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The nursing process in crisis-oriented psychiatric home care
J Boomsma1, C A Dingemans, T W Dassen
1Department of Nursing Science, University of Groningen, The Netherlands.
Journal of Psychiatric and Mental Health Nursing
|August 1, 1997
Summary
Psychiatric home care standardizes nursing diagnoses and interventions, focusing on coping and role-relationship patterns. This research supports effective crisis care delivery in mental health settings.
Area of Science:
- Mental Health Nursing
- Psychiatric Care Research
Background:
- Crisis-oriented psychiatric home care is emerging in the Dutch mental health system.
- Differences between home and hospital care necessitate specific nursing approaches.
Purpose of the Study:
- To describe and standardize nursing diagnoses and interventions for psychiatric home care.
- To develop assessment and intervention methods supporting the nursing process.
Main Methods:
- Action research project focusing on nursing process, roles, and skills.
- Content analysis of 61 nursing records using North American Nursing Diagnosis Association (NANDA) taxonomy.
- Assessment format based on Gordon's Functional Health Patterns (FHP).
Main Results:
- Identified common nursing diagnoses within mood disorders and schizophrenia categories (DSM-IV).
- Seventy-five percent of diagnoses fell into four FHP categories: role-relationship, coping-stress tolerance, self-perception, and activity-exercise.
- 'Ineffective individual coping' was the most frequent nursing diagnosis.
Conclusions:
- The study highlights 'ineffective individual coping' as a key diagnosis in crisis psychiatric home care.
- Findings support the need for standardized nursing practices in this evolving field.
- Further research will focus on standardizing nursing diagnoses and interventions.