Nursing Care for a Long-Term Patients with Psychiatric Disorder: From the View Point of CNS in Psychiatric Mental Health Nursing

Abstract

Support provided for patients hospitalized over a long-term in a psychiatric hospital by Certified Nurse Specialist (CNS) in psychiatric mental health, when preparing for discharge was investigated. Semi-structured interviews were conducted with CNS (N=7) that were supporting patients with difficult to care mental disorders who had been hospitalized for over a year. CNS also provided consultations to treatment teams. The data were qualitatively analyzed using GTA, and seven categories and 26 sub-categories were extracted. CNS reflected the process of care together with ward nurses, and distinguished care that had and had not been provided. Moreover, they built therapeutic relationships between patients and ward nurses who could not find ways to intervene with the patients. Furthermore, they supported patients to develop a clear motivation for attempting new things, and also provided support for patients' families.