000			03052nab a2200325Ia 4500
001			116667
005			20250625151139.0
008			110331s2010 eng
040			_aWSS _dAFV
100			_aGibb, Sheree J. _91215
245			_aHealth-care staff attitudes towards self-harm patients _cGibb, Sheree J.; Beautrais, Annette L.; Surgenor, Lois J.
260			_c2010
365			_a00 _b0
500			_aAustralian and New Zealand Journal of Psychiatry 44(8) August 2010 : 713-720
520			_aObjective: To examine attitudes towards self-harm patients and need for training about self-harm amongst health-care staff in Christchurch, New Zealand. Methods: Health-care staff from a general and a psychiatric hospital completed a questionnaire about their attitudes towards self-harm patients and their need for training about self-harm. Results: A total of 195 staff members completed the questionnaire (response rate 64.4%). Overall, health-care staff had both positive and negative attitudes towards self-harm patients. Staff believed that their contact was helpful to self-harm patients, that they were patient and understanding, and were optimistic about patients' outcomes. However, staff did not feel confident working with self-harm patients and believed that their training in this area was inadequate. Attitudes were not significantly associated with age, gender, or experience. However, more negative attitudes were significantly associated with higher levels of burnout (through high emotional exhaustion (p <0.0002) and low personal accomplishment (p <0.003)). Staff comments indicated that their greatest difficulties working with self-harm patients included repetitive self-harm, frustrating and difficult patient behaviour, communication difficulties, and time pressure. Staff suggestions for improvement included more training, provision of a handbook or guidelines, and greater flexibility with patient allocations. Conclusions: Overall, health-care staff had positive attitudes towards self-harm patients, and a strong desire to help such patients. However, staff did not feel confident working with self-harm patients and had a strong desire for additional training in this area. Additional staff training in working with self-harm patients could have the potential to increase staff confidence and attitudes and enhance patient care.--AUTHOR'S ABSTRACT
650	2	7	_2FVC _aHEALTH SERVICES _9290
650	2	7	_2FVC _aHOSPITALS _9299
650	2	7	_2FVC _aMEDICAL CARE _9368
650	2	7	_2FVC _aPATIENTS _9433
650	2	7	_2FVC _aPSYCHIATRIC HOSPITALS _9471
650	2	7	_2FVC _aSELF HARM _9519
650	2	7	_2FVC _aSOCIAL WORK PRACTICE _9562
651	2	4	_aNEW ZEALAND _92588
700	1		_aBeautrais, Annette L. _9766
700	1		_aSurgenor, Lois J. _92178
773	0		_tAustralian and New Zealand Journal of Psychiatry 44(8) August 2010 : 713-720
830			_aAustralian and New Zealand Journal of Psychiatry _94832
856			_uhttp://dx.doi.org/10.3109/00048671003671015 _zAccess the abstract
942			_2ddc _cARTICLE
999			_c1831 _d1831