Knowledge and Attitude Towards the Care For Self-harming Adolescents and the Related Factors in Emergency Department Nurses From Northern Iran
Introduction: Self-harm is a serious health concern, and is relatively common among adolescents. The quality-of-service delivery to self-harming patients is related to the knowledge and attitude of nurses. Objective: This study aimed to determine the knowledge and attitude of emergency department (E...
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Guilan University of Medical Sciences
2025-01-01
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| Series: | Journal of Holistic Nursing and Midwifery |
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| Online Access: | http://hnmj.gums.ac.ir/article-1-2399-en.pdf |
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| author | Fereshteh Foroughizad Yasaman Yaghobi Farzaneh Sheikholeslami Elnaz Faraji-Nesfechi Ehsan KazemnezhadLeili |
| author_facet | Fereshteh Foroughizad Yasaman Yaghobi Farzaneh Sheikholeslami Elnaz Faraji-Nesfechi Ehsan KazemnezhadLeili |
| author_sort | Fereshteh Foroughizad |
| collection | DOAJ |
| description | Introduction: Self-harm is a serious health concern, and is relatively common among adolescents. The quality-of-service delivery to self-harming patients is related to the knowledge and attitude of nurses.
Objective: This study aimed to determine the knowledge and attitude of emergency department (ED) nurses from northern Iran regarding the care of self-harming adolescents and find the related factors.
Materials and Methods: This analytical cross-sectional study was conducted on 208 ED nurses with over 6 months of work experience in the ED of hospitals in Rasht, Iran. They were selected using a census sampling method. The data collection tool was a three-part questionnaire including a sociodemographic form, the attitudes towards deliberate self-harm questionnaire (ADSHQ), and Letho et al.’s knowledge scale. The collected data were analyzed using the Kolmogorov-Smirnov test, Shapiro-Wilks test, Mann-Whitney U test, multiple linear regression analysis, and the Spearman correlation test.
Results: The mean age of the nurses was 34.8±7.8 years, and the majority of them were female (90.9%) with a bachelor’s degree (88.5%). The mean total score of knowledge was 0.67±0.12. Nurses’ attitudes were mostly positive, and the total ADSHQ score was 3.59±0.28. The ADSHQ score was significantly different based on nurses’ age (P=0.03) and experience in caring for self-harming adolescents (P=0.033). The ADSHQ score had a positive correlation with the knowledge score (r=0.252, P=0.001). The knowledge score was significantly different based on marital status (P=0.042) and experience in caring for self-harming adolescents (P=0.016). The significant factors for the ADSHQ score in the multiple regression model were the risk factors domain of the knowledge (β=0.334, 95%CI; 1.527%, 3.367%, P=0.001), age (β=0.184, 95% CI; 0.061%, 0.323%, P=0.004) and experience in caring for self-harming adolescents (β=2.4, 95% CI; 0.340%, 4.595%, P=0.023).
