Nursing performance in assistance to patients with self-infringement in emergency and emergency

Authors

DOI:

https://doi.org/10.33448/rsd-v11i5.27702

Keywords:

Nursing care; Suicide attempt; Emergency medical services.

Abstract

This study aims to describe the role of nurses in caring for patients with self-harm by suicidal behavior in Urgent and Emergency units. This is an integrative review study carried out in the Virtual Health Library, American Medicine Library, Scientific Electronic Library Online, Scopus and Academic Search Premier databases. A total of 2,316 articles were found, of which 13 studies were selected for final analysis. As a result of the research, the categories emerged: risk classification, clinical care, psychological care, family care, referrals and discharge planning, prevention and training of the multiprofessional/nursing team were the main actions developed by nurses for patients with self-harm. The nurse who works in the emergency room and is responsible for the care of patients with self-harm needs to have scientific and practical knowledge, aiming to make quick and concrete decisions, convey safety to the entire team and mainly reduce the risks that threaten the patient's life.

Author Biographies

Sabrina Sara Aparecida dos Santos, Universidade Federal do Paraná

Academic in the course of Nursing in the modality of baccalaureate and licentiate by the Federal University of Paraná; scientific initiation student Self-inflicted injuries due to suicidal behavior, extension student in the Socorrer project; rescuer & rescuer by the Pickler team rescue school, member of the academic league of urgency and emergency of Hospital do Trabalhador and member of the scientific commission of the same academic league.

Natana Angonese, Universidade Federal do Paraná

Academic in the course of Nursing in the modality of baccalaureate and licentiate by the Federal University of Paraná; scientific initiation student Self-inflicted injuries due to suicidal behavior, extension student in the Socorrer project; rescuer & rescuer by the School Pickler team rescue, member of the Academic League of urgency and emergency of Hospital do Trabalhador.

Tassiana Meireles, Universidade Federal do Paraná

Academic in the course of Nursing in the modality of baccalaureate and licentiate by the Federal University of Paraná; scientific initiation student who studies the tools used during transfers between intrahospital units aiming at the continuity of care - centralized at Hospital de Clínicas de Curitiba, extension student in the Socorrer project; rescuer & rescuer by the Pickler team rescue school, member of the academic league of urgency and emergency of Hospital do Trabalhador and member of the scientific commission of the same academic league.

Vanessa Bertoglio Comassetto Antunes de Oliveira, Universidade Federal do Paraná

Doctor of the Graduate Program in Nursing at the University of São Paulo. Master in Nursing at the School of Nursing of São Paulo. She has a degree in Nursing and Midwifery from the Federal University of Paraná (2005). She is currently an Adjunct Professor at the Department of Nursing at the Federal University of Paraná-UFPR in the discipline of Nursing in Adult Health. Member of the GEMSA research group (Multiprofessional Study Group on Adult Health).

References

Bahia, C. A., Avanci, J. Q., & et al. (2017). Lesão autoprovocada em todos os ciclos da vida: perfil das vítimas em serviços de urgência e emergência de capitais do Brasil. Ciênc. saúde coletiva. https://www.scielo.br/j/csc/a/63k5xJZTD5DZ4JKvLcgXbbD/abstract/?lang=pt.

Ballard, E. D., Cwik, M., & et al. (2017). Identification of At-Risk Youth by Suicide Screening in a Pediatric Emergency Department. Prev Sci. 18(2):174-182. DOI: 10.1007/s11121-016-0717-5.

Betz, M. E., Arias, S. A., & et al. (2015). Change in Emergency Department Providers’ Beliefs and Practices After New Protocols for Suicidal Patients. Psychiatr Serv. DOI: 10.1176/appi.ps.201400244.

Briggs A. (2018). Nurses’ attitudes to supporting people who are suicidal in emergency departments. Emergency Nurse. DOI: http://dx.doi.org/10.7748/en.2018.e1785.

Conselho Federal de Enfermagem. (2017). Resolução COFEN nº 564, de 6 de novembro de 2017. Aprova a reformulação do Código de Ética dos profissionais de enfermagem. Diário Oficial da União. http://www.cofen.gov.br/resolucao-cofen-no-5642017_59145.html.

Conselho Regional de Psicologia do Distrito Federal. (2020). Orientações para a atuação profissional frente a situações de suicídio e automutilação / Organizado pela Comissão Especial de Psicologia na Saúde do CRP 01/DF. http://conselho.saude.gov.br/images/CRPDF-Orientacoes_atuacao_profissional.pdf.

Cossette, S. Frasure-Smith, N., & et al. (2015). Impact of an emergency department nursing intervention on continuity of care, self-care capacities and psychological symptoms: Secondary outcomes of a randomized controlled trial. International Journal of Nursing Studies. DOI: https://doi.org/10.1016/j.ijnurstu.2014.12.007.

Dhingra, K., & Ali, P. (2016). Non-suicidal self-injury: clinical presentation, assessment and management. Nursing Standard. DOI: https://doi.org/10.7748/ns.2016.e10301.

Diana, A. H., Olfson, M., Cullen, S. W., & et al. (2020). The Relationship Between Evidence-Based Practices and Emergency Department Managers' Perceptions on Quality of Care for Self-Harm Patients. J Am Psychiatr Nurses Assoc. DOI: 10.1177/1078390319889673.

