Practices of Nurses Involved in the Creation of Proactive Crisis Plans for Patients Hospitalized under the Medical Treatment and Supervision Act

Abstract

This study aimed to identify the practices of nurses involved in the development of proactive crisis plans for patients hospitalized under the Medical Treatment and Supervision Act and examine the characteristics of these plans. A questionnaire was distributed to 1,012 nurses affiliated with inpatient institutions under the Medical Treatment and Supervision Act nationwide, and responses were obtained from 317 (31.3% response rate). Of them, 250 statements in response to open-ended questions were analyzed using content analysis for nursing education based on Berelson’s methodology. Consequently, 37 categories were formed, including conveying patients to significance and usefulness of utilizing the crisis plan proactively, asking patients to draft crisis plans independently, and asking patients to decide on unique names to replace “crisis plan.” The discussion showed that the 37 categories have eight characteristics. The results of this study can be used by nurses to objectively understand their own practices and find directions for improvement.