Subject(s)
Emergency Nursing/organization & administration , Emergency Services, Psychiatric/organization & administration , Patient Advocacy , Practice Guidelines as Topic , Societies, Nursing/organization & administration , Total Quality Management/organization & administration , Cooperative Behavior , Emergency Nursing/education , Humans , Organizational Policy , Psychiatric Nursing/education , Psychiatric Nursing/organization & administration , Safety Management , Systems Analysis , United StatesABSTRACT
Self-mutilation or cutting is not uncommon and may be detected in the workplace. It stems from an underlying psychological illness, specifically borderline personality disorder (BPD). Individuals diagnosed with BPD are usually attempting to handle negative childhood experiences and feelings of abandonment. They often overreact to social stress and engage in cutting to alleviate uncomfortable feelings. A small percentage go on to attempt suicide. Dialectical behavior therapy (DBT) is the preferred treatment modality for individuals with BPD. Occupational health nurses are in a pivotal position to identify workers who cut and to refer them to appropriate treatment options. In addition, occupational health nurses can learn to reinforce the social skills learned in DBT.
Subject(s)
Borderline Personality Disorder/psychology , Borderline Personality Disorder/therapy , Nurse's Role , Occupational Health Nursing/organization & administration , Self-Injurious Behavior/psychology , Self-Injurious Behavior/therapy , Borderline Personality Disorder/epidemiology , Case Management , Cognitive Behavioral Therapy , Evidence-Based Medicine , Health Services Needs and Demand , Humans , Models, Psychological , Psychotherapy , Risk Factors , Self-Injurious Behavior/epidemiology , Treatment OutcomeABSTRACT
Nursing education in Poland are developing slowly but steadily in response to changing social needs and emerging healthcare issues. In particular, the immediate demand for more nurses is generating innovation in nursing education and encouraging Polish universities to graduate more nurses. Unfortunately, nursing wages remain low in regards to other professions, which only fuels the nursing shortage. Polish nurses are also facing staffing issues. At times, the nurse-patient ratio is 28 to 1. These working conditions also discourage people from pursuing a career in nursing. Finally, male nurses are rare in Poland. The future of nursing in Poland will be dictated by the Polish government and university systems and their efforts to produce more graduate nurses who can thrive and practice in a more complex, evolving world and who receive competitive pay for their expertise.
