Process of Perspective-Taking by Expert Nurses of Schizophrenic Patients with Unacceptable Behavior

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  • 統合失調症患者の受け入れがたい言動に対する精神科熟練看護師の視点取得に至るプロセス
  • トウゴウ シッチョウショウ カンジャ ノ ウケイレガタイ ゲンドウ ニ タイスル セイシンカ ジュクレン カンゴシ ノ シテン シュトク ニ イタル プロセス

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<p>With the aim of identifying the process of perspective-taking by expert nurses of schizophrenia patients showing unacceptable behavior, we conducted semi-structured interviews involving 11 expert nurses engaged in psychiatry. As the results of analysis using the modified grounded theory approach, 28 concepts, 5 sub-categories, and 9 categories were extracted.</p><p>The expert nurses faced conflicts and dilemmas because of 【intersecting thoughts】 about patients with schizophrenia showing unacceptable behavior. However, by continuously paying attention with 【a feeling of affection】 and interacting with patients while performing 【trials and errors to find a path to communicate】 with them, they became 【aware of patients' distress】. On the other hand, their 《desire for an improved situation》 and 【feeling of affection】 were so strong that they consequently 【aggravated patients' conditions on some occasions when they were expressed in a meddling manner】; however, 【reflection on their own speech and behavior】 helped them become 【aware of patients' distress】. A 【positive work environment】, a positive factor, has contributed to 【reflecting on their own speech and behavior】 and performing 【trials and errors to find a path to communicate】 with patients.</p><p>The results clarified the method of approaching schizophrenic patients with unacceptable behavior, and the importance of providing organizational support.</p>

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