Nurses' knowledge of the italian ministerial recommendation no. 4 (MR4) on the prevention of patient suicide in hospitals: a pilot study

Maurizio Calamita; Donatella D'Accolti; Carmela Marseglia; Carmela Fiore; Stefania Crescenza Pietanza; Salvatore Grasso; Livio Melpignano; Antonio Pisciotta; Laura Pagliari; Noemi Chiumarolo; Vito Muschitiello

doi:10.54103/dn/27603

Authors

Maurizio AOUC Policlinico - John XXIII Children's Hospital, Bari, Italy https://orcid.org/0009-0001-3064-7396
Donatella D'Accolti AOUC Policlinico di Bari, Bari, Italy
Carmela Marseglia AOUC Policlinico, Bari, Italy
Carmela Fiore ASL Foggia - Socio-health District n.54 Manfredonia, Italy
Stefania Crescenza Pietanza ASL Bari - "Di Venere" Hospital - Carbonara di Bari, Italy
Salvatore Grasso AOUC Policlinico di Bari, Bari, Italy
Livio Melpignano AOUC Policlinico - John XXIII Children's Hospital, Bari, Italy
Antonio Pisciotta AOUC Policlinico - John XXIII Children's Hospital, Bari, Italy
Laura Pagliari AOUC Policlinico - John XXIII Children's Hospital, Bari, Italy
Noemi Chiumarolo Student, University Aldo Moro, Bari, Italy
Vito Muschitiello Azienda Ospedaliera Universitaria Consorziale Policlinico Bari https://orcid.org/0009-0008-4592-6778

DOI:

https://doi.org/10.54103/dn/27603

Keywords:

Suicide, Prevention, Nurse, Knowledge, Hospital

Abstract

BACKGROUND: healthcare companies are responsible for preventing patient suicide in hospital through the development of protocols that implement Ministerial Recommendation No. 4 (MR4) of the Ministry of Health, 2008. In Italy there are no assessment scales that investigate the level of knowledge of MR4. Aim: Toassess the evaluation of the level of nurses' knowledge of MR4.

METHODS: Pilot study conducted in the period between November 2023 and December 2023 in a sample of nurses. The questionnaire consisted of 8 questions that investigated the level of knowledge of MR4.

RESULTS: 141 eligible nurses participated in the questionnaire (90.4%). Of these, 36.9% were aged between 30 and 40 years and 48 interviewees had less than 10 years of work experience. The Cronbach alpha of the scale was 0.486. 62.4% of the sample had a good level of knowledge of the MR4. The risk of not knowing the MR4 was significantly high for subjects over 50 years of age (RR = 1.86; CI = 1.04 - 3.34; p = .034); similarly, the risk of not knowing the MR4 was quite high for subjects with more than 30 years of service (RR = 1.80; CI = 0.89 - 3.65; p = .101).

CONCLUSIONS: although the instrument would require a more in-depth review for greater reliability, the level of knowledge of the MR4 was optimal; the critical issues that emerged concern nurses with advanced age and work experience. There is an urgent need to experiment with training strategies for the prevention of patient suicide in hospital.

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