Research bulletin of Tokushima Bunri University
Online ISSN : 2432-4248
Print ISSN : 0286-9829
Noblesse oblige seen from the perspective of a visiting nurse A consideration of the psychological factors
Saki KiriharaTatsuo Nakatsu
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2022 Volume 104 Pages 17-30


Home-visit nursing is essential for certain individuals who may require support for the rest of their lives. There is no end to this requirement, but what goes behind the provision of this home-visit nursing? Previous studies have identified the motivation, feelings, attitudes and noblesse oblige of visiting nurses. In addition, they focus on the content of activities that are considered to be a part of a professional mission and those that grasp the current situation and how visiting nurses “mean” their actions and further establish their identities. There are few things that have been examined from a practical point of view. Noblesse oblige is established when “different people in different professions internalize their contributions and responsibilities according to their respective positions and roles.”

We conducted a semi-structured interview for visiting nurses working at a psychiatric home-visit nursing station and asked them to talk freely about home-visit nursing and their experiences of the same. The analysis uses the modified grounded theory approach (M-GTA), which is considered to be reliable and valid in qualitative research. Then, a concept/category showing the internal changes was established from the story of the visiting nurse and a storyline was created.

As a result of the analysis, 19 concepts and 6 categories were established. When the process was examined during the creation of the result diagram, three stages were assumed. They were named “Phase I: Preparation period for noblesse oblige,” “Phase II: Period for noblesse oblige” and “Phase III: Period for fulfilling noblesse oblige.”

The transition from Phase I to Phase III is important at every stage, but it is especially important to have a prospect for the duties that fall under Phase III. It is an indispensable factor for having noblesse oblige and identity. The transition from stage I to stage III supported the self-efficacy and usefulness of visiting nurses and led to a sense of self-satisfaction with their duties. The process of having noblesse oblige and the itself are linked to identity and it was thought that they would be further strengthened by mutual establishment.

In this study, we examine the psychological problems that visiting nurses face associated with the age of the care receiver, family problems and problems that occur between medical care and personal life while establishing noblesse oblige. As a psychological profession, it is considered meaningful to perform specialized consulting from the perspective of psychology.

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