Admission: a crucial point in relationship building between parents and staff in child psychiatric units

The admission of a child to a psychiatric unit is difficult for parents. While many articles about admissions can be discovered in the literature, few address the process of admission. A grounded theory study was undertaken to describe and explain the relationships that develop between parents and nurses in child psychiatric units. The crucial nature of the admission process was discovered and is the focus of this article. Theoretical sampling was used. Data were collected by interviewing parents and the nursing staff working with the parents. In addition, participant observation was used. Data were analyzed using the constant comparative method. Parents often came to the unit expecting to be blamed for their child's problems. When nurses responded with reassurance and caring, the parents' engagement was enhanced. During admission, expectations of parents and nurses influenced the relationship. In addition, the study discovered ways that nursing routines influence the relationship during the admission period.