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Development of a Educational and Practice Model of Liaison Psychiatric Nursing for The Psychologically Difficult Patients in The General Hospital Units

Research Project

Project/Area Number 01450103
Research Category

Grant-in-Aid for General Scientific Research (B)

Allocation TypeSingle-year Grants
Research Field Nursing
Research InstitutionSt. Luke's College of Nursing

Principal Investigator

MINAMI Hiroko  St. Lukes College of Nursing, Nursing, Professor, 看護学部, 教授 (70094753)

Co-Investigator(Kenkyū-buntansha) TANAKA Mieko  St. Lukes College of Nursing, Nursing, Assistant Professor, 看護学部, 講師 (10171802)
SHODAI Kiyoka  St. Lukes College of Nursing, Nursing, Assistant Professor, 看護学部, 講師 (70206267)
NOJIMA Sayumi  Kochi Women's University, Nursing, Associate Professer, 家政学部, 助教授 (00172792)
Project Period (FY) 1989 – 1990
Project Status Completed (Fiscal Year 1990)
Budget Amount *help
¥2,700,000 (Direct Cost: ¥2,700,000)
Fiscal Year 1990: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 1989: ¥1,900,000 (Direct Cost: ¥1,900,000)
KeywordsLiaison Psychiatric Nursing / Psychiatric Nursing / Psychologically Difficult Patient / Stress / Coping / Burnout / Nursing Model / Support System / 対処 / 燃えつき
Research Abstract

This research aimed to conduct two types of survey and then develop a practice model of liaison psychiatric nursing for the patients whom nurses have difficulties to understand in the general hospitals.
The first survey was to find needs of help for the liaison psychiatric nursing among 661 nurses at work in the six general hospitals by using the self-filing questionnaires. The results indicated that a) about 50% of subjects were burnout ; b) when nurses took care of patients who are psychologicallydifficult to understand, they tended to hold empathetical feelings toward patients and try to use the problem solving method ; but c) once when they became burnout, nurses tended to have angry feelings towards patients and try to use the avoiding coping. It was also found that the burnout was correlated with somatic symptoms and use of drugs but had less support. About 70% of subjects expressed their request for having counselor or liaison psychiatric nurses.
The second survey was to interview 25 nurses to find out their needs for the liaison psychiatric nurses, and resulted that nurses had difficulties to understand the patients who are a) aggressive, manipulative by threatening nurses ; b) reluctant to take sick roll ; c) overdependent with high anxiety Nurses expressed that they wished to have professional support for coping with these patients.
Based on these studies as well as result of a trial by opening consultation rooms for nurses, a practice model of liaison psychiatric nursing was developed. The model included dimensions of target populations, goals of intervention, interaction techniques, and nursing service system.

Report

(3 results)
  • 1990 Annual Research Report   Final Research Report Summary
  • 1989 Annual Research Report
  • Research Products

    (9 results)

All Other

All Publications (9 results)

  • [Publications] 小代 聖香: "看護婦が「困る」患者に出会う頻度,困難度と燃え尽き,サポ-トとの関連" 日本看護科学会誌.

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 田中 美恵子: "看護婦の燃え尽きを予防するためのコンサルテ-ション・リエゾン精神看護の方法の探究" 看護管理.

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 小代 聖香: "看護婦が「困る」患者に出会った時の感情,コ-ピングと求めるサポ-ト" 看護研究.

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Kiyoka Shodai: "The frequency of nurses who meet "difficult" patients, and the level of difficulties, and their relation with burnout and support." Journal of Japan Academy of Nursing Science.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Mieko Tanaka: "A study of methodology of consultation-liaison psychiatric nursing to prevent a burnout." Japanese Journal of Nursing Administration.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Kiyoka Shodai: "The emotion, coping, support of nurses when they meet "difficult" patients." The Japanese Journal of Nursing Research.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 小代 聖香: "看護婦が「困る」患者に出会う頻度,困難度と燃え尽き、サポ-トとの関連" 日本看護科学会誌.

    • Related Report
      1990 Annual Research Report
  • [Publications] 田中 美恵子: "看護婦の燃え尽きを予防するためのコンサルテ-ション・リエゾン精神看護の方法の探究" 看護管理.

    • Related Report
      1990 Annual Research Report
  • [Publications] 小代 聖香: "看護婦が「困る」患者に出会った時の感情,コ-ピングと求めるサポ-ト" 看護研究.

    • Related Report
      1990 Annual Research Report

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Published: 1989-04-01   Modified: 2016-04-21  

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