Journal of Japan Academy of Psychiatric and Mental Health Nursing
Online ISSN : 2432-101X
Print ISSN : 0918-0621
ISSN-L : 0918-0621
Volume 30, Issue 2
Displaying 1-16 of 16 articles from this issue
Review
  • Masumi Mugiyama
    Article type: Review
    2021 Volume 30 Issue 2 Pages 1-8
    Published: November 30, 2021
    Released on J-STAGE: November 30, 2021
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    The purpose of this study was to examine through a literature review the recovery process of patients with eating disorders. A systematic review of 16 articles on the recovery process in eating disorders was conducted. We extracted information on the research year, subject, research method, and common points in the contents of the articles. Subsequently, articles were categorized according to the process of recovery and the elements in the process of recovery. Discussions in these articles revealed that the recovery of patients with an eating disorder was a process of tracing the time from the diagnosis of the eating disorder or when they could not talk about the eating disorder despite having it to the time when they could about it as a present experience and up to the time when they could talk about it as a past experience. Talking about having an eating disorder as a past experience enables self-acceptance and acceptance by others, which are crucial to the recovery process.

Original Articles
  • Hiroshi Morimura, Kentaro Ito
    Article type: Original Article
    2021 Volume 30 Issue 2 Pages 9-18
    Published: November 30, 2021
    Released on J-STAGE: November 30, 2021
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    The purpose of this study was to assess the results of a psychiatric nursing simulation education program involving persons with mental disorder and to investigate nursing students’ learning. Informed consent was obtained from participating students through an opt-out procedure, and the results of their self-reported evaluations were qualitatively analyzed. The analysis revealed 7 categories of learning; learning from persons with mental disorder; understanding of persons with mental disorder from a recovery perspective; practice and prospects of psychiatric nursing; skills in psychiatric nursing; learning and expectations derived from simulation education; student development through practicums with persons with mental disorder; and the reality of discrimination and prejudice. These categories consisted of 22 subcategories containing 92 codes. By using practicums with the participation of persons with mental disorder to provide situation-based training, it became possible to develop the psychiatric nursing simulation education program. Furthermore, in terms of learning, the students acquired knowledge and skills, and there were changes in the attitudes of the students as they developed confidence in themselves. The students were able to consider the narratives of persons with mental disorder from a recovery perspective.

  • Rie Tanaka, Nobuko Matsuda
    Article type: Original Article
    2021 Volume 30 Issue 2 Pages 19-28
    Published: November 30, 2021
    Released on J-STAGE: November 30, 2021
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    This study sought to clarify the personal meaning that psychiatric nurses gain from nursing practice. We surveyed 14 mid-career psychiatric nurses, using a semi-structured interview script. Results were analyzed based on the qualitative descriptive approach, with 27 subcategories generated from 926 codes and 6 categories extracted.

    As experiences related to meaning that psychiatric nurses gain from nursing practice, six categories were extracted. They are “involvement in the patients’ life” “human to human relationships” “discovery of patients’ surprising aspects” “changes in patients due to nurses’ perseverance” “realization of the ability as a therapist of nurses and the meaning of existence” and “approval from staff”. Psychiatric nurse can develop deep nursing motivation by experiencing personal meaning.

  • Matsumoto Yoko, Kimura Yukio
    Article type: Original Article
    2021 Volume 30 Issue 2 Pages 29-38
    Published: November 30, 2021
    Released on J-STAGE: November 30, 2021
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    The purpose of this study was to clarify visiting psychiatric nurses’ process of supporting home-visit psychiatric nursing service users with an increased risk of developing or aggravating lifestyle-related diseases to improve their lifestyles while respecting their decision-making. Semi-structured interviews were conducted with 8 nurses. Through data analysis using the modified grounded theory approach, 14 concepts and 6 categories were identified. The nurses conveyed [findings on each user’s lifestyle from a nursing perspective] to users, and supported them to maintain their [awareness of lifestyle improvement]. On the other hand, the nurses accepted the [difficulty of making a progress from awareness-raising to implementation and continuation], and supervised users [to promote personal recovery], [giving priority to their mental stability], with an understanding of users’ difficulty in maintaining an improved lifestyle as their [challenge of life]. Thus, the support provided by visiting psychiatric nurses for users to improve their lifestyles while respecting their decision-making may be summarized into a process, where these nurses give priority to users’ mental stability, with an understanding of their difficulty in improving their lifestyles as a disability characteristic and challenge of life, supervise them to promote personal recovery of their daily lives, and support them stepwisely and continuously.

  • Takako Teraoka, Hiroki Fukahori, Kiyoka Nozue, Noriko Fukuda
    Article type: Original Article
    2021 Volume 30 Issue 2 Pages 39-49
    Published: November 30, 2021
    Released on J-STAGE: November 30, 2021
    JOURNAL FREE ACCESS FULL-TEXT HTML

    In this study, we performed a meta-synthesis by the method process of Noblit & Hare to clarify the experience of family caregivers who care for the older people with dementia at home in Japan. The scope of the literature search was narrowed down to papers published after 2008, and nine Japanese and two English papers were selected.

    The experiences of the family caregivers were integrated into ten categories based on the results of this study. It was become clear that once family caregivers are able to “establish proactive strategies”, they would “find ingenuity to continue caregiving” and “find meaning in the caregiving experience”. Furthermore, this paper clarifies that when there is “a disturbance of familial relationships due to caregiving”, or there is “difficulty in using the service”, the caregivers will take “measures to protect the safety of care receivers” (e.g., by concealing dementia, locking the front door). Thus, examining the support in line with the needs of the whole family is necessary to strike a balance between ensuring the safety and independence of care receivers and protecting the lives of family caregivers themselves.

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