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Journal of Nursing ›› 2022, Vol. 29 ›› Issue (7): 74-78.doi: 10.16460/j.issn1008-9969.2022.07.074

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Question, Persuade, and Refer in Training of Inpatient Suicide Prevention for Oncology Nurses

CHEN Ying1, HU De-ying2, DING Fang1   

  1. 1. Dept. of Nursing Administration, Xianning Central Hospital, Xianning 437100, China;
    2. Dept. of Nursing Administration,Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, China
  • Received:2022-01-19 Online:2022-04-10 Published:2022-05-10

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Abstract: Objective To improve the knowledge and comprehensive skills of oncology nurses in the prevention of inpatient suicide. Methods Forty-seven nurses in the department of oncology were trained for inpatient suicide prevention with question, persuade, and refer (QPR), including basic knowledge of patient suicide, suicide risk assessment, suicide prevention and referral of high-risk patients. Offline teaching, scene simulation and other training methods were applied in the training. Nurses' confidence questionnaire, suicide evaluation questionnaire and inpatient suicide nursing management checklist were used to evaluate the training effect before and after the training. Results After training, the confidence of oncology nurses in suicide prevention, the attitude toward and cognition of suicide prevention and nursing management of inpatients were improved (P<0.05). Conclusion The inpatient suicide prevention training for oncology nurses can effectively improve the knowledge and confidence of oncology nurses in the prevention of inpatient suicide, and promote nursing management of inpatient suicide prevention.

Key words: QPR, inpatient suicide, training, suicide prevention

CLC Number: 