Conclusion: Nurses’ knowledge in caring of the intentional self-harm adolescents was moderate and their attitude towards these adolescents was positive. In the EDs, it is recommended that nurses with experience dealing with self-harming adolescents be employed. Also, retraining programs should be provided to ED nurses to improve their knowledge and positive attitudes towards caring for self-harming adolescents, focusing on increasing empathy and perceived confidence. |
| format | Article |
| id | doaj-art-c4bf882ffc564805a506d30103f08e73 |
| institution | DOAJ |
| issn | 2588-3712 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Guilan University of Medical Sciences |
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| series | Journal of Holistic Nursing and Midwifery |
| spelling | doaj-art-c4bf882ffc564805a506d30103f08e732025-08-20T03:05:35ZengGuilan University of Medical SciencesJournal of Holistic Nursing and Midwifery2588-37122025-01-013511120Knowledge and Attitude Towards the Care For Self-harming Adolescents and the Related Factors in Emergency Department Nurses From Northern IranFereshteh Foroughizad0Yasaman Yaghobi1Farzaneh Sheikholeslami2Elnaz Faraji-Nesfechi3Ehsan KazemnezhadLeili4 Nursing (MsN), 17 Shahrivar Educational-Medical Center, Guilan University of Medical Sciences, Rasht, Iran. Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. Instructor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. Nursing (MsN), Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. Associate Professor, Department of Biostatistics and Epidemiology, School of Health, Guilan University of Medical Sciences, Rasht, Iran. Introduction: Self-harm is a serious health concern, and is relatively common among adolescents. The quality-of-service delivery to self-harming patients is related to the knowledge and attitude of nurses. Objective: This study aimed to determine the knowledge and attitude of emergency department (ED) nurses from northern Iran regarding the care of self-harming adolescents and find the related factors. Materials and Methods: This analytical cross-sectional study was conducted on 208 ED nurses with over 6 months of work experience in the ED of hospitals in Rasht, Iran. They were selected using a census sampling method. The data collection tool was a three-part questionnaire including a sociodemographic form, the attitudes towards deliberate self-harm questionnaire (ADSHQ), and Letho et al.’s knowledge scale. The collected data were analyzed using the Kolmogorov-Smirnov test, Shapiro-Wilks test, Mann-Whitney U test, multiple linear regression analysis, and the Spearman correlation test. Results: The mean age of the nurses was 34.8±7.8 years, and the majority of them were female (90.9%) with a bachelor’s degree (88.5%). The mean total score of knowledge was 0.67±0.12. Nurses’ attitudes were mostly positive, and the total ADSHQ score was 3.59±0.28. The ADSHQ score was significantly different based on nurses’ age (P=0.03) and experience in caring for self-harming adolescents (P=0.033). The ADSHQ score had a positive correlation with the knowledge score (r=0.252, P=0.001). The knowledge score was significantly different based on marital status (P=0.042) and experience in caring for self-harming adolescents (P=0.016). The significant factors for the ADSHQ score in the multiple regression model were the risk factors domain of the knowledge (β=0.334, 95%CI; 1.527%, 3.367%, P=0.001), age (β=0.184, 95% CI; 0.061%, 0.323%, P=0.004) and experience in caring for self-harming adolescents (β=2.4, 95% CI; 0.340%, 4.595%, P=0.023). Conclusion: Nurses’ knowledge in caring of the intentional self-harm adolescents was moderate and their attitude towards these adolescents was positive. In the EDs, it is recommended that nurses with experience dealing with self-harming adolescents be employed. Also, retraining programs should be provided to ED nurses to improve their knowledge and positive attitudes towards caring for self-harming adolescents, focusing on increasing empathy and perceived confidence.http://hnmj.gums.ac.ir/article-1-2399-en.pdfknowledgeattitudeself-harmadolescentsnurses |
| spellingShingle | Fereshteh Foroughizad Yasaman Yaghobi Farzaneh Sheikholeslami Elnaz Faraji-Nesfechi Ehsan KazemnezhadLeili Knowledge and Attitude Towards the Care For Self-harming Adolescents and the Related Factors in Emergency Department Nurses From Northern Iran Journal of Holistic Nursing and Midwifery knowledge attitude self-harm adolescents nurses |
| title | Knowledge and Attitude Towards the Care For Self-harming Adolescents and the Related Factors in Emergency Department Nurses From Northern Iran |
| title_full | Knowledge and Attitude Towards the Care For Self-harming Adolescents and the Related Factors in Emergency Department Nurses From Northern Iran |
| title_fullStr | Knowledge and Attitude Towards the Care For Self-harming Adolescents and the Related Factors in Emergency Department Nurses From Northern Iran |
| title_full_unstemmed | Knowledge and Attitude Towards the Care For Self-harming Adolescents and the Related Factors in Emergency Department Nurses From Northern Iran |
| title_short | Knowledge and Attitude Towards the Care For Self-harming Adolescents and the Related Factors in Emergency Department Nurses From Northern Iran |
| title_sort | knowledge and attitude towards the care for self harming adolescents and the related factors in emergency department nurses from northern iran |
| topic | knowledge attitude self-harm adolescents nurses |
| url | http://hnmj.gums.ac.ir/article-1-2399-en.pdf |
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