急诊科医护人员照护自残患者体验质性研究的Meta整合

doi:10.3761/j.issn.2096-7446.2025.08.019

Abstract

Abstract:

Objective To systematically evaluate and integrate the qualitative research on the experience of emergency medical staff caring for self-harmed patients. Methods PubMed，Embase，Web of Science，CINAHL （EBSCO），Scopus，Cochrane Library，CNKI，Wanfang，VIP Database，and China Biomedical Database were electroni-cally searched from inception to December 31，2024 to screen qualitative studies on the experience of emergency medical staff caring for patients with self-harm. The quality of the included literature was evaluated and integrated using collective integration method. Results A total of 16 articles were included，and 4 integrated results were obtained. There were multiple emotional experiences，the promoting and hindering factors，taking different coping strategies，and the benefits of caring for self-harm patients. Conclusion It is necessary to pay close attention to the emotional changes of medical staff in emergency department in caring for self-harm patients，to solve the obstacles in the process of care，to assist in adopting different coping strategies in the process of medical care，to help understand the benefits in the process of care，and finally to improve the quality of care of medical staff in emergency department，to improve the experience of self-harm patients，and to prevent patients from repeated self-harm or even suicide.

Key words: Emergency, Self-Harm, Qualitative Research, Evidence-Based Nursing, Meta-Synthesis

HAN Lin, JU Ping, WANG Xueting, YANG Lijuan, KONG Qingjie, XIAO Hong, MENG Lihong. Meta-integration of qualitative research on the experience of emergency medical staff caring for self-harm patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(8): 1003-1009.

