ArticleInternational journal of qualitative studies on health and well-being2026
Nurses' interest in the care of patients who have attempted suicide in hospital-based emergency care settings: a grounded theory study.
Article in International journal of qualitative studies on health and well-being, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundEmergency nurses caring for patients who have attempted suicide face ethical dilemmas and negative emotions that hinder empathetic care. Existing studies have mainly reported emotional burden and mixed attitudes, with limited research examining nurses' internal interest processes. Therefore, this study aimed to clarify the structure and processes underlying nurses' interest in caring for these patients in hospital-based emergency care settings, using a grounded theory approach.
methodData were collected through semi-structured interviews with 25 nurses experienced in emergency care in Japan who had provided care to patients who had attempted suicide. Interviews were conducted from August 2022 to December 2023 and analyzed using constant comparative analysis.
resultsSix major categories emerged: "Attention towards care," "Being influenced by one's inner self," "Welling up emotions," "Focusing on attention," "Deciding the direction of care," and "Taking a meta-perspective on oneself within the situation." Nurses' beliefs and values were profoundly challenged by the gravity of suicide attempts, eliciting complex emotional responses combining a sense of moral responsibility, discomfort, and conflicting feelings.
conclusionsEmergency nurses maintained an interest in patient care despite emotional conflict and a destabilized sense of self. Self-awareness and situational awareness, particularly taking a meta-perspective, supported professional caring and decision-making.
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