Managing self-harm in patients with BPD can be challenging for nursing staff. They have many diverse needs and are presented regularly in mental health hospitals. This research attempts to answer the research question what are the impacts of managing self-harm in patients with BPD on nursing staff working in mental health hospitals? While studies have focused largely on the attitudes of nursing staff towards BPD patients, there is a lack of research on the impacts of self-harm in patients with BPD on nursing staff working in mental health hospitals. Thus, this literature review is undertaken to breach the gap in research by appraising and synthesising qualitative primary resources on the topic. AIM: This study aims to identify and understand the impacts of managing self-harm in patients with BPD on nursing staff working in mental health hospitals by critically appraising and synthesizing qualitative primary resources and possibly identifying facilitators to minimise these impacts. METHOD: This study systematically conducted searches on different healthcare databases to identify high-quality evidence-based resources relevant to the topic. Before the search, a background search was conducted on the Cochrane Library of Systematic Review to ensure that there has not been any systematic review conducted on the topic. In adherence to the PRISMA criteria, relevant journal articles were found on five (5) databases: Cumulative Index to Nursing and Allied Health Literature (CINAHL), British Nursing Index (BNI), Psych Info, Medline, and PubMed and the evidence-based articles were critically assessed using the CASP tool checklist. RESULTS: The search produced seven hundred and sixteen (716) studies. After a thorough screening, seven hundred and eight (708) studies were excluded due to duplicates, unrelated abstracts, titles and not meeting the inclusion and exclusion criteria. However, an additional four (4) studies were included through manual search within studies bringing the total number of studies included for review to twelve (12). Three (3) main themes and four (4) sub-themes emerged from the review. These include the impact on staff’s emotional response to care, the impact on staff's attitudinal response to care and the impact on the organization and delivery of care. The sub-themes include the impact on patient care, preconceived knowledge about BPD, challenging staff-patient relationships, and Teamwork. Each main theme and sub-themes were presented separately even though, they overlap to some extent. CONCLUSION: This review identified and explored the impact managing self-harm in patients with BPD has on nursing staff working in mental health hospitals. The evidence drawn from the reviewed articles shows that self-harm in patients with BPD has a profound emotional, and attitudinal effect on nursing staff. It impacts how care is being organized and delivered and threatens the nurse-patient therapeutic relationship. This review considered teamwork as an important facilitator to address these impacts as effective teamwork can provide clinical supervision, education, and training to improve nursing staff's emotional well-being and understanding of the diagnosis.
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Okafor, Onyebuchi Stanley
Rights Holders: Okafor, Onyebuchi Stanley Supervisors: Ramluggun, Prasundcoomar
Oxford School of Nursing and Midwifery
MSc Nursing (Mental Health)
2024
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