The purpose of this study is to clarify factors related to nurses who have to effect on judgment of Clinical Content Validity by using Nursing Diagnosis of Disturbed Thought Processes.

We mailed questionnaire to 960 nurses who work in 80 special functioning hospitals. We mailed questionnaire to have them write by themselves.We collected data from 226 nurses. Then,we analyzed the factors by using structural equation modeling.

As a results, goodness of fit were as follows.GFI=0.972,AGFI=0.947,CFI=0.996, RMSEA=0.027, AI C=85.928, P=0.242.

We extracted three factors that have an influence on judgment of Clinical Content Validity from this model.

A primary factor is knowledge. It is the knowledge which relates to process that we collect the necessary information effectively. The knowledge is necessary for us to interpret and distinguish information. Also it is the knowledge to raise diagnostic validity. The second factor is background of the situation. It is the situation that we can consistently ruminate about a past clue of Nursing Diagnosis. It is the diagnostic situation that we can routinely use knowledge and technology of Nursing Diagnosis. The third factor is experience. It is the experience that we can extend the following ability. The ability is for affiliation and consciousness. It is the experience that we can contribute to development of specific thought process.

　This study was to clarify the thought of nurses, who encountered DV victims in their works. The study was done by analyzing the sense of incongruity during the nurses' attendance to DV victims. The nurses' utilization of their experiences and knowledge on the "incongruity" was examined by semi-structured interviews based upon a modified Grounded Theory Approach.

　Nursing staff members try to conduct early intervention that is appropriate for a DV victim's condition. However, a gap between the ideal intervention and reality is caused by their own inexperience, and insufficient cooperation from other medical staff members leads to a sense of incongruity. Nursing staff members attempt to overcome the situation within the limited conditions at hand. Victim co-dependency on their assailants and passive attitudes often stress nursing staff members who are involved in DV support. Additionally, the hopeless situation increases the sense of incongruity. The study also found that conflict about corporation with other professionals was a serious issue in DV victim support. In such a situation, self-criticism and criticism from other professionals increased the sense of incongruity that nurses feel, but their introspection can lead to considering the other's position and improve understanding. When DV nursing staff members understood their own sense of incongruity, internal support shifted such that all medical staff members could respect the positions of one another.