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Journal of Advanced Nursing Jul 2021To explore nurses' experiences of suicide care and to identify and synthesize the most suitable interventions for the care of people with suicidal behaviour from a... (Review)
Review
AIMS
To explore nurses' experiences of suicide care and to identify and synthesize the most suitable interventions for the care of people with suicidal behaviour from a nursing perspective.
DESIGN
Qualitative meta-synthesis.
DATA SOURCES
Comprehensive search of five electronic databases for qualitative studies published between January 2015 and June 2019.
REVIEW METHODS
The PRISMA statement was used for reporting the different phases of the literature search and the Critical Appraisal Skills Programme (CASP) qualitative research checklist was used as an appraisal framework. Data synthesis was conducted using Sandelowski and Barroso's method.
RESULTS
Seventeen articles met the inclusion criteria. The data analysis revealed 13 subcategories from which four main categories emerged: 'Understanding suicidal behaviour as a consequence of suffering', 'Nurses' personal distress in suicide care', 'The presence of the nurse as the axis of suicide care' and, 'Improving nurses' relational competences for a better therapeutic environment'.
CONCLUSION
Further training of nurses on the therapeutic relationship, particularly in non-mental health care work settings, and monitoring of the emotional impact on nurses in relation to suicide is required to promote more effective prevention and care.
IMPACT
This review provides new insights on how suicide is interpreted, the associated emotions, the way suicide is approached and proposals for improving clinical practice from the point of view of nurses. The results demonstrate that the nurse-patient relationship, ongoing assessment, and the promotion of a sense of security and hope are critical in nursing care for patients who exhibit suicidal behaviour. Consequently, to promote an effective nursing care of suicide, nurses should be provided with further training on the therapeutic relationship. Thus, health institutions do not only provide the time and space to conduct an adequate therapeutic relationship, but also, through their managers, they should supervise and address the emotional impact that is generated in nurses caring for patients who exhibit suicidal behaviour.
Topics: Hope; Humans; Nurse-Patient Relations; Qualitative Research; Suicide
PubMed: 33591582
DOI: 10.1111/jan.14789 -
Cadernos de Saude Publica 2020
Topics: Brazil; Hope
PubMed: 32187292
DOI: 10.1590/0102-311x00023420 -
Community Mental Health Journal Jan 2021
Topics: Adaptation, Psychological; COVID-19; Female; Grief; Hope; Humans; Population Health; SARS-CoV-2
PubMed: 33159631
DOI: 10.1007/s10597-020-00742-0 -
Annals of the Royal College of Surgeons... Jan 2020
Topics: England; Hope; Humans; Pensions; State Medicine; Surgeons
PubMed: 31867982
DOI: 10.1308/rcsann.2019.0175 -
Journal of Orthopaedic Science :... Mar 2019
Topics: Adaptation, Psychological; Chronic Pain; Hope; Humans; Motivation; Regeneration
PubMed: 30630771
DOI: 10.1016/j.jos.2018.12.005 -
The Journal of Thoracic and... Mar 2017
Topics: Heart-Assist Devices; Hope
PubMed: 28341298
DOI: 10.1016/j.jtcvs.2016.09.059 -
Missouri Medicine 2020
Topics: Hope; Humans
PubMed: 32848267
DOI: No ID Found -
Family Medicine Jun 2021
Topics: Hope; Humans
PubMed: 34077970
DOI: 10.22454/FamMed.2021.610127 -
Frontiers in Psychology 2023Researchers are increasingly examining whether hope can motivate action on climate change, or conversely, whether it might demotivate such action. We present a...
Researchers are increasingly examining whether hope can motivate action on climate change, or conversely, whether it might demotivate such action. We present a meta-analysis ( = 46) of quantitative studies examining the relationships between measures and manipulations of hope with climate engagement. On average, hope was associated with greater climate engagement ( = 0.18); however, this effect differed based on the target of hope. Hope regarding the possibility of respondents taking action was particularly strongly associated with greater engagement ( = 0.40), while in contrast, hope grounded in climate change not being a problem was associated with less engagement ( = -0.40). Hope in response to climate change generally, and domain-general hope, were only weakly associated with greater engagement (s = 0.13, 0.20). On average, hope fostered increased engagement, though the increase was small (Cohen's = 0.08). Subgroup analyses suggested two promising types of hope manipulations warranting future research: ( = 2, = 0.18) and ( = 2, = 0.49). In contrast, messages suggesting societal efficacy (i.e., providing a sense of possibility that climate change could be addressed) did not significantly or substantially boost (nor discourage) engagement ( = 0.05), and status quo-framed messages (i.e., messages highlighting that environmental conditions could stay the same if climate action is taken) had a marginally significant negative effect on engagement ( = -0.18). After excluding a single outlier, the extent to which manipulations increased hope were not correlated with increases in climate engagement, suggesting the possibility that hope might be incidental to the success of some manipulations rather than a necessary component for promoting engagement. Overall, our meta-analysis does not suggest that increasing hope decreases climate engagement, with the possible exceptions of denial hope and status quo framed messages. Conversely, however, results provide partial yet inconclusive evidence for the hypothesis that increasing hope increases climate engagement. Given the existing published literature, we argue that future researchers should consider study designs that align with theoretical perspectives on how hope promotes climate engagement (e.g., longitudinal designs) and also consider directly assessing populations of interest (e.g., climate activists).
PubMed: 37649687
DOI: 10.3389/fpsyg.2023.1139427