Carers of loved ones with Borderline Personality Disorder (BPD) often present to Emergency Departments (ED) during acute crisis situations. The initial contact for the carer and consumer in distress is often an emergency nurse. By gaining a greater understanding of carers (18+) perspectives on ED nursing practices when consumers with BPD are requiring crisis support, knowledge about preferred and best practice can be gained. To obtain this knowledge, four semi-structured focus group interviews were undertaken with a purposive sample of 13 carers through existing carer networks. Transcripts were analysed thematically to identify shared experiences and perspectives across interviews. Four key themes emerged: challenges in accessing crisis support, the need for communication, stigmatising practices, and different levels of care. Findings highlight the ED is viewed as a frontline service which has the capacity to link with another specialist supports when in crisis. Despite this; Communication, confidentiality issues and stigmatising practices continue. The results of this study have implications for nursing practice in the ED, providing important insights that can potentially benefit the carer, consumer and the ED to improve the quality of care offered for people in crisis.

中文翻译：

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从社区到急诊科：从边缘型人格障碍亲人护理人员的角度研究医院急诊科护理实践

在紧急危机情况下，患有边缘性人格障碍 (BPD) 的亲人的照顾者经常到急诊室 (ED) 就诊。处于困境中的照顾者和消费者的最初联系通常是急诊护士。当患有 BPD 的消费者需要危机支持时，通过更深入地了解护理人员 (18 岁以上) 对 ED 护理实践的看法，可以获得有关首选和最佳实践的知识。为了获得这些知识，我们通过现有的照顾者网络对 13 名照顾者的有目的的样本进行了四次半结构化焦点小组访谈。对成绩单进行主题分析，以确定访谈中的共同经历和观点。出现了四个关键主题：获得危机支持方面的挑战、沟通的需要、污名化做法和不同级别的护理。调查结果强调 ED 被视为一线服务，在危机中能够与其他专家支持建立联系。尽管如此; 沟通、保密问题和污名化做法仍在继续。这项研究的结果对急诊室的护理实践产生了影响，提供了重要的见解，可能使护理人员、消费者和急诊室受益，从而提高为处于危机中的人提供的护理质量。