SLICEᆴ Tool for Self-Harm: A School Nurse Feasibility and Reliability Pilot Study

2.50
Hdl Handle:
http://hdl.handle.net/10755/243511
Category:
Abstract
Type:
Presentation
Title:
SLICEᆴ Tool for Self-Harm: A School Nurse Feasibility and Reliability Pilot Study
Author(s):
Williams, Kimberly A.; Buckner, Ellen B.
Author Details:
Williams, Kimberly A., DNSc, kwilliams@usouthal.edu; Buckner, Ellen B., DSN, RN;
Abstract:
Purpose: The purpose of this study was to evaluate the reliability and feasibility of a screening tool for self-harm risk factors in adolescents. The SLICE Self-Injury Screening Tool is an acronym for Scars, Links to risk factors, Injuries that do not match explanation, Clothing that does not match setting, and Environment conducive to self-harm. By developing a screening tool specific for self-harm or self-injury, the researchers hope to provide a tool that will assist primary care providers with early detection for referral to mental health services for diagnosis, treatment, and nursing intervention.

Methods: This pilot study involved tool development to evaluate reliability and feasibility with a sample of community-based providers who have contact with adolescents at risk. With IRB and state approval, school nurses were recruited by email. Nurses completed a SLICE assessment tool online for each of three hypothetical cases. Two to 4 weeks later they were asked to evaluate the same cases again to measure test-retest reliability. Additionally they completed a post-study survey of questions related to feasibility.

Results: There were a total of 20 school nurses from two county school districts who participated. Analysis used the Wilcox Sign-Rank to evaluate for statistical difference between times 1 and times 2 for the sections "S", "L", "I", "C", and "E". Additionally the totals of S+L+I+C+E was evaluate for statistical difference between times 1 and times 2, as well as the action indicated by the school nurse. Feasibility was based on response rate as well as consistency and ratings.

Conclusions: The tool was found to be useful by school nurses. Findings suggested a need for an educational component for self-harm assessment scoring of the tool. Some initial sensitivity and specificity analysis was possible. Continued development and testing is planned to include clinical validation.

Keywords:
school nurses; Sefl injury; Self harm
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleSLICEᆴ Tool for Self-Harm: A School Nurse Feasibility and Reliability Pilot Studyen_GB
dc.contributor.authorWilliams, Kimberly A.en_GB
dc.contributor.authorBuckner, Ellen B.en_GB
dc.author.detailsWilliams, Kimberly A., DNSc, kwilliams@usouthal.edu; Buckner, Ellen B., DSN, RN;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243511-
dc.description.abstract<strong><b>Purpose: </b> </strong>The purpose of this study was to evaluate the reliability and feasibility of a screening tool for self-harm risk factors in adolescents. The SLICE Self-Injury Screening Tool is an acronym for Scars, Links to risk factors, Injuries that do not match explanation, Clothing that does not match setting, and Environment conducive to self-harm. By developing a screening tool specific for self-harm or self-injury, the researchers hope to provide a tool that will assist primary care providers with early detection for referral to mental health services for diagnosis, treatment, and nursing intervention. <p><strong><b>Methods</strong>: </b> This pilot study involved tool development to evaluate reliability and feasibility with a sample of community-based providers who have contact with adolescents at risk. With IRB and state approval, school nurses were recruited by email. Nurses completed a SLICE assessment tool online for each of three hypothetical cases. Two to 4 weeks later they were asked to evaluate the same cases again to measure test-retest reliability. Additionally they completed a post-study survey of questions related to feasibility. <p><strong><b>Results: </b> </strong>There were a total of 20 school nurses from two county school districts who participated. Analysis used the Wilcox Sign-Rank to evaluate for statistical difference between times 1 and times 2 for the sections "S", "L", "I", "C", and "E". Additionally the totals of S+L+I+C+E was evaluate for statistical difference between times 1 and times 2, as well as the action indicated by the school nurse. Feasibility was based on response rate as well as consistency and ratings. <p><strong><b>Conclusions: </b></strong> The tool was found to be useful by school nurses. Findings suggested a need for an educational component for self-harm assessment scoring of the tool. Some initial sensitivity and specificity analysis was possible. Continued development and testing is planned to include clinical validation.en_GB
dc.subjectschool nursesen_GB
dc.subjectSefl injuryen_GB
dc.subjectSelf harmen_GB
dc.date.available2012-09-12T09:23:17Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:23:17Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
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