Get access

An Observational Study of Providing Structure as a Psychiatric Nursing Intervention

Authors

  • L. Amar Voogt RN, CNS, Msc,

    Head Care and Support, nurse researcher, PhD student, Corresponding author
    1. Regio Noordwest Philadelphia Zorg, Organisation for People with a Mental Disability
    2. Mental Health Care Hospital GGZ Noord-Holland Noord, Heiloo
    3. Quality of Care/Nursing Science, Radboud University, Nijmegen, The Netherlands
    Search for more papers by this author
  • Peter J. J. Goossens RN, MANP, PhD,

    Professor in Mental Health, Saxion
    1. Expertise Centre of Health, Social Work & Technology, University of Applied Sciences, Deventer, The Netherlands
    Search for more papers by this author
  • Annet Nugter PhD,

    Head of the Research Department
    1. Mental Health Care Hospital GGZ Noord-Holland Noord, Heerhugowaard, The Netherlands
    Search for more papers by this author
  • Theo van Achterberg RN, PhD

    Professor in Nursing Science
    1. Nursing Science, Centre for Quality of Care Research, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Search for more papers by this author

Abstract

Purpose

To observe the actions of psychiatric nurses when providing structure and identify results in order to better understand providing structure as a complex nursing intervention.

Design and Method

Participant observation data were collected on a dual diagnosis ward and a crisis intervention ward in a mental healthcare organization. A total of 52 events were selected that involved providing structure.

Findings

Three phases in the processing of providing structure were identified: the start of the interaction, the interaction phase, and the end of the interaction. For each phase in the intervention, both critical nurse and patient responses were coded.

Practical Implications

The results of this observational study contribute to a formalization of the nursing intervention “providing structure” in the Nursing Interventions Classification.

Get access to the full text of this article

Ancillary