  • R473.73
[1] Hangartner Renee Brown, et al.Benchmarking the "Question, Persuade, Refer" Program Against Evaluations of Established Suicide Prevention Gatekeeper Trainings[J]. Suicide Life-threatening Behavior, 2019, 49(2):353-370. DOI:10.1111/sltb.12430.
[2] 赵伟, 马玲, 王晶晶. 自杀守门人培训及在护理领域的应用研究进展[J]. 护理学杂志, 2021, 36(11):110-114.DOI:10.3870/j.issn.1001-4152.2021.11.110.
[3] Pullen J.A Quality Improvement Project With The Aim Of Improving Suicide Prevention in Long-term Care[J]. Ann Long-term Care,2016,24(3):23-30.
[4] 梁挺,张小远,徐雪花.大学生自杀“守门人”培训效果评价[J].中国学校卫生,2016,37(4):532-534.
[5] Holmes G,Clacy A,Daniel F, et al.The Long-Term Efficacy of Suicide Prevention Gatekeeper Training:A Systematic Review[J]. Archivesf of Suicide Research, 2019,12(6):1-31.DOI:10.1080/13811118.2019.1690608.
[6] Jiang H,Niu L,Hahne J,et al.Changing of Suicide Rates in China, 2002-2015[J]. J Affect Disord,2018,240: 165-170.DOI:10.1016/j.jad.2018.07.043.
[7] Tong Y, Conner KR, Wang C,et al.Prospective Study of Association of Characteristics of Hotline Psychological Intervention in 778 High-risk Callers with Subsequent Suicidal Act[J]. Aust N Z J Psychiatry, 2020,54(12):1182-1191. DOI: 10.1177/0004867420963739.
[8] 王舒杰, 胡德英, 丁小萍,等. 住院癌症患者自杀可能性的现状及与抑郁的相关分析[J]. 中华现代护理杂志, 2018, 24(36):4.DOI:10.3760/cma.j.issn.1674-2907.2018.36.009.
[9] 胡德英,熊宇,丁小萍,等.护士在预防患者自杀中的守门人角色探析[J].护理学杂志,2015,30(3):89-92.DOI:10.3870/hlxzz.2015.03.089.
[10] 许珂. 护理人员对住院患者自杀预防的知识信念行为调查研究[D]. 武汉:华中科技大学,2019.
[11] Cook R S,Gillespie G L,Kronk R,et al.Effect of An Educational Intervention on Nursing Staff Knowledge, Confidence, and Practice in the Care of Children with Mild Traumatic Brain Injury[J]. J Neurosci Nurs,2013,45(2): 108-118.DOI:10.1097/JNN.0b013e318282906e.
[12] Taylor-Fishwick JC,Okafor M,Fletcher M.Effectiveness of Asthma Principles and Practice Course in Increasing Nurse Practitioner Knowledge and Confidence in the Use of Asthma Clinical Guidelines[J]. J Am Assoc Nurse Pract,2015,27(4):197-204.DOI:10.1002/2327-6924.12147.
[13] Manister NN, Murray S, Burke JM, et al.Effectiveness of Nursing Education to Prevent Inpatient Suicide[J]. J Contin Educ Nurs,2017, 48(9):413-419.DOI:10.3928/00220124-20170816-07.
[14] VanSickle M, Werbel A, Perera K, et al. Principal Component Analysis of the Suicide Opinion Questionnaire in a US Military Sample of Marine Corps Non-commissioned Officers[J]. Mil Med,2016,181(7):672-679. DOI:10.7205/MILMED-D-15-00062.
[15] Rogers JRDR.Cross-validation of the Five Factor Interpretive Model of the Suicide Opinion Questionnaire[J]. Suicide and Life-Threatening,1995(25):303-309.
[16] Chan SWC,Chien WT,Tso S.Provision and Evaluation of a Suicide Prevention and Management Programme by Frontline Nurses in Hong Kong[J]. Hong Kong Medical Journal,2009, 15(Suppl 6):4-8.DOI:https://espace.library.uq.edu.au/view/UQ:341528.
[17] 陈莹,胡德英,丁芳.住院患者自杀防范培训体系的构建[J].中华护理学杂志,2020,55(12):1831-1836.
[18] 熊宇, 胡灵芝, 刘媛. 消化内科护士住院患者自杀预防系统化培训措施与成效[J]. 护士进修杂志, 2016, 31(15):5.DOI:10.16821/j.cnki.hsjx.2016.15.029.
[19] 刘秋平, 胡德英, 刘义兰,等. 急诊护士与自杀未遂患者沟通能力的培训和效果[J]. 中华护理杂志, 2020, 55(1):6.DOI:10.3761/j.issn.0254-1769.2020.01.019.
[20] 于丰, 胡德英, 孙丽,等. 小组式护理论坛在肿瘤科患者自杀防治培训中的应用与启示[J]. 护理学报, 2019, 26(17):4.DOI:10.16460/j.issn1008-9969.2019.17.014.
[21] 熊宇, 胡德英, 刘义兰,等. 综合医院护士对住院患者自杀预防认知的调查研究[J]. 护理学杂志, 2016, 31(1):4.DOI:10.3870/j.issn.1001-4152.2016.01.059.
[22] 曾桂珍, 胡媛, 李东娜,等. 268名急诊医护人员对自杀患者的态度调查[J]. 护理学报, 2017, 24(20):3.DOI:10.16460/j.issn1008-9969.2017.20.038.
[23] Siau CS, Wee LH, Ibrahim N, et al.Gatekeeper Suicide Training's Effectiveness Among Malaysian Hospital Health Professionals: A Control Group Study With a Three-month Follow-up[J]. J Contin Educ Health Prof,2018,38(4):227-234. DOI:10.1097/CEH.0000000000000213.
[24] Chauliac N, Brochard N, Payet C,et al.How Does Gatekeeper Training Improve Suicide Prevention for Elderly People in Nursing Homes? A Controlled Study in 24 Centres[J]. Eur Psychiatry,2016,37:56-62.DOI:10.1016/j.eurpsy.2016.05.011.
[25] Hawgood J, Woodward A, Quinnett P, et al.Gatekeeper Training and Minimum Standards of Competency[J]. Crisis,2021,DOI:10.1027/0227-5910/a000794.
[26] 望运丹, 胡德英, 刘义兰,等. 某三级甲等医院住院患者自杀环境安全因素分析及管理对策[J]. 护理学报, 2017, 24(18):4.DOI:10.16460/j.issn1008-9969.2017.18.009.
[27] 谭蓉,胡德英, 刘义兰,等. 基于系统论的综合医院住院患者自杀影响因素的研究进展[J]. 护理学杂志, 2017, 32(7):4.DOI:10.3870/j.issn.1001-4152.2017.07.103.
[28] 望运丹. 综合医院住院患者自杀环境安全影响因素的回顾性研究[D]. 荆州:长江大学,2018.
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