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en: Physical Rehabilitation Patterns and Clinical Categorization in a Japanese Psychiatric Hospital: A Retrospective Content Analysis

en: Psychiatry International

ja: Psychiatry International


en: Methodology for Developing a Nursing Administration Analysis System

en: Nursing administration requires a large volume of wide-ranging information, and nurse administrators are limited in their ability to compile and analyze information for nursing administration. The purpose of this study is to create methodology for developing a nursing administration analysis system to aid nurse administrators in performing outcome analysis. In this methodology, information required for nursing administration in the PSYCHOMS? (Psychiatric Outcome Management System, registered trademark) database is analyzed according to the individual needs of nurse administrators. It features a combination of a classification method and an extraction method for obtaining quantitative and qualitative data as information required for nursing administration, and enables nurse administrators to easily obtain analysis results that they directly need. This methodology converts the time required nurse administrators to collect and organize information into time for making considerations in order to devise strategies for improving the quality of nursing care services, and can improve the quality and efficiency of nursing administration. This may lead to an increase of the quality of nursing care services at psychiatric hospitals. This methodology is highly versatile as it can be applied in information management, not only for nursing, but for the entire psychiatric hospital.

ja: 看護管理に必要な情報が多岐にわたり膨大となっている．看護管理のための情報の整理や分析は看護管理者の努力だけでは限界があり，看護管理者が行うアウトカム分析を支援することを目的に看護管理分析システムを開発した．看護管理に必要な情報を看護管理者個々のニーズに応じて，PSYCHOMS○R(Psychiatric Outcome Management System, registered trademark)のデータベースに保存されているデータを分析する．その特徴は，分類と抽出の2種類の方法を混合して量的・質的データをアウトプットとして表示することができるため，看護管理に必要な情報を出力できる．看護管理者が直感的に必要と考えたことに対する分析結果を簡便に得ることができる．このシステムを活用することで，看護管理者が情報の収集と整理に要していた時間を，看護サービスの質を改善するための方略を考えるための思考の時間に変換することができるため，看護管理の質と効率性を高めることができる．その結果，精神科看護サービスの質向上につなげることが可能となる．本システムは看護だけにとどまらず，精神科病院全体の情報管理にも応用可能であり，汎用性がある．

en: Intelligent Information Management

ja: Intelligent Information Management


en: Development of a novel instrument to measure Japanese psychiatric nurses technological competency as caring in nursing

en: To effectively advance person-centered care (PCC) practice, it is important to equip healthcare providers with person-centered values and beliefs while simultaneously transforming their work environment to align with PCC. Thus, instruments to measure caring practice status in nursing competency for psychiatric-specific behavioral limitations, ethico-moral behavior, technology use, and PCC need to be developed. This study developed the Technological Competency as Caring in Psychiatric Nursing Instrument (TCCNPNI) to measure practice status and test its content and construct validity. Five different phases were followed: 1) Literature Review; 2) Operational definition of the construct and development of items; 3) Two-round Delphi method; 4) Validity measure; and 5) Reliability measure. The online survey was conducted in 2024. The developed instrument comprises 22 items with a 4-factor structure: competency to practice caring and person-centered care (Factor 1); competency to recognize and respond to ethical issues in psychiatry (Factor 2); competency to utilize technology in psychiatry (Factor 3); and competence to practice care for the preservation of human dignity and shared decision making (Factor 4). Cronbach's alpha for the entire scale was 0.864, while that for factors 1-4 was 0.911, 0.814, 0.773, and 0.64, respectively. Cumulatively, these four factors contributed 49.6% and explained nearly 50% of the total data. Item-total correlation values were 0.6 or higher among factors 1-3. However, factor 4, for which items were Q30, Q33, Q34, and Q35 ( = 0.03, 0.04, 0.21, 0.11, respectively), were inverted items and had low I-T correlation values. These low correlations suggest that these items capture different concepts. The developed TCCNPNI allows for the measurement of the practice of nursing as caring in psychiatry, the state of ethico-moral behavior, and the practice status of technological competency as caring in psychiatric nursing. This study demonstrated satisfactorily and efficiently evaluated the practice status of technological competency in psychiatric nurses' caring. Measuring technological competency as caring in psychiatric nursing can be an important adjunct for in-service education in psychiatric hospitals or formalized nursing education in nursing universities.

en: Belitung Nursing Journal

ja: Belitung Nursing Journal