Paper
Friday, July 23, 2004
This presentation is part of : Depression and Suicide
Investigating the Suicide Care Process in Psychiatric Wards in Taiwan
Fan-Ko Sun, PhD, MSN, Ann Long, PhD, and Jennifer Boore, N/A. School of Nursing, University of Ulster, Newtownabby, Country Antrim, United Kingdom
Learning Objective #1: Gain knowledge on psychiatric nurses’ and patients’ recorded opinions regarding the care proffered to suicidal patients in Taiwan
Learning Objective #2: Examine fundamental aspects of the advanced nursing care of suicidal patients in acute psychiatric wards, including key communication skills

Objective: This study explored psychiatric nurses’ (n=15) and patients’ (n=15) perceptions of the care proffered to suicidal patients in three psychiatric hospitals in Taiwan. The main aim of this study was to develop a suicide care theory that will advance the nursing care provided to people with suicidal ideas and those who attempt suicide.

Design: Qualitative research using Grounded Theory was used (Strauss & Corbin, 1998), which meant that the data collection processes continued until theoretical saturation of the data generated had been reached.

Population, Sample, Setting, Years: In keeping with one of the key axioms of Grounded Theory, theoretical sampling was utilised. A total of 15 psychiatric nurses and 15 patients who had suicidal ideas or had attempted suicide were interviewed and observed. Participants were accessed from two large medical center teaching hospitals and one specialist mental hospital in the south of Taiwan. The data collection process was conducted from January 2003 until June 2003. The study will be completed in March, 2004.

Methods: As this was qualitative research participant observation and semi-structured interviews were used as the data collection strategies.

Data Analysis: Data were analysed using open, axial and selective coding (Strauss & Corbin, 1998) and the NUD*IST software programme.

Findings: The core category that emerged from the data collected was: “safe and compassionate care via the channel of the therapeutic relationship”. Other key categories linked to and embraced within this core-category were: the holistic assessment of suicidal patients; providing protection; providing basic care and providing advanced care.

Implications: The findings from this study have implications for further research, management and practice as they identify the needs of patients who have attempted suicide and, also the education and training needs of nurses. Further, they highlight the nursing profession’s obligation to advance the nursing care of suicidal patients.

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Sigma Theta Tau International
July 22-24, 2004