Escobar, A. M. P. R., Arruda, M. F. A., & Sobrinho, J. E. L. (2022). Estratégias de prevenção do suicídio e da autolesão voltadas para adolescentes em

ambientes escolares: uma revisão integrativa da literatura. Research, Society and Development. 11(.3). DOI: http://dx.doi.org/10.33448/rsd-v11i2.261571.

Fontão, M. C., & et al. (2018). Cuidado de enfermagem às pessoas atendidas na emergência por tentativa de suicídio. Rev. Bras. Enferm. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672018001102199&lng=en&nrm=iso.

Fontão, M. C., Rodrigues, J., Lino, M. M., & et al. (2018). Nursing care to people admitted in emergency for attempted suicide. Rev Bras Enferm. 71(5):2199-205. DOI: http://dx.doi.org/10.1590/0034-7167-2017-0219.

Gomes, C. F. M. & Silva, D. (2020). Aspectos epidemiológicos do comportamento suicida em estudantes universitários. Research, Society and Development. 9(5). DOI: 10.33448/rsd-v9i5.3106.

Griksienea, A. L., Leskauskasa, D., & et al. (2017). Factors influencing the suicide intervention skills of emergency medical services providers. Medical Education Online. DOI: http://dx.doi.org/10.1080/10872981.2017.1291869.

Jorgetto, G. V. & Marcolan, J. F. (2021). Profile of people with depressive symptoms and suicide behavior in a general population in the mining city. Research, Society and Development. 10(2). DOI: 10.33448/rsd-v10i2.12521.

Maina, R., Bukusi, D., Njuguna, S.K, & et al. (2019). Gaps in Suicide Assessment and Management Among Accident and Emergency Nurses in Kenyatta National Hospital: a Qualitative Study. Global Social Welfare. DOI: https://doi.org/10.1007/s40609-018-0127-7 .

Meira, S. S., & et al. (2020). Representações sociais de profissionais de emergência sobre prevenção de readmissões hospitalares por tentativa de suicídio. Trab. educ. saúde, Rio de Janeiro. 18(3). DOI: https://doi.org/10.1590/1981-7746-sol00276.

Moher, D. Liberati, A., & et al. (2015). Principais itens para relatar Revisões sistemáticas e Meta-análises: A recomendação PRISMA*. [Tradução]. Epidemiol. Serv. Saúde. [22]; 24(2). DOI: 10.5123/S1679-49742015000200017.

Page, M. J., McKenzie, J. E., & et al. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. DOI: 10.1136/bmj. n71.

Paiz, A., Bueno, C., & et. al. (2021). O papel do enfermeiro no setor de pronto atendimento: um relato de experiência. Scientific Electronic Archives. DOI: http://dx.doi.org/10.36560/14320211233.

Perboell, P. W., Hammer, N. M., & et al. (2015). Danish emergency nurses’ attitudes towards self-harm – a crosssectional study. International Emergency Nursing. DOI: 10.1016 / j.ienj.2014.07.003.

Runyan, C. W., Brooks-Russell, A., & et al. (2018). Hospital Emergency Department Lethal Means Counseling for Suicidal Patients. Am J Prev Med. 54(2):259-265. DOI: 10.1016/j.amepre.2017.10.023.

Santos, C. C., Pimenta, C. A. M., & et al. (2007). A estratégia PICO para a construção da pergunta de pesquisa e busca de evidências. Rev Latino-Am Enfermagem. DOI: 10.1590/S0104-11692007000300023).

Santos, E. G. O., Azevedo, A. K. S., & et al. (2017). The look of emergency nurse at the patient who attempted suicide: an exploratory study. Online braz j nurs. http://www.objnursing.uff.br/index.php/nursing/article/view/541.

Soares, R. J. O., & Nascimento, F. P. B. (2017). Suicídio e Tentativa de Suicídio: Contribuições da Enfermagem Brasileira. Journal of Health Sciences. DOI: https://doi.org/10.17921/2447-8938.2017v19n1p19-24.

Vandewalle, J., Van Bos, L., & et al. (2020). The perspectives of adults with suicidal ideation and behaviour regarding their interactions with nurses in mental health and emergency services: A systematic review. Int J Nurs Stud. DOI: 10.1016/j.ijnurstu.2020.103692.

Veloso, C., & et al. (2017). Violência autoinfligida por intoxicação exógena em um serviço de urgência e emergência. Rev. Gaúcha Enferm. DOI: https://doi.org/10.1590/1983-1447.2017.02.66187.

World Health Organization. (2019). Suicide in the world: Global Health Estimates. Licence: CC BY-NC-SA 3.0 IGO. https://apps.who.int/iris/bitstream/handle/10665/326948/WHO-MSD-MER-19.3-eng.pdf?ua=1.

Downloads

Published

31/03/2022

How to Cite

SANTOS, S. S. A. dos .; ANGONESE, N. .; MEIRELES, T.; OLIVEIRA, V. B. C. A. de . Nursing performance in assistance to patients with self-infringement in emergency and emergency. Research, Society and Development, [S. l.], v. 11, n. 5, p. e12311527702, 2022. DOI: 10.33448/rsd-v11i5.27702. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/27702. Acesso em: 14 nov. 2024.

Issue

Vol. 11 No. 5

Section

Health Sciences

License

Copyright (c) 2022 Sabrina Sara Aparecida dos Santos; Natana Angonese; Tassiana Meireles; Vanessa Bertoglio Comassetto Antunes de Oliveira

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.