Supported Decision-Making for Psychiatric Discharge:

DOI

Bibliographic Information

Other Title
  • 精神科における患者の退院に関する意思決定支援の課題：
  • From an Interview with Peer Supporters
  • ピアサポーターの面接調査から

Abstract

<p>Objective: This study aimed to clarify the challenges faced in supported decision-making for psychiatric discharge, by examining the process of peer supporters and considering the psychiatric nurse’s involvement in supported decision-making. Methods: The study targeted 20 peer supporters with hospitalization experience in psychiatric wards. The interview survey results were analyzed using the modified grounded theory approach. Results: Some patients expressed a desire to be discharged that was not accepted; hence, they chose to remain either hospitalized or move ahead with the discharge process. Meanwhile, other patients decided to stay hospitalized, despite wanting to get discharged. For a certain period following the discharge, patients experienced paralysis and the inability to adapt, leading to a negative cycle of increased loneliness and decreased sense of control, resulting in a crisis of self-reliance. Conclusions: The psychiatric patient’s desire for discharge is ambiguous as hospitalization is sometimes preferred for a sense of security, and the state of the crisis following discharge has been proven to be challenging. The results indicate a need for nurses not to lose sight of the patient’s desire, and provide support for overcoming the crisis following discharge.</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390861847633885568
  • DOI
    10.15065/jjsnr.20230310207
  • ISSN
    21896100
    21883599
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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