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The Development of the Japanese psychiatric nursing Assessment Classification System (PsyNACS^©)

Open Journal of Psychiatry 2016年第1期6卷 20-33页

作者： Hirokazu Ito Misao Miyagawa Kazuhiro Ozawa Tetsuya Tanioka Yuko Yasuhara Mutsuko Kataoka Beth King Masahito Tomotake Rozzano C. Locsin Department of nursing Institute of Biomedical Sciences Tokushima University Graduate School 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 Florida USA

The purpose of this study was to develop the Japanese psychiatric nursing Assessment Classification System (PsyNACS)©. This study used the on-line survey method from February to April 2015. There were 644 respondents comprised of professional nurses with minimum qualification of 3 years’ experience being in a psychiatric unit of a stand-alone 200-bed or more psychiatric Hospital in Japan. Assessment items were derived from 211 specific items selected from nursing textbooks, excluding the North-American-nursing-Diagnosis-Association (NANDA). The questionnaire contained Cover Letter, Demographic Data Sheet, and the PsyNACS© questionnaire. There were 644 questionnaires accessed but only 435 were completed and valid. Item levels of importance were evaluated: 1) Unnecessary, 2) Not very important, 3) Important and 4) Very important. Data analysis used descriptive and multivariate statistics. Factor analysis (principal factor analysis, varimax rotation), the Kaiser-Meyer-Olkin (KMO) and the Bartlett’s test of Sphericity assessed the adaptive validity of the factor analysis. Factor loadings were set at 0.4 or more for the configuration of items. Internal consistency and reliability were established using Cronbach’s alpha coefficient. Mean factor points were calculated, including standard deviation, range, and confidence interval at 95%. Statistical significance was at 0.05 level. Nine Patient Assessment Data (PAD) with 2 to 5 Cluster Assessment Data (CAD) each were categorized. Thirty one CADs comprised the Patient Assessment Data: (PAD1) Psychological symptom and stress, (PAD2) Information about treatment, (PAD3) Function of eating and balance of water, (PAD4) Life and value, (PAD5) Vital signs and health assessment, (PAD6) Self-care, (PAD7) Social support, (PAD8) Activity, sleeping and mobility capability, and (PAD9) Sexual function and sexual behavior. The PsyNACS© is a classificati

关键词： PsyNACS psychiatric nursing Patient Assessment Data psychiatric Hospital

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The Impact of an eLearning Course on Nurses’Attitudes towards Mental Illness

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Open Journal of nursing 2015年第11期5卷 1004-1011页

作者： Anneli Pitkanen Raija Kontio Mari Lahti Jouko Katajisto Maritta Valimaki Tampere University Hospital TampereFinland Helsinki University HelsinkiFinland Department of Psychiatry Helsinki University HospitalHelsinkiFinland Turku University of Applied Science TurkuFinland Department of nursing Science University of TurkuTurkuFinland Department of Statistics University of TurkuTurkuFinland Turku University Hospital TurkuFinland

Patients with mental illness are stigmatized. Health care professionals may even perpetuate stigma towards mental illness. Thus it is important to ensure that health care professionals have positive attitudes towards patients with mental illness. The aim of this study was to estimate the impact of an eLearning course on psychiatric nurses’ attitudes towards mental illness. A cluster-randomized trial (ISRCTN32869544) design was used. Twelve wards were randomly assigned to the eLearning course (***) group or the education as a usual group. The participants (N = 228) were allocated to the intervention (n = 115) or control group (n = 113) according their baseline ward affiliation. Attitudes were rated according to the Community Attitude towards the Mentally Ill scale. Both groups were found to have positive, not stigmatized attitudes towards mental illness. No statistically significant changes were found at three-month or nine-month follow-up. It may be that by developing the *** course to include more material related to nurses’ attitudes and as nurses become more familiar with eLearning, the course may be effective in shaping nurses’ attitudes towards mental illness. On the other hand, our study’s nine- month time span may have been too short to change nurses’ attitudes.

关键词： eLearning psychiatric nursing Cluster-Randomized Intervention Trial Stigma

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Family members' perspective of family Resilience's risk factors in taking care of schizophrenia patients

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International Journal of nursing Sciences 2018年第3期5卷 255-261页

作者： Rizki Fitryasari Ah Yusuf Nursalam Rr Dian Tristiana Hanik Endang Nihayati nursing Faculty Airlangga UniversitySurabayaIndonesia Doctoral Student's of Health Science of Public Health Faculty Airlangga UniversitySurabayaIndonesia

Objectives:The study was conducted to illustrate the risk factors of family resilience when taking care of patients with ***:The research used qualitative design with an interpretive phenomenology approach,with indepth *** subjects were 15 family members who cared for patients with schizophrenia at the Menur Mental Hospital,Surabaya,*** samples were obtained by purposive sampling *** data was collected by interview and using field notes,then analyzed by Collaizi ***:This research produced two themes,they were care burden and *** burdens felt by families were confusion about the illness,emotional,physical,time,financial and social burdens,which leads to decrease in family quality of *** also experienced stigma called labeling,stereotyping,separation and *** meant that families faced psychological,social and intrapersonal *** decreased the family quality of life and functionality of the family,and there were opportunities for negative results to family *** workers,especially psychiatric nurses,should review care burdens and stigma to develop nursing interventions so families are able to achieve ***:This research explained how care burden and stigma are risk factors that must be managed by families to survive,rise up,and become better in caring for patients with *** have a central role in assessing the level of care burdens and stigma in order to help families achieve *** research may focus on family-based nursing interventions to lower care burden,and community-based interventions to reduce stigma.

关键词： Family Indonesia psychiatric nursing Resilience Psychological Risk factors Schizophrenia

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