Nursing in child psychiatric milieus: What nurses do: An update

Delaney, Kathleen R.

doi:10.1111/jcap.12204

Cited by 22 publications

(22 citation statements)

References 54 publications

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“…2017). Nurses in CAP care are expected to ensure the physical and emotional safety of children in a proactive manner that minimizes the use of coercion (Delaney 2018). Further, nurses employ their clinical judgement and critical reflection to provide structure adapted to the children’s individual needs.…”

Section: Introductionmentioning

confidence: 99%

Constrained nursing: Nurses’ and assistant nurses’ experiences working in a child and adolescent psychiatric ward

Söderberg

Looi

Gabrielsson

2021

Int J Mental Health Nurs

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The role of nurses and nursing in CAP inpatient care is unclear, and nurses are at risk of moral distress due to having to deal with complex demands while lacking organizational support. This study aimed to describe nurses’ and assistant nurses’ experiences working in child and adolescent psychiatric inpatient care. Eight nurses and seven assistant nurses working in a child and adolescent ward in Sweden participated in the study. Data were collected in 2019 using semi‐structured qualitative interviews and subject to qualitative content analysis. Results describe nurses’ and assistant nurses’ experiences of child and adolescent psychiatric inpatient care in one theme, Constrained nursing, and four categories: Striving to be there for children and parents; Finding a way to manage work; Depending on others; Lacking nursing leadership. Findings suggest that good, person‐centred and recovery‐oriented nursing practice can exist in CAP inpatient care but remain unrecognized and lacking support due to unclear roles and responsibilities and lack of nursing leadership. This study is reported in accordance with the COREQ guidelines.

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Section: Introductionmentioning

confidence: 99%

Constrained nursing: Nurses’ and assistant nurses’ experiences working in a child and adolescent psychiatric ward

Söderberg

Looi

Gabrielsson

2021

Int J Mental Health Nurs

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“…This study used personal blogs to study experiences of child and adolescent psychiatric (CAP) inpatient care supporting personal recovery. Nurses in CAP inpatient care are responsible for establishing an environment that fosters self-management and is safe, structured, and supportive (Delaney 2017). Edwards et al (2015) suggests that young people are at risk of dislocation and contagion when subject to CAP inpatient care.…”

Section: Introductionmentioning

confidence: 99%

‘Don’t abandon me’: Young people’s experiences of child and adolescent psychiatric inpatient care supporting recovery described in blogs

Wallström¹,

Lindgren

Gabrielsson

2020

Int J Mental Health Nurs

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Child and adolescent psychiatric (CAP) inpatient care has the potential to support or hinder young people’s mental‐health recovery. Research describing inpatient care from the perspective of young people is rare. Personal blogs provide an opportunity to further understand how inpatient care relates to young people’s recovery processes. This study aimed to explore young people’s experiences of CAP inpatient care supporting mental‐health recovery. The study is reported in accordance with the COREQ guidelines. Data were created during 2018 from twenty‐seven personal blogs describing first‐hand experiences of being a patient in a CAP inpatient care facility in Sweden and analysed using a method for interpretive description. Information in blogs suggests they were written by women, a majority of which had experienced eating disorders. Findings describe young people’s experiences of CAP inpatient care supporting mental‐health recovery in an interpretive explanation with one theme, ‘Don’t abandon me’, and three sub‐themes: ‘Listen to me’, ‘Believe in me’, and ‘Allow me to feel safe’. This study adds to the growing body of empirical work suggesting the importance of the concept of recovery in young people’s mental health. To support recovery, CAP inpatient care needs to focus on developing the content of care rather than minimizing the length of the stay. User experience should be at the heart of efforts aimed at improving services.

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“…Nurses frequently assume primary responsibility for ensuring the safety and behavioral stability of youth during inpatient hospitalizations. Delaney (2018) described the unique contributions of nursing interventions to inpatient treatment as falling within four categories, alliteratively termed the Four S‐Model: (1) Safety : creating a physically safe environment by closely monitoring patient safety, utilizing de‐escalation strategies, and reducing the use of physical restraints; (2) Structure : establishing a predictable, developmentally flexible schedule, and maintaining consistent unit rules and expectations; (3) Support : expressing genuine empathy, investment, and interest in patients' life experiences; and (4) Self‐management : providing evidenced‐based interventions that teach child patients new sets of coping and self‐regulation skills for their psychiatric symptoms.…”

Section: Introductionmentioning

confidence: 99%

Cognitive‐behavioral therapy training for multidisciplinary inpatient psychiatric teams: A novel curriculum using animated simulations

Cardona

Barreto

Grodberg

et al. 2021

Child Adoles Psych Nursing

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Problem Nurses assume primary responsibility teaching children self‐management skills, yet few of them have formal training in evidence‐based treatments such as cognitive‐behavioral therapy (CBT). Methods We developed a novel CBT training curriculum specifically tailored for nurses and other child psychiatric inpatient team members. The curriculum was anchored in three components: (1) a structured manual; (2) instructional videos of common clinical scenarios using animated simulations; and (3) interactive role‐play exercises. The CBT curriculum was implemented through small group training sessions. We then conducted focus group sessions with the 20 participants to assess change in self‐reported knowledge of, and utilization of CBT skills in clinical practice. Findings The curriculum was well received by staff members, who found its content relevant and applicable to their daily inpatient work. Staff reported four main themes: (1) routine clinical care (feelings, challenges, and approaches); (2) CBT utility in practice; (3) CBT training components that facilitated learning of the discrete skills; and (4) professional development needs. Conclusions We were able to implement the curriculum within the time and staffing constraints of a clinically active inpatient setting. Future refinements of the model will include videotaped interactions between expert clinicians and simulated patients in high acuity situations.

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Nursing in child psychiatric milieus: What nurses do: An update

Cited by 22 publications

References 54 publications

Constrained nursing: Nurses’ and assistant nurses’ experiences working in a child and adolescent psychiatric ward

Constrained nursing: Nurses’ and assistant nurses’ experiences working in a child and adolescent psychiatric ward

‘Don’t abandon me’: Young people’s experiences of child and adolescent psychiatric inpatient care supporting recovery described in blogs

Cognitive‐behavioral therapy training for multidisciplinary inpatient psychiatric teams: A novel curriculum using animated simulations

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