Structuur bieden; Het ontrafelen van en bouwen aan een psychiatrisch verpleegkundige interventie

Summary

Providing Structure; unravelling and building a psychiatric nursing intervention
Amar Voogt

AIM: The main objectives of this thesis were to describe Providing Structure (PS) as a nursing intervention in mental health care and to provide a proper description of PS as an intervention according to the requirements suggested in the MRC framework for the development and evaluation of complex interventions.
METHOD: A mainly qualitative approach was chosen that partly drew upon the principles of Grounded Theory. Five separate studies were conducted: a systematic literature review related to PS, an observational study, interview studies with patients and psychiatric nurses, and consensus building with experts in psychiatric nursing with a Delphi-study.
FINDINGS and CONCLUSION: PS consists of 4 general PS-activities, 15 specific activities, and 3 context-variables. The definition of PS is: PS means helping with daily rhythm and internal structure, and finding a balance between dealing with agreements and rules on the one hand and regaining personal control on the other hand. In the PS intervention, a working alliance between nurse and patient is established, in which the nurse interacts with the patient, observes a patient’s reaction, monitors a patient’s state of mind, and reflects upon patient behaviour.

Keywords: Providing structure, psychiatric nursing, nursing intervention