If this study is able to refute the null hypotheses that the authors suggested, this would indicate that the A and E nurses would need to be employed with a specific age recommendations, would have to be experienced, and would need in-service training for handling DSH cases. Since the findings of the research can modify nursing practice, the research question is important for nursing practice.
The authors establish the rationale in the introduction of this study, and in the literature review section, they discuss the evidence from other studies, where the reader can reach a conclusion that this study would contribute to the nursing practice and in the care of the patients. There is a strong relationship between DSH and suicide. If the DSH patients do not get adequate care in the form of appropriate assessment and sufficient management in the A and E when they present, it is highly likely that these patients may end up committing a suicide that could have been prevented. The existing literature and real-life findings are that the A and E nurses are often the point of first contact with these patients. They need a very positive attitude towards these patients that they often lack in practice. They are also reported to lack appropriate assessment and interpersonal skills to care for them. ...
They need a very positive attitude towards these patients that they often lack in practice. They are also reported to lack appropriate assessment and interpersonal skills to care for them. This study proposes to find out whether these are true or not, and if true programmes of professional development that cater attitude building, assessment skill development, and development of interpersonal skills to handle these patients at first presentation in the A and E, so many DSH cases may not have catastrophic suicidal events as an outcome.
In this study, the authors present a section called definitions where they define all the involved variables in this study. While defining them, they also explain the key concepts so the reader can start the study of this literature from that baseline of knowledge. Since this study is about the patients who presented with DSH, the authors have used Auditor General of Western Australia's definition of DSH that includes patients that had intentional poisoning or self-injurious activities irrespective of the underlying cause. This last element of the definition also includes psychiatric patients who could repeat such behaviours in future and are at risk of committing suicide. Since the age of the nurses is considered to be a variable, the cut-off point of the age has been defined as 35, above which, the nurses of 36 years or over have been defined as older and those 35 years or below are younger. Although this is an acceptable cut-off point of age segregation, the authors do not provide any rationale for such division. Also, one may argue that those who started their career at an early age may be experienced or matured enough to provide serious weightage to the patients even though they are