Difficulties Experienced by Nurses Involved in Home-Visiting Nursing for Patients Receiving Forensic Outpatient Treatment Based on The Medical Treatment and Supervision Act

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  • Okuda Jun
    Faculty of Nursing School of Medicine, Nara Medical University

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  • 医療観察法通院処遇対象者への訪問看護に携わる看護師の困難
  • イリョウ カンサツホウツウイン ショグウ タイショウシャ エ ノ ホウモン カンゴ ニ タズサワル カンゴシ ノ コンナン

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Abstract

<p>The objective of this study was to reveal difficulties faced by visiting nurses involved in treating persons receiving forensic outpatient treatment under the Medical Treatment and Supervision Act （MTSA）. Data obtained through semi structured interviews with 18 visiting nurses who did not have experience working in a forensic psychiatric institution. The obtained date were analyzed using Krippendorff’s method of content analysis.</p><p>It was found that visiting nurses are faced with the following difficulties: accurately performing assessments and observation as required under the Medical Treatment and Supervision Act; being involved in support, given their awareness of the patients’ repeated past acts of violence toward others; providing support for patients’ societal rehabilitation during life in the community, which is a deciding factor for the completion of forensic treatment; providing support in accordance with the regulations of the forensic treatment system; collaborating with other professionals for cooperative multidisciplinary support; and managing stress related to the limitations of forensic treatment and risks related to acceptance by treated patients.</p><p>The nurses’ caution in preventing repeated acts of patient violence toward others when providing care for persons is thought to underlie these difficulties. Further, the nature of the difficulties suggested that the regulations of the forensic treatment system might be influencing the characteristics the issues.</p>

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