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