Conflict of Interest Statement
“Providing Structure” as a Psychiatric Nursing Intervention: A Review of the Literature
Article first published online: 26 MAR 2013
© 2013 Wiley Periodicals, Inc
Perspectives in Psychiatric Care
Volume 49, Issue 4, pages 278–287, October 2013
How to Cite
Voogt, L. A., Nugter, A., Goossens, P. J.J. and van Achterberg, T. (2013), “Providing Structure” as a Psychiatric Nursing Intervention: A Review of the Literature. Perspectives in Psychiatric Care, 49: 278–287. doi: 10.1111/ppc.12014
The authors declare no actual or potential conflicts of interest.
- Issue published online: 4 OCT 2013
- Article first published online: 26 MAR 2013
- Manuscript Accepted: 21 DEC 2012
- Manuscript Revised: 23 NOV 2012
- Manuscript Received: 13 JUL 2012
- Providing structure;
- use of structure;
- limit setting;
- nursing intervention;
- psychiatric nursing;
The focus is on a nursing intervention called “providing structure” (PS). This label does not exist in the Nursing Interventions Classification. The following three questions were asked: (a) How is PS defined? (b) What are the goals of PS? and (c) What is the evidence regarding the effectiveness of PS?
Design and Method
A systematic literature review. Forty articles, predominantly qualitative studies of PS, were selected for review.
Regarding PS, three elements were mentioned: to impose and maintain rules and limits; to assess the condition of the patient; and to interact with the patient. The goals for PS related to patient security, making expectations explicit, and recovering from illness. Major findings were reviewed, but little was found about the effectiveness of PS.