The Practice Content of Expert Psychiatric Nurses in Caring for Patients with Borderline Personality Disorder (BPD)

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  • 境界性パーソナリティ障害患者に対する精神科熟練看護師の看護実践内容
  • キョウカイセイ パーソナリティ ショウガイ カンジャ ニ タイスル セイシンカ ジュクレン カンゴシ ノ カンゴ ジッセン ナイヨウ

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<p>This research aimed to clarify the practice content of expert psychiatric nurses in caring for patients with borderline personality disorder (BPD). Semi-structured interviews were carried out with 10 expert psychiatric nurses from 7 institutions (mean duration of experience: 16 years, 13 years in psychiatric nursing). Responses were analyzed by the KJ method and 115 codes were extracted and classified into 6 categories and 25 sub-categories. Being well informed of the pathology, nurses care for patients with BPD and relate to them in trying to “understand parents while listening into their difficulties with living and their true feelings,” “encouraging and putting them at ease by communicating that they care for patients,” and “building a relationship of trust by empathizing with patients without being overly concerned with ‘getting involved.’” Generally, nurses were shown to handle situations flexibly; to encourage appropriate growth for patients, nurses “accept patients as they are and provide support for patients' self-control” and “provide support for patients' self-control while adjusting frameworks as necessary, based on patients' circumstances.” With the aim of keeping a psychologically neutral position, nurses “accept themselves as they are and have their own self-control based in professionalism.” The results suggest that although BPD nursing is difficult, it is possible for nurses to maintain a good relationship with patients without falling into mental exhaustion by accepting patients and themselves as they are and having flexible attitudes toward altering frames of thought and actions.</p>

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