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Prioritizing Patient Assessment Data (PAD) Using the Japanese Psychiatric Nursing Assessment Classification System (psynacs)©

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Open Journal of Psychiatry 2016年第3期6卷 218-227页

作者： Hirokazu Ito Misao Miyagawa Kazuhiro Ozawa Tetsuya Tanioka Yuko Yasuhara Mutsuko Kataoka Beth King Masahito Tomotake Yumi Kuwamura Rozzano C. Locsin Department of Nursing Institute of Biomedical Sciences Tokushima University Tokushima Japan Department of Nursing Faculty of Health and Welfare Tokushima Bunri University Tokushima Japan Nursing Collaboration Center Gifu College of Nursing Gifu Japan Mifune Hospital Kagawa Japan Christine E. Lynn College of Nursing Florida Atlantic University Boca Raton FL USA

The study identified priorities of the Patient Assessment Data (PAD) using the Japanese Psychiatric Nursing Assessment Classification System (psynacs©) derived from 644 psychiatric nurses’ responses who were practicing in specific units: Acute Care Units (ACU), General Care Units (GCU), Long-term Care Units (LCU), physically Complicated Disease Care Units (CDCU), and Dementia Care Units (DCU). Secondary analysis of the psynacs©on-line survey data using four levels of “importance” was used to determine the priorities: 1) unnecessary;2) quite important;3) important and 4) very important. The Mean Factor Points (MFP) and the Welch’s ANOVA were calculated. psynacs©score of 3 or higher indicates the PAD as priority. The results showed that in the ACU PAD1, “Psychological symptom”, “Stress coping”, and “Mood disorder and aggression”, and PAD2 “Information of adherence”, and “Information of the psychiatry rehabilitation”, and PAD7 “Situation of the family and social life”, “Relationship to the health care providers”, and “Relationships with others” are high priority (high importance). Other PADs showed results below psynacs©score of 3. The GCU had PAD 3 “Balance of water”, the LCU had PAD 4 “Intention/Point of view”, and “Thoughts of the patient” and PAD 7 “Disease and family”. The CDCU showed PAD 2 “Blood test”, PAD 3 “Excretion situation”, and PAD 5 “General health condition”, “Respiratory and chest symptom”, and “Vital signs”, and the DCU had PAD 1 “Cognition function”, and “Delirium and derangement capacity to register failure”, PAD 3 “Function of eating”, PAD 6 “Egestion and cleanliness” and PAD 8 “Activity and sleeping”, and “Mobility capability”. These classifications indicated levels of importance in the CAD comprising the PAD below the score of “2”. Japanese psychiatric hospitals specify assessments according to functional areas. By prioritizing the CAD for each PAD, more effective and efficient assessments can be performed according to practice unit.

关键词： psynacs© Nursing Database Priority Nursing Assessment Items Unit Function Psychiatric Hospital

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