Usability of the Guideline
Althoughtherewasconsiderablespreadinopinions about usability, the overall rating of the nurses who expressed their opinions about implementing the guideline in mental health nursing practice was posi- tive (rating 3.76). From the interviews, it became clear thatthenurseswereespeciallypositiveaboutthebasic SA. This appreciation can also be seen in the ratings about the assessments’ usability within their institu- tions, which were 3.76 and 3.41 for the basic and advanced SA, respectively. Another finding from the interviews was that many nurses experienced difficulty to apply the guideline to all patients with schizophrenia or related psychotic disorders. They stated very strongly that the guideline is better not used with patients with comorbid person- ality disorders or mental retardation. Because suicidal- ity is so explicitly the subject of the assessment, nurses feared that this would trigger or increase suicidal thoughts in these patients. Some nurses questioned the necessity of the guide- line. In their opinion, the guideline was not in any respect new. They mentioned that they already dis- cussedsuicidalityduringregularcontactsasaprimary caregiver of the patient.About half of the participating nurses believed the guideline to be especially useful for nurses with little experience in this area of psychi- atric nursing. They were moderate about the effect of the guideline on their personal ability to provide care to suicidal patients (rating 3.00).
Usability of the GuidelineAlthoughtherewasconsiderablespreadinopinions about usability, the overall rating of the nurses who expressed their opinions about implementing the guideline in mental health nursing practice was posi- tive (rating 3.76). From the interviews, it became clear thatthenurseswereespeciallypositiveaboutthebasic SA. This appreciation can also be seen in the ratings about the assessments’ usability within their institu- tions, which were 3.76 and 3.41 for the basic and advanced SA, respectively. Another finding from the interviews was that many nurses experienced difficulty to apply the guideline to all patients with schizophrenia or related psychotic disorders. They stated very strongly that the guideline is better not used with patients with comorbid person- ality disorders or mental retardation. Because suicidal- ity is so explicitly the subject of the assessment, nurses feared that this would trigger or increase suicidal thoughts in these patients. Some nurses questioned the necessity of the guide- line. In their opinion, the guideline was not in any respect new. They mentioned that they already dis- cussedsuicidalityduringregularcontactsasaprimary caregiver of the patient.About half of the participating nurses believed the guideline to be especially useful for nurses with little experience in this area of psychi- atric nursing. They were moderate about the effect of the guideline on their personal ability to provide care to suicidal patients (rating 3.00).
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