Gembeck, W Moyle, S Billett
In Australia, the most common service used by self-injurers is the emergency department. Even though nurses are the key clinician available to such patients, nurses have usually received no special training to identify and address the needs of these clients. Building on the knowledge that emergency nurses feel ill-prepared, lack clear frameworks for practice and are thus vulnerable to subtle discourse tensions such as managing versus caring, and diagnosing versus understanding, an intervention was conducted and evaluated to enhance understandingand build proactive nursing skills. It was centred on a nursing philosophy known as solution focused nursing (SFN) – a model of care developed by author to orient care away from a deficit model. Deficit models tend to be reactive and centred on presenting problems. SFN is designed to move nurses’ perspective towards a proactive,strengths orientation, the aim of which is to assist them to instill hope in the client and motivate him/her to take the next steps needed for change and recovery. Nurses in two Australian emergency departments completed questionnaires before and after participating in SFN training focused on working with complex clients who self-harm. A comparison group of nurses also completed questionnaires. Results indicated some benefits of the intervention; there were improvements in participants’ perception that nursing is strengths oriented and in nurses’ satisfaction with their skills. Yet, there were no significant improvement in nurses’ reports of theirprofessional self-concept. There is merit in: broadening access to the intervention, so that more nurses in other contexts can learn a strengths model of care and apply it to their practice; and extending the research to measure sustained learning outcomes and improvements to practice.

Funding

Category 3 - Industry and Other Research Income

History

Volume

16

Issue

4

Start Page

272

End Page

279

Number of Pages

8

eISSN

1878-013X

ISSN

1755-599X

Location

United Kingdom

Publisher

Elsevier

Language

en-aus

Peer Reviewed

Yes

Open Access

No

External Author Affiliations

Griffith University; TBA Research Institute; University of the Sunshine Coast;

Era Eligible

Yes

Journal

International emergency nursing.

Exports

CQUniversity

Exports