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Implementing child-focused family nursing into routine adult psychiatric practice: hindering factors evaluated by nurses

Aims and objectives.  The aim of this study is to describe nurses’ evaluations of factors that are hindering implementation of child‐focused family nursing (CF‐FN) into adult psychiatric practice. In addition, it explains the nurses’ evaluations of the hindering factors related to the hospital organ...

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Published in:Journal of clinical nursing 2008-02, Vol.17 (4), p.499-508
Main Authors: Korhonen, Teija, Vehviläinen-Julkunen, Katri, Pietilä, Anna-Maija
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description Aims and objectives.  The aim of this study is to describe nurses’ evaluations of factors that are hindering implementation of child‐focused family nursing (CF‐FN) into adult psychiatric practice. In addition, it explains the nurses’ evaluations of the hindering factors related to the hospital organizational structure, the individual nurse, nursing and family. Background.  There is an increasing amount of families with dependent children in adult psychiatry. Although these families have long‐term benefits from preventive family interventions, implementation of CF‐FN is not routine mental health practice. Design and methods.  Data were collected via a questionnaire‐survey completed by Registered Psychiatric Nurses (n = 223) and practical Mental Health Nurses (n = 88) from 45 adult psychiatric units in five Finnish university hospitals. The response rate was 51%. Results.  Family‐related factors, such as families’ fears and lack of time, were considered as ‘most hindering’ to CF‐FN. Nurses who used a family‐centred approach and had further family education considered most of the factors as ‘less hindering’ in comparison to other nurses. Conclusion.  To meet the needs of the families in mental health services, it is essential to develop nursing intervention methods such as CF‐FN. There is a need for further education and use of family‐centred care to develop this preventive approach. Relevance to clinical practice.  The results of this study could be considered when developing mental health services and family interventions for families with parental mental illness.
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In addition, it explains the nurses’ evaluations of the hindering factors related to the hospital organizational structure, the individual nurse, nursing and family. Background.  There is an increasing amount of families with dependent children in adult psychiatry. Although these families have long‐term benefits from preventive family interventions, implementation of CF‐FN is not routine mental health practice. Design and methods.  Data were collected via a questionnaire‐survey completed by Registered Psychiatric Nurses (n = 223) and practical Mental Health Nurses (n = 88) from 45 adult psychiatric units in five Finnish university hospitals. The response rate was 51%. Results.  Family‐related factors, such as families’ fears and lack of time, were considered as ‘most hindering’ to CF‐FN. Nurses who used a family‐centred approach and had further family education considered most of the factors as ‘less hindering’ in comparison to other nurses. Conclusion.  To meet the needs of the families in mental health services, it is essential to develop nursing intervention methods such as CF‐FN. There is a need for further education and use of family‐centred care to develop this preventive approach. 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administration</subject><subject>Nursing Staff, Hospital - psychology</subject><subject>Organizational Culture</subject><subject>Patient-Centered Care - organization &amp; administration</subject><subject>Pediatric Nursing - education</subject><subject>Pediatric Nursing - organization &amp; administration</subject><subject>psychiatric nursing</subject><subject>Psychiatric Nursing - education</subject><subject>Psychiatric Nursing - organization &amp; administration</subject><subject>Psychiatric-mental health nursing</subject><subject>Self Efficacy</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Time Management</subject><issn>0962-1067</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNqNkcmO1DAURS0EoouGX0AWC1gleIiHsEBCBT2gVveCaWk5HmgXmbATqPp7HFJqJBYIL_wsv_OOZF8AIEYlzuvlrsSUs4IIREqCkChR3mW5vwc2d437YINqTgqMuDgBj1LaIYQpIfQhOMGSIMYl2YD9ZTe2rnP9FPqv0NyG1hZ-MHNyFnrdhfYA-zmmpRn6aYBxmDPpoLZzO8ExHfKInmIwcIzaTMG4V_A29NbFZcTnqyEm6H7odtZTdjarz6XH4IHXbXJPjvUUfDp793F7UVzdnF9u31wVpuJMFtJYLDxmtmmctYjVDGskKZYC1YYaoY2R1HldYy1ytbxCdSMl9pR6zrynp-DF6h3j8H12aVJdSMa1re7dMCcleEUrVnGayef_JhHBguE6g8_-AnfDHPv8CkUoQzj_LsuQXCETh5Si82qModPxoDBSS4hqp5as1JKVWkJUv0NU-zz69Oifm87ZP4PH1DLwegV-htYd_lus3t9sr5djFhSrIKTJ7e8EOn5TXFDB1JfrcyXOuHh78eFztv0C9lq8Ew</recordid><startdate>200802</startdate><enddate>200802</enddate><creator>Korhonen, Teija</creator><creator>Vehviläinen-Julkunen, Katri</creator><creator>Pietilä, Anna-Maija</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>200802</creationdate><title>Implementing child-focused family nursing into routine adult psychiatric practice: hindering factors evaluated by nurses</title><author>Korhonen, Teija ; 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subjects Adult
Attitude of Health Personnel
Child
Child of Impaired Parents - psychology
Clinical Competence
Diffusion of Innovation
Families & family life
family nursing
Family Nursing - organization & administration
family nursing interventions
Fear
Finland
Health Knowledge, Attitudes, Practice
Health services
Health Services Needs and Demand
Hospitals, University
Humans
Mental Disorders - nursing
Models, Nursing
Nurses
Nursing
Nursing Methodology Research
Nursing Staff, Hospital - education
Nursing Staff, Hospital - organization & administration
Nursing Staff, Hospital - psychology
Organizational Culture
Patient-Centered Care - organization & administration
Pediatric Nursing - education
Pediatric Nursing - organization & administration
psychiatric nursing
Psychiatric Nursing - education
Psychiatric Nursing - organization & administration
Psychiatric-mental health nursing
Self Efficacy
Studies
Surveys and Questionnaires
Time Management
title Implementing child-focused family nursing into routine adult psychiatric practice: hindering factors evaluated by nurses
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