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

Yuka Kato; Tae Kawahara; Yoshimi Endo; Akemi Yamazaki

doi:10.1111/jjns.70001

journal article Feb 23, 2025

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

Yuka Kato

Tae Kawahara

Yoshimi Endo Akemi Yamazaki

Japan Journal of Nursing Science Vol. 22 No. 2 · Wiley

View at Publisher Save 10.1111/jjns.70001

Abstract

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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Metrics

2

Citations

43

References

Details

Published: Feb 23, 2025
Vol/Issue: 22(2)
License: View

Authors

Y

Yuka Kato

Division of Health Sciences, Area of Nursing Science, Graduate School of Medicine Osaka University Osaka Japan; Department of Preventive Cardiology National Cerebral and Cardiovascular Center Osaka Japan

T

Tae Kawahara

Division of Health Sciences, Area of Nursing Science, Graduate School of Medicine Osaka University Osaka Japan

Y

Yoshimi Endo

Tottori College of Nursing Kurayoshi Japan

A

Akemi Yamazaki

Division of Health Sciences, Area of Nursing Science, Graduate School of Medicine Osaka University Osaka Japan

Funding

Japan Health Research Promotion Bureau

Cite This Article

Yuka Kato, Tae Kawahara, Yoshimi Endo, et al. (2025). Difficulties in providing nursing care to children with neurodevelopmental disorders admitted to child and adolescent psychiatric units for aggressive behavior. Japan Journal of Nursing Science, 22(2). https://doi.org/10.1111/jjns.70001

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

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