Eating disorders (EDs) affect approximately 5% of Canadian adolescents. Patients experiencing
acute medical complications of their illness are often treated on a general pediatric
ward with mixed populations. Twenty-one health care providers shared their experiences
caring for youth with EDs and provided feedback regarding the integration of a specialized
ED nurse (ED-RN). Findings suggest that an RN and ED-RN model produces consistent
care for ED patients and satisfying therapeutic relationships for nurses. ED-RNs caring
for youth with EDs need support from their peers, whereas other nurses need training
regarding this population. Suggestions for the integration of specialized RN roles
are discussed.
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References
- The mortality rate from anorexia nervosa.International Journal of Eating Disorders. 2005; 38: 143-216
- Eating disorders emergencies: Understanding the medical complexities of the hospitalized eating disorder patient.Critical Care Nursing Clinics of North America. 2004; 16: 515-530
- Meal support therapy reduces the use of nasogastric feeding for adolescents hospitalized with anorexia nervosa.Eating Disorders. 2009; 17: 327-332
- Research design, qualitative, quantitative and mixed method approaches (2nd ed.).Sage Publications, Thousand Oaks2003
- Attitudes towards anorexia nervosa: The impact of framing on blame and stigma.International Journal of Eating Disorders. 2008; 41: 333-339
- Considerations or patients with eating disorders.AORN Journal. 2008; 88: 807-815
- Twelve-year course and outcome predictors of anorexia nervosa.International Journal of Eating Disorders. 2006; 39: 87-100
- Eating disorders in adolescents: Position paper of the Society of Adolescent Medicine.Journal of Adolescent Health. 2003; 33: 496-503
- Impact of hospitalization on the outcome of adolescent anorexia nervosa.The British Journal of Psychiatry: The Journal of Mental Science. 2000; 176: 138-141
- Self esteem in patients with anorexia nervosa.International Journal of Mental Health Nursing. 2009; 18: 318-325
- Medical complications in adolescents with anorexia nervosa: A review of the literature.The International Journal of Eating Disorders. 2005; 37 (discussion S87-89): S52-59
- Caring for adolescent females with anorexia nervosa: Registered nurses' perspective.Journal of Advanced Nursing. 2000; 32: 139-147
- Caring for young people with eating disorders in the acute medical setting.Pediatric Nursing. 2005; 17: 26-29
- Developing interpersonal relationships with adolescents with anorexia nervosa.Contemporary Nurse. 2005; 20: 102-116
- Effective management of adolescents with anorexia and bulimia.Journal of Psychosocial Nursing and Mental Health Services. 2002; 40: 22-31
- Nurses and the “therapeutic relationship”: Caring for adolescents with anorexia nervosa.Journal of Advanced Nursing. 2004; 45: 495-503
- User satisfaction with services in a randomized controlled trial of adolescent anorexia nervosa.European Eating Disorders Review. 2009; 17: 331-337
- Identification and management of eating disorders in children and adolescents.Pediatrics. 2010; 126: 1240-1253
- Discursive constructions of ‘eating disorders nursing’; an analysis of nurses’ accounts of nursing eating disorders patients.European Eating Disorders Review. 2006; 14: 125-135
- Whatever happened to qualitative description?.Research in Nursing & Health. 2000; 23: 334-340
- A longitudinal analysis of the experiences of nursing staff on an inpatient eating disorders unit.International Journal of Eating Disorders. 1988; 1: 125-131
- Prevalence and correlates of eating disorders in adolescence: results from the national comorbidity survey replication adolescent supplement.Archives in General Psychiatry. 2011; 68: 714-723
- The individual within a condition: A qualitative study of young people's reflections on being treated for anorexia nervosa.Journal of American Psychiatric Association. 2008; 13: 368-375
- Effective nursing care of adolescents diagnosed with anorexia nervosa: The patients' perspective.Journal of Clinical Nursing. 2009; 18: 2801-2808
- Caring for the hospitalized patient with an eating disorder.The Nursing Clinics of North America. 2003; 38: 75-99
- Therapeutic relationship: Developing a new understanding for nurses and care workers within an eating disorder unit.International Journal of Mental Health Nursing. 2010; 19: 154-161
Article info
Publication history
Published online: August 26, 2011
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© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
