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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 |
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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. |
doi_str_mv | 10.1111/j.1365-2702.2007.02008.x |
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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.</description><identifier>ISSN: 0962-1067</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/j.1365-2702.2007.02008.x</identifier><identifier>PMID: 18205682</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject><![CDATA[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]]></subject><ispartof>Journal of clinical nursing, 2008-02, Vol.17 (4), p.499-508</ispartof><rights>Copyright Blackwell Publishing Ltd. Feb 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4658-8cd17f15dbbedd05951a08318709c3c7acc83efa91a73efd6409b881f33f65ff3</citedby><cites>FETCH-LOGICAL-c4658-8cd17f15dbbedd05951a08318709c3c7acc83efa91a73efd6409b881f33f65ff3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18205682$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Korhonen, Teija</creatorcontrib><creatorcontrib>Vehviläinen-Julkunen, Katri</creatorcontrib><creatorcontrib>Pietilä, Anna-Maija</creatorcontrib><title>Implementing child-focused family nursing into routine adult psychiatric practice: hindering factors evaluated by nurses</title><title>Journal of clinical nursing</title><addtitle>J Clin Nurs</addtitle><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.</description><subject>Adult</subject><subject>Attitude of Health Personnel</subject><subject>Child</subject><subject>Child of Impaired Parents - psychology</subject><subject>Clinical Competence</subject><subject>Diffusion of Innovation</subject><subject>Families & family life</subject><subject>family nursing</subject><subject>Family Nursing - organization & administration</subject><subject>family nursing interventions</subject><subject>Fear</subject><subject>Finland</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health services</subject><subject>Health Services Needs and Demand</subject><subject>Hospitals, University</subject><subject>Humans</subject><subject>Mental Disorders - nursing</subject><subject>Models, Nursing</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Nursing Methodology Research</subject><subject>Nursing Staff, Hospital - education</subject><subject>Nursing Staff, Hospital - organization & administration</subject><subject>Nursing Staff, Hospital - psychology</subject><subject>Organizational Culture</subject><subject>Patient-Centered Care - organization & administration</subject><subject>Pediatric Nursing - education</subject><subject>Pediatric Nursing - organization & administration</subject><subject>psychiatric nursing</subject><subject>Psychiatric Nursing - education</subject><subject>Psychiatric Nursing - organization & 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 ; Vehviläinen-Julkunen, Katri ; Pietilä, Anna-Maija</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4658-8cd17f15dbbedd05951a08318709c3c7acc83efa91a73efd6409b881f33f65ff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Attitude of Health Personnel</topic><topic>Child</topic><topic>Child of Impaired Parents - psychology</topic><topic>Clinical Competence</topic><topic>Diffusion of Innovation</topic><topic>Families & family life</topic><topic>family nursing</topic><topic>Family Nursing - organization & administration</topic><topic>family nursing interventions</topic><topic>Fear</topic><topic>Finland</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health services</topic><topic>Health Services Needs and Demand</topic><topic>Hospitals, University</topic><topic>Humans</topic><topic>Mental Disorders - nursing</topic><topic>Models, Nursing</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Nursing Methodology Research</topic><topic>Nursing Staff, Hospital - education</topic><topic>Nursing Staff, Hospital - organization & administration</topic><topic>Nursing Staff, Hospital - psychology</topic><topic>Organizational Culture</topic><topic>Patient-Centered Care - organization & administration</topic><topic>Pediatric Nursing - education</topic><topic>Pediatric Nursing - organization & administration</topic><topic>psychiatric nursing</topic><topic>Psychiatric Nursing - education</topic><topic>Psychiatric Nursing - organization & administration</topic><topic>Psychiatric-mental health nursing</topic><topic>Self Efficacy</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Time Management</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Korhonen, Teija</creatorcontrib><creatorcontrib>Vehviläinen-Julkunen, Katri</creatorcontrib><creatorcontrib>Pietilä, Anna-Maija</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Korhonen, Teija</au><au>Vehviläinen-Julkunen, Katri</au><au>Pietilä, Anna-Maija</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Implementing child-focused family nursing into routine adult psychiatric practice: hindering factors evaluated by nurses</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2008-02</date><risdate>2008</risdate><volume>17</volume><issue>4</issue><spage>499</spage><epage>508</epage><pages>499-508</pages><issn>0962-1067</issn><eissn>1365-2702</eissn><abstract>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.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>18205682</pmid><doi>10.1111/j.1365-2702.2007.02008.x</doi><tpages>10</tpages></addata></record> |
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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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