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Emergency Department Staff Attitudes Toward People Who Self-Harm Exploring the Influences of Norms and Identity

Emergency Department Staff Attitudes Toward People Who Self-Harm Exploring the Influences of... Patients who self-harm report negative staff attitudes toward them on presentation to an emergency department. Applying a thematic framework analysis to interviews with 10 staff members from one emergency department, the present research explored staff attitudes and behaviors (their own and the perception of others’) and the impact of these attitudes on behavior, and the role of team identification and norms. Located within an overarching theme of balancing difference and diversity in relation to patients who self-harm, analysis identified themes related to beliefs about self-harm, the perceived barriers and facilitators to working effectively with patients, and the importance of identity, culture, and roles. Analysis also revealed the presence of pluralistic ignorance, whereby individuals perceive that others’ (negative) actions reflect stable (negative) attitudes but do not perceive this for themselves. Thus, increasing knowledge and awareness of pluralistic ignorance may be a useful addition to training to minimize feelings of failure and frustration and increase understanding and improve patient care. Key words: group norms, pluralistic ignorance, self-harm, staff attitudes, thematic framework analysis N 2002, the Office for National Statistics Author Affiliations: Cambian Healthcare, The Fo- reported that between 4.6% and 6.6% rum School, Blandford Forum, Dorset, United Kingdom I of adults http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advanced Emergency Nursing Journal Wolters Kluwer Health

Emergency Department Staff Attitudes Toward People Who Self-Harm Exploring the Influences of Norms and Identity

Smith, Joanne R.
Advanced Emergency Nursing Journal , Volume 35 (3) – Jul 1, 2013
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Copyright
© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
ISSN
1931-4485
eISSN
1931-4493
DOI
10.1097/TME.0b013e31829d202b
pmid
23899950
Publisher site
See Article on Publisher Site

Abstract

Patients who self-harm report negative staff attitudes toward them on presentation to an emergency department. Applying a thematic framework analysis to interviews with 10 staff members from one emergency department, the present research explored staff attitudes and behaviors (their own and the perception of others’) and the impact of these attitudes on behavior, and the role of team identification and norms. Located within an overarching theme of balancing difference and diversity in relation to patients who self-harm, analysis identified themes related to beliefs about self-harm, the perceived barriers and facilitators to working effectively with patients, and the importance of identity, culture, and roles. Analysis also revealed the presence of pluralistic ignorance, whereby individuals perceive that others’ (negative) actions reflect stable (negative) attitudes but do not perceive this for themselves. Thus, increasing knowledge and awareness of pluralistic ignorance may be a useful addition to training to minimize feelings of failure and frustration and increase understanding and improve patient care. Key words: group norms, pluralistic ignorance, self-harm, staff attitudes, thematic framework analysis N 2002, the Office for National Statistics Author Affiliations: Cambian Healthcare, The Fo- reported that between 4.6% and 6.6% rum School, Blandford Forum, Dorset, United Kingdom I of adults

Journal

Advanced Emergency Nursing Journal – Wolters Kluwer Health

Published: Jul 1, 2013

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