JOURNAL ARTICLE

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

Teija Korhonen, Katri Vehviläinen-Julkunen, Anna-Maija Pietilä
Journal of Clinical Nursing 2008, 17 (4): 499-508
18205682

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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