Difficulties Experienced by Ward Nurses in Psychiatric Home Visiting

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  • Kawauchi Kenzo
    National Center Hospital, National Center of Neurology and Psychiatry
  • Amagai Manami
    Faculty of Nursing, National College of Nursing, Japan

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  • 精神科訪問看護において病棟看護師が感じる困難
  • セイシンカ ホウモン カンゴ ニ オイテ ビョウトウ カンゴシ ガ カンジル コンナン

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Description

This study aimed to clarify the difficulties experienced by ward nurses when they provide home visiting services to people with mental disabilities to help them recuperate and improve their community life. Semi-structured interviews were conducted with 15 psychiatric ward nurses with more than 3 years of psychiatric ward experience, who provided psychiatric home visiting services. The data were analyzed by using Berelson's content analysis method. <br> The results showed that ward nurses experienced difficulties stemming from (a) the differences between ward nursing and home visiting, (b) an inadequate support system for home visiting nurses, (c) having to make many quick and independent decisions under time and space constraints, and (d) the effort required to improve the community life of people with mental disabilities. <br> To help nurses overcome these difficulties and to enable them to improve the community life of people with mental disabilities, nurses should be educated on how to support such people in the community. For this purpose, the nursing departments of the concerned hospitals should establish a support system for visiting nurses.

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