The Patient's Perspective on “Providing Structure” in Psychiatric Inpatient Care: An Interview Study

Authors

  • L. Amar Voogt RN CNS, Msc,

    Head, PhD Student, Corresponding author
    1. Care and Support Regio Noordwest Philadelphia Zorg, Organization for People with a Mental Disability, Mental Health Care Hospital GGZ Noord-Holland Noord, Heiloo, The Netherlands
    2. Quality of Care/Nursing Science, Radboud University, Nijmegen, The Netherlands
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  • Peter J.J. Goossens PhD, MANP, RN, FEANS,

    Nurse Practitioner/Senior Researcher, Senior Researcher, Head
    1. Dimence Mental Health Care Centre, Deventer, The Netherlands
    2. Scientific Institute for Quality and Healthcare, Radboud University Medical Centre, Nijmegen, The Netherlands
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  • Annet Nugter PhD,

    Head
    1. Research Department, Mental Health Care Hospital GGZ Noord-Holland Noord, Heerhugowaard, The Netherlands
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  • Theo van Achterberg RN, PhD

    Professor
    1. Nursing Science, KU Leuven, Centre for Health Services and Nursing Research, Leuven, Belgium
    2. Radboud University Nijmegen, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands
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  • Conflict of Interest Statement

    There is no conflict of interest.

Abstract

Purpose

To gain insight into the patients' experiences on providing structure (PS) as a nursing intervention during psychiatric inpatient care.

Design and Method

Interviews were conducted with patients (n = 17) from two inpatient wards within a mental healthcare organization. For data analysis, a qualitative coding process was followed.

Findings

The patients' expectations for PS were described. One expectation seemed to reflect key concern: the need to maintain autonomy.

Practical Implications

The study reveals the patients' views about PS. When the importance of PS is mentioned, nurses can refer to our description of PS. We were able to further stipulate the required activities of PS and provide for an adapted definition of PS.

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