The Psychiatric Nursing Specialty of Nurses Working in the Psychiatric Ward of a University Hospital

ダイガクビョウイン　セイシンカ　ビョウトウ　ノ　カンゴシ　ガ　ジッセン　スル　セイシンカ　カンゴ　ノ　センモンセイ

オハラ, タカヨシ

Ohara, Takayoshi

岡野, 照美

オカノ, テルミ

Okano, Terumi

福本, のりえ

フクモト, ノリエ

Fukumoto, Norie

オオサカ　ダイガク　ダイガクイン　イガクケイ　ケンキュウカ　ホケンガク　センコウ

専門性

大学病院

半構造化インタビュー

psychiatric nursing

specialty

university hospital

semi-structured-interviews

Original Articles

The purpose of this study was to clarify the perceptions and practice of the psychiatric nursing specialty among nurses working in the psychiatric ward of a university hospital. Data were collected using semi-structured interviews of 9 psychiatric nurses who had ≥2 years of work experience. Interview data were analyzed using a qualitative descriptive method. The following ten categories were extracted from the analysis: (1) considering ways to become a nurse who can build a good relationship with patients while maintaining an appropriate distance from patients; (2) caring for patients while understanding the spirit of patients’ words and behaviors after considering the patients from various perspective; (3) reacting in a flexible manner by making good use of a nurse’s personality and empirical knowledge; (4) intervening in ways that are easy for patients who do not accept their nursing care plan or the treatment plan; (5) easing the unstable feeling of patients; (6) supporting patients who report experiencing hallucinations or delusions to differentiate them from reality; (7) preventing a crisis associated with psychological factors; (8) helping patients become more independent while bringing out each patient’s full potential; (9) creating a comfortable lifestyle for patients after leaving the hospital by establishing cooperation between the patients and those who provide support for them; and (10) remaining aware that there is uncertainty hidden within psychiatric nursing. These finding suggest that it is important for nurses to understanding the spirit of patients while remaining aware of the uncertainty hidden within psychiatric nursing, using flexible practices, and supporting patients to live their own life.

岡野, 照美

福本, のりえ