The present study determined the nursing practice that respects the feelings of patients with schizophrenia admitted involuntarily in acute care settings. Semi-structured interviews were conducted with nine nurses with more than five years of clinical experience in psychiatric emergency wards. Data were analyzed with reference to content analysis of Berelson. Consequently, 148 recording units, 54 codes, and 14 subcategories were generated and classified into the following five categories: [Being close to the patient’s experience of psychiatric symptoms] (29.1%), [Reducing the perception of compulsion in inpatient care] (28.4%), [Demonstrating respect for the individual] (16.9%), [Facilitating the patient’s expression to support discharge] (15.5%), and [working together in a medical team] (10.1%). Expert nurses emphasized nursing practice that considers the characteristics of acute disorders of schizophrenia to respect the patient’s feelings. Forced inpatient treatment can make it difficult to build a trusting relationship between patients and nurses. Therefore, nurses try to build a trusting relationship by being close to the patients’ experiences of their psychiatric symptoms.

Aim: To clarify the experiences of nurses through the use of a “culturally sensitive recovery-oriented nursing care model in community psychiatric nursing” in regular visiting nursing over a 4-month period.

Methods: Seven community psychiatric nurses were asked to use the model for one client each for 4 months. After this period, semi-structured interviews were conducted individually to ask the nurses about their experiences using the model. The data were analyzed qualitatively and inductively, and the relationships between the generated themes were illustrated.

Results: Three themes were generated regarding the nurses’ experiences using the model: “Objectivity and transformation of self-value,” “Deliberate practice tailored to individual circumstances,” and “Empowerment through interaction.” These relationships were shown to be mutually beneficial. Nurses also experienced conflicts between risk and recovery, and difficulties in collaborating with those who support clients.

Conclusion: Efforts are needed to popularize positive risk management and promote collaboration with those who support clients. Co-production-based training that incorporates lectures from people with mental disorders is thought to be more effective.

The present study aimed to describe mid-career nurses’ experiences of the difficulties qualitatively working on early release of physical restraints on acute psychiatric patients, and describe ingenuity in addressing early release and practices to cope with their difficulties.

Semi-structured interviews were conducted with seven nurses from an acute psychiatric or psychiatric emergency ward. The data were analyzed qualitatively and descriptively. We identified four categories of nurses’ difficulties: “the release of physical restraints was limited due to insufficient resources of nursing personnel”; “the hesitation to release physical restraints due to the risk of violence against team members of nursing care”; “it is hard to promote the early release of physical restraints with limited authority in nursing care”; “there are difficulties in cooperation with the primary psychiatrist for releasing physical restraints,” and six categories for nursing practices; “such as creating a work environment where nurses can express their opinions”; “taking preventive measures actively against accidents due to the release of physical restraints,” etc. Mid-career nurses may encounter challenges in releasing physical restraints early but overcome them to foster effective teamwork and provide comprehensive nursing care.

This study aims to identify the relationship between discharge support practices, nursing experience, and occupational stress among psychiatric ward nurses. A self-administered, anonymous questionnaire survey was conducted with 282 registered and assistant nurses working in the wards of five psychiatric hospitals in Prefecture A in Japan, and 123 responses were determined to be valid (43.6%).

Hierarchical multiple regression analysis using the forced entry method was performed Using the subscales and the total score of a Comprehensive Evaluation Index for Discharge Support in Ward Nurses (Discharge Support Index) as the dependent variable multiple regression analysis was performed, and using items of demographics and nursing experience, and subscale items of the Brief Job Stress Questionnaire as independent variables.

For the nursing experience, “Working experience in acute care psychiatric wards” was positively related to two subscales of the Discharge Support Index. For occupational stress, the “control over work,” “skill utilization,” and “support from family and friends” were positively related to more than four subscales of the Discharge Support Index and the total score. The findings suggest the importance of opportunities to assist nurses to achieve successful involvement in community life, creation of a comfortable work environment, and support from people around the nurses.

The purpose of this study was to clarify the cognitive and technical processes that occur when emergency and intensive care nurses work with delirious patients to reduce their delirium symptoms. We conducted semi-structured interviews with seven nurses of four hospitals using a modified grounded theory approach. Then, seven categories and 11 concepts were generated from the analysis. It was found out that the cognitive and technical processes in which emergency and intensive care nurses attempted to reduce patients’ symptoms were a process of trial-and-error engagement in an attempt to calm their agitation in order to protect their bodies and safety. When the nurses “detected suspicious signs” in the patients, they felt a desire to “calm their agitation,” and they used this desire as the basis for their involvement. First, they provided care to “remove the suffering derived from the body,” and then they intervened in “trying to bring the patients back to themselves by correcting the errors” of cognition. They evaluated these interventions as “not so good,” but they still repeated the same interventions. However, some nurses shifted to engaging in “accepting the impaired awareness.” These series of involvement processes were practiced by nurses using “intuition cultivated through experience.”

Aims: To clarify nurses’ perspectives on their practice in child and adolescent psychiatric home health care.

Methods: We conducted semi-structured interviews with seven nurses experienced in child and adolescent psychiatric home care. We then created verbatim transcripts from the recorded data. We qualitatively and inductively analyzed their perspectives on child and adolescent psychiatric home care nursing practice.

Results: Seven categories and 19 subcategories were extracted. The categories comprised [Meaning of behavioral disorders caused by difficulties in living], [School life situation and employment activities based on the children’s characteristics] [Parenting for children’s lifestyle acquisition and growth and development] [Building a relationship in which the children can accept the visiting nurse] [Attitude of closely monitoring the parents’ life difficulties] [Building a bridge between the children and parents’ thoughts and feelings] and [Status of symptom management at home].

Conclusion: The nursing practice of the child and adolescent psychiatric visiting nurses emphasized, a positive acceptance of the child’s characteristics, aiming for a fulfilling life together with the child with hopes and goals, and intervening in the parents’ difficulties in life. It is also important to focus on promoting the child’s normal growth and development and social adjustment as well as continuing appropriate treatment.

This study aimed to determine psychiatric nurses’ perceptions of and coping with feelings of anger toward patients. Interviews were held with eight psychiatric nurses. After qualitative description analysis, 456 codes, 88 subcategories, and 32 categories were extracted. The characteristics regarding the perceptions of psychiatric nurses suggested that they were more likely to feel anger toward patients with intellectual disabilities and patients who do not understand them no matter how many times they explain the situation, and that they felt defenseless against verbal violence. In addition, psychiatric nurses had conflicting feelings about anger toward patients, but they coped with their anger by interacting with patients, deepening their understanding of patients, arranging work schedules, and engaging as a team. Psychiatric nurses sensed the importance of anger management in their daily nursing practice, which suggests the importance of providing sufficient support for needed adjustments to the surrounding environment and the nurses’ own reflections. The findings also suggested the importance of providing a place where nurses can consider their nursing practice and discuss seemingly unethical issues, such as anger toward patients, as well as “integrated anger management education tailored to the workplace,” which emphasizes thinking.