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The clinical judgment of psychiatric nurses on the patients in seclusion room

Research Project

Project/Area Number 15592279
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Clinical nursing
Research InstitutionAomori University of Health and Welfare

Principal Investigator

SAKAE Chizuko  Aomori University of Health and Welfare, Lecturer, 健康科学部, 講師 (40325915)

Co-Investigator(Kenkyū-buntansha) TASAKI Hiroiti  Aomori University of Health and Welfare, Faculty of Health Sciences, Professor, 健康科学部, 教授 (20179683)
MURAMATU Hitoshi  Aomori University of Health and Welfare, Faculty of Health Sciences, Assistant, 健康科学部, 助手 (50303433)
SATOU Yasuko  Aomori University of Health and Welfare, Faculty of Health Sciences (2003), Assistant (10336430)
Project Period (FY) 2003 – 2004
Project Status Completed (Fiscal Year 2004)
Budget Amount *help
¥1,100,000 (Direct Cost: ¥1,100,000)
Fiscal Year 2004: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 2003: ¥600,000 (Direct Cost: ¥600,000)
KeywordsPsychiatric Nursing / Seclusion Room / Clinical Judgment / Focus Group Interview / Participant Observation
Research Abstract

The purpose of this research is to explore the clinical judgments which psychiatric nurses make on patients in seclusion rooms. At first, the focus group interviews were carried out in two hospitals(A public hospital and B private hospital).
The participants were 5 - 6 nurses in each hospital who have psychiatric nursing experience of 5 years or more. The narrative texts were interpreted by the researcher and the judgments and the responses to the requests from patients in seclusion rooms were extracted. As a result, the following 5 categories emerged: 1)The, observation point; 2)The factors which influence the judgment of acceptance of a patient's request to get released; 3)The way of being concerned with the requests; 4)The nurse's feelings to the patient, who demands to get released ; 5)The range of the role of the nurse.
At second,15 nurses were observed and interviewed about their clinical judgments in private C hospital. Nursing judgment and responses to the patients' requests were identified from these observed data and narrative texts. The major findings were as follows. The nursing clinical judgment was classified into 7 categories : 1)The observation point; 2)The understanding emotion of patients requests,3)The reasons for the selected care,4)Their safety assistance 5)The prompt of the interactions, 6)The empowerment approach,7) The nurse's feelings to the patients.
In clinical judgments, the following were suggested precise knowledge, understanding emotion of the patients requests, seeing the situation in its right perspective is important.

Report

(3 results)
  • 2004 Annual Research Report   Final Research Report Summary
  • 2003 Annual Research Report
  • Research Products

    (6 results)

All 2005 2004 Other

All Journal Article (4 results) Publications (2 results)

  • [Journal Article] 保護室入室患者の退出要求に関する精神科看護師のクリニカルジャッジメント-背景にある思いに注目して-2005

    • Author(s)
      佐藤寧子, 坂江千寿子, 石崎智子, 田崎博一
    • Journal Title

      日本看護研究学会第31回日本看護研究学会誌 27(3)(7月予定)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Annual Research Report 2004 Final Research Report Summary
  • [Journal Article] 保護室入室患者に関わる精神科看護師のクリニカルジャッジメント-判断に影響する要因に注目して-2004

    • Author(s)
      坂江千寿子, 佐藤寧子, 石崎智子, 田崎博一
    • Journal Title

      青森県立保健大学雑誌 6(2)

      Pages: 9-18

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] The clinical judgment of psychiatric nurses on the patients in seclusion room - Focused on the factors influence the clinical judgment-2004

    • Author(s)
      Sakae, C. et al.
    • Journal Title

      Aomori University of Health and Welfare 6(2)

      Pages: 9-18

    • NAID

      110004629384

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 保護室入室患者に関わる精神科看護師のクリニカルジャッジメント -判断に影響する要因に注目して-2004

    • Author(s)
      坂江千寿子, 佐藤寧子, 石崎智子, 田崎博一
    • Journal Title

      青森県立保健大学雑誌 6(2)

      Pages: 9-18

    • Related Report
      2004 Annual Research Report
  • [Publications] 坂江千寿子, 佐藤寧子, 石崎智子, 田崎博一: "保護室入室患者に関わる精神科看護師のクリニカルジャッジメント"日本看護研究学会雑誌 第30回学術集会. Vol.26,no.3(7月予定). (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 坂江千寿子, 佐藤寧子, 石崎智子, 笹木弘美, 田崎博一: "保護室入室患者に対する精神科看護師のかかわりの検討"日本看護研究学会雑誌 第30回学術集会. Vol.26,no.3(7月予定). (2004)

    • Related Report
      2003 Annual Research Report

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Published: 2003-04-01   Modified: 2016-04-21  

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