Difficulties in providing nursing care to children with neurodevelopmental disorders admitted to child and adolescent psychiatric units for aggressive behavior

IF 1.7 4区医学 Q2 NURSING

Japan Journal of Nursing Science Pub Date : 2025-02-23 DOI:10.1111/jjns.70001

Yuka Kato, Tae Kawahara, Yoshimi Endo, Akemi Yamazaki

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引用次数: 0

Abstract

Background

Children with neurodevelopmental disorders admitted to child and adolescent psychiatric units often exhibit aggressive behaviors, posing challenges for nurses. It is unclear what experiences and challenges nurses have in these cases within the unique environment of hospitalization.

Purpose

This study aimed to elucidate the difficulties faced by nurses in providing care for children due to their aggressive behavior in these units.

Methodology

Qualitative descriptive research was conducted through semi-structured interviews with nurses with over 3 years of clinical experience in child and adolescent psychiatric units. The interviews were recorded and transcribed verbatim, and text units related to nursing difficulties were extracted and categorized.

Results

We interviewed 21 nurses, averaging 44 years old, with 6.8 years of experience in child and adolescent psychiatric units. Five categories of difficulties were identified: (1) building patient–nurse relationships, (2) encouraging behavior modification, (3) managing aggressive behavior, (4) facilitating reflection on aggressive behavior, and (5) establishing and maintaining appropriate behavior.

Conclusions

Nurses face numerous challenges in providing care for children with aggressive behavior. Despite experiencing physical and mental burdens in managing aggressive behavior, nurses strive to help children achieve social adjustment. Establishing systems to address nurses' difficulties can enhance the quality of nursing care.

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背景儿童和青少年精神科收治的患有神经发育障碍的儿童经常表现出攻击行为，这给护士带来了挑战。目前尚不清楚在住院治疗的特殊环境中，护士在处理这些病例时会遇到哪些经验和挑战。目的本研究旨在阐明在这些病房中，护士在为有攻击行为的儿童提供护理时所面临的困难。研究方法采用半结构化访谈的方式，对在儿童和青少年精神科有 3 年以上临床经验的护士进行定性描述研究。对访谈进行了录音和逐字记录，并提取和分类了与护理困难相关的文本单元。结果我们访谈了 21 名护士，平均年龄 44 岁，在儿童和青少年精神科有 6.8 年的工作经验。我们发现了五类困难：(1) 建立病人与护士之间的关系；(2) 鼓励行为矫正；(3) 管理攻击性行为；(4) 促进对攻击性行为的反思；(5) 建立并维持适当的行为。结论护士在为有攻击行为的儿童提供护理时面临诸多挑战。尽管在处理攻击性行为时，护士会承受身体和精神上的负担，但她们仍努力帮助儿童实现社会适应。建立解决护士困难的系统可以提高护理质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Japan Journal of Nursing Science 医学-护理

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.