Developing of a Support Tool for Nurses at post incident debrief and review in Comprehensive Violence Prevention and Protection Program

2022 Fiscal Year Final Research Report

• Project/Area Number: 19K19559
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: Shinshu University
• Principal Investigator: Kinoshita Aimi 信州大学, 学術研究院保健学系, 助教 (50783239)
• Project Period (FY): 2019-04-01 – 2023-03-31
• Keywords: 包括的暴力防止プログラム / 対人円環モデル / 振り返り / 精神科看護師 / 援助特性

Outline of Final Research Achievements

This is a quantitative and qualitative study of the elements of psychiatric nurses’ behavior, using the Interpersonal Circumplex model (IPC) concept as a framework. The dominant and managing nurse's behavior that prioritized treatment to the patients involved sometimes showed changes in the patient’s cognitions over time, such as from repulsion to regret. In some cases, the nurses' subordinate behavioral backgrounds were intended to prevent the nurses' behavior from being perceived as dominant and managing by the patients involved. The elements of psychiatric nurses' behavior that were identified were utilized in the Comprehensive Violence Prevention and Protection Program (CVPPP) "post incident debrief and review" to demonstrate their usefulness, albeit in a pilot study.

Free Research Field

精神科看護

Academic Significance and Societal Importance of the Research Achievements

本研究では、CVPPPの介入要素の一つである、「振り返りと報告」で活用できるツールとその効果的な活用方法を開発した。従来、当事者－看護師間の対人相互作用は目に見えず、暴力が関連すると感情的になりやすいために、「振り返りと報告」は熟練した臨床経験がなせる業とされてきた。本研究で開発した「振り返りと報告」の手法は、簡便でわかりやすく、客観的に深く援助を振り返ることができた。これは看護師が当事者に対して無意識に持っていた感情や反応への気づきにつながり、当事者と相互理解を深め、協働する立場が形成されることが期待できる。それにより当事者と対立することのない安心な環境作りが促進されると考えられる。