Nursing in Psychiatric Hospital Inpatient Wards: An Analysis of Nurses' Conflicts in the Present Situation and a Proposal for Improvement

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  • Kimura Katsunori
    Division of Clinical Psychology, Graduate School of Integrated Science and Art, University of East Asia
  • Matsumura Hitoshi
    Division of Clinical Psychology, Graduate School of Integrated Science and Art, University of East Asia Laboratory of Pharmacotherapy, Osaka University of Pharmaceutical Sciences

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  • 精神科病棟看護師の諸葛藤の解析結果が示す精神科看護の現状とその改善のための方策
  • セイシンカ ビョウトウ カンゴシ ノ ショ カットウ ノ カイセキ ケッカ ガ シメス セイシンカ カンゴ ノ ゲンジョウ ト ソノ カイゼン ノ タメ ノ ホウサク

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Abstract

In order to find out a strategy to improve the nursing functioning of inpatients' wards of psychiatric hospitals, we carried out a questionnaire survey, which was prepared based on our previous work. The valid response was received from 406 nurses working for private psychiatric hospitals in various regions of Japan. The data was analyzed by the covariance structure analysis. The final path diagram was a statistically approved model. The model indicated that a promotion of mutual understanding among the nursing staff could improve the psychiatric nursing care (path coefficient = .91, p< .001), which is currently undergoing multiple confusions and conflicts. The confusions and conflicts in the nursing care activities, however, did not cause insufficient mutual understanding among the nursing staff. It was shown that an improvement in the nursing care was useful for the advancement of the relationship of nurses to other professions in the psychiatric hospitals and for the development of the patients' after-discharge environment. The model also indicated that esteeming patients and improving the nursing care are mutually correlated. Furthermore, it was advised to make hospital rules and provisions of the law to be realistic in regard to the daily nursing practice.

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