title: An observational study of providing structure as a psychiatric nursing intervention.
abstract: OBJECTIVE
  To observe the actions of psychiatric nurses when providing structure and identify results in order to better understand providing structure as a complex nursing intervention.
  
  
  METHODS
  Participant observation data were collected on a dual diagnosis ward and a crisis intervention ward in a mental healthcare organization. A total of 52 events were selected that involved providing structure.
  
  
  RESULTS
  Three phases in the processing of providing structure were identified: the start of the interaction, the interaction phase, and the end of the interaction. For each phase in the intervention, both critical nurse and patient responses were coded.
  
  
  CONCLUSIONS
  The results of this observational study contribute to a formalization of the nursing intervention "providing structure" in the Nursing Interventions Classification.
authors.affiliation: Regio Noordwest Philadelphia Zorg, Organisation for People with a Mental Disability; Mental Health Care Hospital GGZ Noord-Holland Noord, Heiloo; Quality of Care/Nursing Science, Radboud University, Nijmegen, The Netherlands.
authors.forename: L Amar
authors.initials: LA
authors.lastname: Voogt
authors.forename: Peter J J
authors.initials: PJ
authors.lastname: Goossens
authors.forename: Annet
authors.initials: A
authors.lastname: Nugter
authors.forename: Theo
authors.initials: T
authors.lastname: van Achterberg
mesh_terms: D000328:Adult; D006801:Humans; D001523:Mental Disorders / Q000451:nursing*; D009723:Nurse-Patient Relations; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000592:standards*; D011567:Psychiatric Department, Hospital / Q000592:standards; D011568:Psychiatric Nursing / Q000379:methods*
keywords: Providing structure; nursing intervention; psychiatric nursing