The purpose of this study was to examine the extent to which the comfortable work environment in hospitals and resilience are related to the negative feelings of psychiatric nurses toward their patients. Subjects were 519 nurses working in eight psychiatric hospitals, and an anonymous self-administered questionnaire survey was conducted on their basic attributes, negative feeling toward patient frequency, comfortable work environment in hospitals, and bidimensional resilience factors. Valid responses were obtained from 234 subjects, and multiple regression analysis was performed. The results revealed significant correlations between negative feeling and the following two variables: comfortable work environment in hospitals (β = –0.23, p < 0.001) and acquired resilience-related factors (β = –0.20, p < 0.05). In conclusion, creating a comfortable work environment for psychiatric nurses, and promoting their acquired resilience were suggested to be factors that reduce the frequency of their negative feeling toward patients.

Gay and bisexual men have been reported to have a higher risk of suicide attempts. Establishing support methods to improve the mental health of gay and bisexual men is urgent. This study aimed to clarify the psychological factors that influence life satisfaction. Thus, an internet survey of gay and bisexual men aged ≥ 20 years was conducted. Questionnaire items included basic attributes; interpersonal relations; mental health (the Japanese-language edition of the Kessler Psychological Distress Scale, or K6); loneliness (the revised UCLA Loneliness Scale); satisfaction with life (Satisfaction with Life Scale); self-esteem (State Self-Esteem Scale); sense of coherence (the 13 items on the Japanese SOC Scale, or SOC-13); and coping behaviors (the Japanese language edition of Brief Cope). The questionnaire was accessed by 1,877 people, of which 499 people in the analysis. Four factors were extracted by multiple regression analysis with life satisfaction as the dependent variable: self-esteem (β = 0.586), loneliness (β = –0.170), positive reinterpretation (β = 0.101), and acceptance (β = 0.063). Thus, considering the development of programs to improve the mental health of gay and bisexual men is necessary based on these results.

Metacognitive Training (MCT) is a psychoeducational program that is purposed with correcting the cognitive biases observed in people with schizophrenia. This study administers MCT to people with schizophrenia living in the community, in order to investigate the effects of MCT on their cognitive biases and relationships of trust between them and the people administering MCT. The participants included 12 people with schizophrenia availing a psychiatric daycare or non-profit organization’s facilities. The Japan-Cognitive Biases Questionnaire for Psychosis (JCBQp), theory of mind tasks, and psychological distance measurements were performed to evaluate the effect of MCT. The results showed significantly reduced total JCBQp scores after MCT and found significant differences in the composing factors, including “anomalous perceptions,” “threatening events,” “intentionalising,” “catastrophizing,” “jumping to con­clusions,” and “emotional reasoning,” between pre- and post-MCT. No significant differences existed in theory of mind tasks. Psychological distance decreased in some participants and increased in others, suggesting that MCT might affect the relationship between the person administering MCT and the participant in aspects other than trust, affection, or closeness.

The purpose of this study was to determine the relationship between the nursing staff’s reactions to mental and physical stress, and the leadership of the head nurse, for ascertaining the impacts of high and low workplace stressors on the nursing staff’s work engagement mediating effects.

At 16 hospitals, 1,213 nursing staff members participated in a self-administered anonymous questionnaire survey. Multilevel correlation analysis and moderated mediation analysis were performed. There were 403 accurate answers.

In the multilevel correlation analysis, work engagement was positively correlated to head nurse leadership, and negatively correlated with individual level occupational stress. It also portrayed a negative correlation between leadership influenced by head nurse relationships and group-level occupational stress.

The relationship between variables under highly stressful conditions was estimated using a moderated mediation analysis, where the results revealed that task- and relationship-oriented leaderships mediated the work engagement of nursing staff, and influenced their responses to mental and physical‍ ‍stress.

This cross-sectional study was conducted by administering a questionnaire survey of psychiatric nurses to identify factors influencing the ethical climate in psychiatric hospitals.

The questionnaire consisted of 5 items for basic attributes, 14 for the Japanese version of the ethical climate scale, 49 for the organizational climate scale, 18 for the perception of cooperative work scale, and 17 for the Japanese version of the burnout scale. The survey was administered to 949 nurses working at 14 facilities in Japan, and 319 nurses were included in the analysis.

Multiple regression analysis using the Japanese version of the ethical climate scale as the dependent variable demonstrated that “flexibility, creativity, and big picture” (β = .259, p < .001); “free and open” (β = .199, p < .001); and “authoritarianism and avoidance of responsibility” (β = –.187, p < .001), which were subfactors of the organizational climate scale, and “individual orientation factor” (β = –.222, p < .001) and “cooperative utility factor” (β = .147, p < .01), which are subfactors of the cooperative work perception scale, were factors influencing the ethical climate. These results suggest that to improve the ethical climate in organizations, the ethical sensitivity of all nurses, including those who are considered to have weak authority, is required to treat an equal footing and to create a climate in which individual moral sensitivity and ethical views can be reflected in nursing practice.

This study aims to elucidate what peer support workers generally place importance on for the recovery of supported persons involved in community transition support. Participants were seven peer support workers in prefecture A who had undergone peer support worker training related to mental health welfare, and have experience in involvement in community transition support. Semi-structured interviews were conducted and analyzed qualitatively and descriptively.

As a result, the following six categories were generated: [trying to become a supporter whom patients feel comfortable to talk to], [building the will power needed to realize achieving the hoped for], [wishing for changes in society], [considering things compassionately and continuing to provide support with a long-term perspective], [supporting diversity in the recovery through collaboration with nurses], [keeping a focus on the importance of mutual support]．

Peer support workers generally place importance on relationships in which people can talk freely, which supports the process of recovery support, and have a compassionate and understanding attitude that supports that relationship. Nurses need to be interested in the way society supports recovery, and continue learning from the experience of peer support workers who have themselves recovered and are ready to support diversity in lifestyles. At the same time, nurses are expected to play a role in helping peer support workers build relationships with supported persons, and in collaborating with both parties to support each‍ ‍other.

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.

This study elucidates the experience of nursing students’ self-disclosure to their patients during their interactions in a psychiatric nursing practical training and aims to obtain knowledge regarding educating nursing students on self-disclosure as a way to build a therapeutic relationship with mentally-ill patients. The subjects were 9 student who had completed psychiatric nursing training and conducted a semi-structured interview method. After composing a word-for-word record, I extracted concise stories on how participants experienced self-disclosure to patients during their interactions with them in the psychiatric nursing practical training. There were three categories found within these stories: (1) Self-disclosure to the patients became the catalyst for building a relationship; (2) Self-disclosure or questions from patients led to self-disclosure from participants; (3) Self-disclosure was not possible for participants to do easily. There is a process that nursing students must go through to get to the point where self-disclosure is possible; students deal with various emotions while continuing to interact with patients; and that these are affected by guidance and support from teachers, coaches, and group members.