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Pathways and transitions for patients admitted to an emergency department after self-harming events.
Sandahl, Malene; Lassen, Annmarie Touborg; Stenager, Elsebeth; Østervang, Christina.
Afiliación
  • Sandahl M; Department of Emergency Medicine, Odense University Hospital, Odense, Denmark.
  • Lassen AT; Department of Emergency Medicine, Odense University Hospital, Odense, Denmark.
  • Stenager E; Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
  • Østervang C; Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Int J Ment Health Nurs ; 33(4): 1129-1138, 2024 Aug.
Article en En | MEDLINE | ID: mdl-38500171
ABSTRACT
The frequency of people presented in emergency departments (EDs) after self-harming events is increasing. Previous studies have shown that the complexity of the disorders of patients admitted to the ED after self-harming events can be overwhelming for ED healthcare professionals (HCPs) to handle. The objective of this study was to observe and investigate the pathways for patients admitted to the ED after self-harming events to either transition or discharge. Participant observation and interviews were selected as the methods to generate insight into the pathways of patients admitted to the ED after self-harming events. The data were analysed using interpretative phenomenological analysis. A sample size of 20 patients was analysed, and a total of 213 h of observation took place during the data collection. Three main themes appeared (1) patients' mental stress versus high expectations, (2) uncertainty about how to address the self-harming event and (3) a system of chaos. Patients admitted to the ED after self-harming events struggle with difficult mental stress. Despite this, they face high expectations that they will fit in and cooperate in the ED. The healthcare system is organised with unclear responsibilities and without systematic ways to care for self-harm patients and so provides chaotic patient pathways. There is a need for improved cross-sectional competencies, mutual agreements and systematic communication for discharge, transitions and follow-up care between those involved in the patient's pathway and care.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conducta Autodestructiva / Servicio de Urgencia en Hospital Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Int J Ment Health Nurs Asunto de la revista: ENFERMAGEM / PSICOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Australia
Texto completo
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Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conducta Autodestructiva / Servicio de Urgencia en Hospital Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Int J Ment Health Nurs Asunto de la revista: ENFERMAGEM / PSICOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Australia