Process of Nursing Practice among Expert Nurses in Relation to Discharge Support for Long-Term Patients with Schizophrenia Satomi Kagawa 1 , Tamie Nagoshi 1 , Yukiko Awanou 1 , Minako Matuoka 1 , Taeko Minami 1 1School of Nursing, Faculty of Medicine, Kagawa University Keyword: 長期入院患者 , 統合失調症 , 退院支援 , 熟練看護師 , 看護実践 , long-term patients , schizophrenia , discharge support , expert nurses , nursing practice pp.61-70
Published Date 2013/3/20
  • Abstract
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 Objectives: This study aimed to identify the process of nursing practice among expert nurses in relation to long-term patients with schizophrenia, from the time when the nurses started to consider patient discharge and provide discharge support to the completion of such support.

 Methods: We conducted semi-structured interviews with 13 nurses who consented to participate in the study. The data obtained were analyzed employing a qualitative and inductive approach.

 Results: The following 7 categories were extracted:〈the possibility of discharge presented and facilitated by an ongoing understanding of the patient〉,[bringing out the patient's hope for discharge that lies deep in his/her mind],[sharing intentions with the primary physician who is reluctant to provide discharge support],[understanding the feelings and backgrounds of the patient's family members who disagree with discharge],[developing networks by adopting a primary nurse-centered approach],[fulfilling the roles of a primary nurse to provide peace of mind], and[engaging with the patient on a one-on-one level to foster his/her confidence].〈The possibility of discharge presented and facilitated by an ongoing understanding of the patient〉 was observed to be a central phenomenon affecting all other categories, and, thus, was identified as the core category.

 Conclusion: The process of nursing practice to provide discharge support for long-term patients with schizophrenia should include: flexible clinical judgment to enhance the probability of discharge by performing ongoing assessment of patients; and, the implementation of nursing interventions to help patients restore their hope for discharge that is diminishing, and respond immediately to any slight changes in them.

Copyright © 2013, Japan Academy of Nursing Science. All rights reserved.


電子版ISSN 2185-8888 印刷版ISSN 0287-5330 日本看護科学学会