The purpose of this study was to clarify the impact of emotion work and negative attitudes toward people with mental illness on burnout in psychiatric nurses.

A self-administered questionnaire aimed to precipitate 1) Emotion work scale 2) personal stigma and 3) the Japanese version of the Maslach Burnout Inventory (MBI). 640 psychiatric nurses responded to the questionnaire. Multiple regression analysis was conducted for the MBI subscale.

The results demonstrated that “sensitivity requirements”, “emotional dissonance”, and “negative emotions display” due to emotion work promotes burnout amongst psychiatric nurses. In contrast, “positive emotions display” through this type of emotion work reduced burnout.

Negative attitudes was positively related to “emotional exhaustion” and “depersonalization” of the MBI subscale. These findings reflect a contradictory situation where psychiatric nurses harbor negative attitudes towards people with mental illness who they care for, which can result in significant internal conflict.

This study aimed to investigate the experiences of second-year nurses working at a private psychiatric hospital. And we consider the provision of vocational support to facilitate continuous working for newly graduated nurses. Therefore, we conducted semi-structured interviews for six second-year nurses who were working at the hospital. The data were qualitatively and inductively analyzed.

Consequently, we found that the nurses experienced “heightened understanding of care,” “worried about difficult situation,” “support from coworkers, friends and family,” and “external support.” Because of such experiences, they continued working. However they ‘were anxious about physical nurse practices’ and ‘were not confident about their nursing practice skills’.

Based on these findings, we consider it necessary for second-year nurses to get support regarding aspects in which they don’t have confidence with their nursing practices skills.

The aim of this study is to understand elderly inpatients who were recognized as difficult patients as they were annoying staff and other patients by yelling continuously in a psychiatric unit. Research participants were three female patients aged over sixty whose ADL had been restricted to spend most of the time in their wheel chairs due to their deteriorated physical condition. Fieldwork was carried out weekly 50 times in total. A researcher made effort to communicate with them every time. They lost physical free, and experienced to loss and abuse. They bawled as the cause of solitude, distrust, anger of being unable to spoil, and irritation by not understood their mind. The bawling patients needed to communicate with them, even if I was bawled, and to talk my honest feeling. As a result, their reaction of bawling calmed down; they became to have expressive techniques of talking and play. At first, they just bawled, but they proved their ability of expression themselves.

This research aimed to investigate the nursing care required by employment continuation support facility （type B） users with mental disorders, and obtain suggestions for providing more appropriate nursing care. We conducted a questionnaire survey on demands for nursing care and counseling partner with users of five facilities. We distributed questionnaires to 87 users and obtained responses from 59 users （collection rate 67.8％）， of which 54 were valid. Many users consulted facility staff, doctors, and family members about their troubles. Less than 10％ users responded that their counseling partner was a nurse. More than half of the facility users wanted nursing care for the following items. “Coping with stress,” “Mental problems,” “Work,” “Future planning,” “Life in general,” “Human relations,” “Physical symptoms,” “Activity and rest,” “Medicine,” “Meal.” The results revealed that many employment continuation support facility （type B） users wish to work in the future. Therefore, nurses must engage in assessment and care from the perspective of enabling the users to be productive in their daily lives.

The purpose of this study is to clarify whether nursing in patients with mental disorders by PNS regime makes patients feel uneasy and stress. We surveyed patients arbitrarily hospitalized using STAI.

We investigated state anxiety for 2 days before and after introduction of PNS regime. The average score of the state anxiety before the introduction of the PNS regime was 33.8（±7.9） points, and the average score of the state anxiety after introduction of the PNS regime was 30.8（±7.5） points. There was a significant difference in the average score of state anxiety before and after the introduction of the PNS regime.

The average score of state anxiety among patients with depression and patients with schizophrenia was lower after introduction than before the introduction of the PNS regimen and also changed from “normal” to “low” at the evaluation standard stage.

From this, it became clear that the average score of state anxiety of psychiatric ward hospitalized patients was significantly reduced before and after the introduction of the PNS system in charge of 2 nurses in one psychiatric ward.