- Title
- Nurses' responses to adolescent distress in an acute child and adolescent mental health inpatient unit: A qualitative interpretive descriptive study
- Creator
- Spencer, Stephen; Kable, Ashley; Stone, Teresa; McMillan, Margaret
- Relation
- Journal of Child and Adolescent Psychiatric Nursing Vol. 34, Issue 4, p. 352-359
- Publisher Link
- http://dx.doi.org/10.1111/jcap.12342
- Publisher
- Wiley-Blackwell
- Resource Type
- journal article
- Date
- 2021
- Description
- Purpose: To describe observed nursing responses and interventions to adolescent inpatients experiencing distress. Methods: Thorne's interpretive descriptive approach guided data collection and analysis of nonparticipant observations of a purposive sample of adolescents, and nurses. Findings: Three major themes are presented: engagement: responses and interventions for working with distress; adolescent reactions and nurses' clinical decision making to manage distress; and outcomes: escalation or resolution of distress. Conclusions: The TAR3 conceptual model developed from this study can guide nurses' responses to distressed adolescents and promote safety, enhance positive outcomes, and reduce the use of coercive interventions.
- Subject
- adolescent distress; inpatient; observation; restraint; seclusion
- Identifier
- http://hdl.handle.net/1959.13/1472502
- Identifier
- uon:48852
- Identifier
- ISSN:1073-6077
- Language
- eng
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