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References 33

[1]	Veresova M, Michail M, Richards H, et al. Emergency department staff experiences of working with people who self-harm:a qualitative examination of barriers to optimal care[J]. Int J Ment Health Nurs, 2024, 33(5):1482-1492.
[2]	Yan YQ, Leong F, Song AN, et al. Incidence and correlates of emergency department visits for deliberate self-harm among Asian American youth[J]. J Adolesc Health, 2023, 72(4):510-518.
[3]	Roed K, Brauner CR, Yigzaw S, et al. Left with a Sisyphean task-the experiences of nurse practitioners with treating non-suici-dal self-injury in the emergency department:a descriptive qua-litative study[J]. BMC Emerg Med, 2023, 23(1):117.
[4]	Ngune I, Wynaden D, McGough S, et al. Emergency nurses’ ex-perience of providing care to patients who self-harm[J]. Australas Emerg Care, 2021, 24(3):179-185.
[5]	胡雁. 如何开展质性研究的系统评价和Meta整合[J]. 上海护理, 2020, 20(7):1-5.
	Hu Y. How to carry out systematic review and meta-synthesis of qualitative studies[J]. Shanghai Nurs, 2020, 20(7):1-5.
[6]	胡雁, 郝玉芳. 循证护理学[M]. 2版. 北京: 人民卫生出版社, 2018.
	Hu Y, Hao YF. Evidence-based nursing[M]. 2nd ed. Beijing: People’s Me-dical Publishing House, 2018.
[7]	Østervang C, Johansen LG, Friis-Brixen A, et al. Experiences of nursing care for patients who self-harm and suggestions for future practices:The perspectives of emergency care nurses[J]. Int J Ment Health Nurs, 2022, 31(1):70-82.
[8]	Hadfield J, Brown D, Pembroke L, et al. Analysis of accident and emergency doctors’ responses to treating people who self-harm[J]. Qual Health Res, 2009, 19(6):755-765. doi: 10.1177/1049732309334473 pmid: 19429768
[9]	Mulhearne P, Cotter P, O’Shea M, et al. Experiences of registe-red general nurses who care for patients presenting with self-harm to the emergency department in Ireland[J]. Int Emerg Nurs, 2021, 58:101047.
[10]	O’keeffe S, Suzuki M, Ryan M, et al. Experiences of care for self-harm in the emergency department:comparison of the perspectives of patients,carers and practitioners[J]. Bjpsych Open, 2021, 7(5):1-9.
[11]	True G, Pollock M, Bowden CF, et al. Strategies to care for patients being treated in the emergency department after self-harm:perspectives of frontline staff[J]. J Emerg Nurs, 2021, 47(3):426-436.e5.
[12]	Koning KL, McNaught A, Tuffin K. Emergency department staff beliefs about self-harm:a thematic framework analysis[J]. Com-munity Ment Health J, 2018, 54(6):814-822.
[13]	Chapman R, Martin C. Perceptions of Australian emergency staff towards patients presenting with deliberate self-poisoning:a qualitative perspective[J]. Int Emerg Nurs, 2014, 22(3):140-145. doi: 10.1016/j.ienj.2014.03.002 pmid: 24768529
[14]	Artis L, Smith JR. Emergency department staff attitudes toward people who self-harm:exploring the influences of norms and identity[J]. Adv Emerg Nurs J, 2013, 35(3):259-269.
[15]	Wilstrand C, Lindgren BM, Gilje F, et al. Being burdened and balancing boundaries:a qualitative study of nurses’ experien-ces caring for patients who self-harm[J]. J Psychiatr Ment Health Nurs, 2007, 14(1):72-78.
[16]	MacDonald S, Sampson C, Biddle L, et al. Theorising health professionals’ prevention and management practices with chil-dren and young people experiencing self-harm:a qualitative hospital-based case study[J]. Sociol Health Illn, 2021, 43(1):201-219.
[17]	Rees N, Porter A, Rapport F, et al. Paramedics’ perceptions of the care they provide to people who self-harm:a qualitative study using evolved grounded theory methodology[J]. PLoS One, 2018, 13(10):e0205813.
[18]	Cullen SW, Bowden CF, Olfson M, et al. “Treat them like a human Being…They are somebody’s somebody”:providers’ perspectives on treating patients in the emergency department after self-injurious behavior[J]. Community Ment Health J, 2023, 59(2):253-265.
[19]	McGough S, Wynaden D, Ngune I, et al. Emergency nurses’ perceptions of the health care system and how it impacts provision of care to people who self-harm[J]. Collegian, 2022, 29(1):38-43.
[20]	McCarthy L, Gijbels H. An examination of emergency depart-ment nurses’ attitudes towards deliberate self-harm in an Irish teaching hospital[J]. Int Emerg Nurs, 2010, 18(1):29-35. doi: 10.1016/j.ienj.2009.05.005 pmid: 20129439
[21]	Saunders KEA, Hawton K, Fortune S, et al. Attitudes and know-ledge of clinical staff regarding people who self-harm:a systematic review[J]. J Affect Disord, 2012, 139(3):205-216.
[22]	Rayner G, Blackburn J, Edward KL, et al. Emergency depart-ment nurse’s attitudes towards patients who self-harm:a meta-analysis[J]. Int J Ment Health Nurs, 2019, 28(1):40-53.
[23]	Miller IW, Camargo CA Jr, Arias SA, et al. Suicide prevention in an emergency department population:the ED-SAFE study[J]. JAMA Psychiatry, 2017, 74(6):563-570. doi: 10.1001/jamapsychiatry.2017.0678 pmid: 28456130
[24]	Schulz JA, Ramaswamy M, Collie-Akers V, et al. Understanding the impact of an integrated crisis team:a qualitative study of emergency department staff[J]. Community Ment Health J, 2021, 57(7):1278-1287.
[25]	Zeller S, Calma N, Stone A. Effects of a dedicated regional psychiatric emergency service on boarding of psychiatric patients in area emergency departments[J]. West J Emerg Med, 2014, 15(1):1-6.
[26]	Das A, Singh P, Bruckner T. Continuity of mental health care at community health centers and reduced emergency depart-ment visits for suicidal ideation/self-harm[J]. Community Ment Health J, 2021, 57(6):1142-1150.
[27]	National Collaborating Centre for Mental Health(UK). Self-harm:the short-term physical and psychological management and secondary prevention of self-harm in primary and secon-dary care[J]. Br Psychol Soc, 2004, 129(2):21-23,27.
[28]	Ansa BE, Zechariah S, Gates AM, et al. Attitudes and behavior towards interprofessional collaboration among healthcare professionals in a large academic medical center[J]. Health-care, 2020, 8(3):323.
[29]	Carroll R, Metcalfe C, Steeg S, et al. Psychosocial assessment of self-harm patients and risk of repeat presentation:an ins-trumental variable analysis using time of hospital presentation[J]. PLoS One, 2016, 11(2):e0149713.
[30]	Carter G, Milner A, McGill K, et al. Predicting suicidal beha-viours using clinical instruments:systematic review and meta-analysis of positive predictive values for risk scales[J]. Br J Psy-chiatry, 2017, 210(6):387-395.
[31]	Mortier P, Amigo F, Bhargav M, et al. Developing a clinical decision support system software prototype that assists in the management of patients with self-harm in the emergency de-partment:protocol of the PERMANENS project[J]. BMC Psy-chiatry, 2024, 24(1):220.
[32]	McCormack B, McCance TV. Development of a framework for person-centred nursing[J]. J Adv Nurs, 2006, 56(5):472-479. doi: 10.1111/j.1365-2648.2006.04042.x pmid: 17078823
[33]	Annemans M, Van Audenhove C, Vermolen H, et al. The role of space in patients’ experience of an emergency department:a qualitative study[J]. J Emerg Nurs, 2018, 44(2):139-145. doi: S0099-1767(17)30590-1 pmid: 29223695

Meta-integration of qualitative research on the experience of emergency medical staff caring for self-harm patients

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