number of access : ?
number of downloads : ?
ID 109700
Title Alternative
日本の精神科病院における患者に対する看護に必要なアセスメント分類システムの開発
Author
Miyagawa, Misao Tokushima Bunri University
Ozawa, Kazuhiro Gifu College of Nursing
Kataoka, Mutsuko Mifune Hospital
King, Beth Florida Atlantic University
Keywords
PsyNACS
Psychiatric Nursing
Patient Assessment Data
Psychiatric Hospital
Content Type
Thesis or Dissertation
Description
The purpose of this study was to develop the Japanese Psychiatric Nursing Assessment Classification System (PsyNACS)©. This study used the on-line survey method from February to April 2015. There were 644 respondents comprised of professional nurses with minimum qualification of 3 years’ experience being in a psychiatric unit of a stand-alone 200-bed or more Psychiatric Hospital in Japan. Assessment items were derived from 211 specific items selected from nursing textbooks, excluding the North-American-Nursing-Diagnosis-Association (NANDA). The questionnaire contained Cover Letter, Demographic Data Sheet, and the PsyNACS© questionnaire. There were 644 questionnaires accessed but only 435 were completed and valid. Item levels of importance were evaluated: 1) Unnecessary, 2) Not very important, 3) Important and 4) Very important. Data analysis used descriptive and multivariate statistics. Factor analysis (principal factor analysis, varimax rotation), the Kaiser-Meyer-Olkin (KMO) and the Bartlett’s test of Sphericity assessed the adaptive validity of the factor analysis. Factor loadings were set at 0.4 or more for the configuration of items. Internal consistency and reliability were established using Cronbach’s alpha coefficient. Mean factor points were calculated, including standard deviation, range, and confidence interval at 95%. Statistical significance was at 0.05 level. Nine Patient Assessment Data (PAD) with 2 to 5 Cluster Assessment Data (CAD) each were categorized. Thirty one CADs comprised the Patient Assessment Data: (PAD1) Psychological symptom and stress, (PAD2) Information about treatment, (PAD3) Function of eating and balance of water, (PAD4) Life and value, (PAD5) Vital signs and health assessment, (PAD6) Self-care, (PAD7) Social support, (PAD8) Activity, sleeping and mobility capability, and (PAD9) Sexual function and sexual behavior. The PsyNACS© is a classification of items assessing health care needs within the Japanese psychiatric nursing care environment, and also can be used in various psychiatric patient care situations in all psychiatric units.
Journal Title
Open Journal of Psychiatry
ISSN
21617325
21617333
Publisher
Scientific Research
Volume
6
Issue
1
Start Page
20
End Page
33
Published Date
2015-12-29
Remark
内容要旨・審査要旨・論文本文の公開:
内容要旨 : LID201606131004.pdf
審査要旨 : LID201606131005.pdf
論文本文 : LID201606131006.pdf
本論文は, 著者Hirokazu Itoの学位論文として提出され, 学位審査・授与の対象となっている。
Rights
Copyright: © 2016 by authors and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
ETD
MEXT report number
甲第2911号
Diploma Number
甲保第22号
Granted Date
2016-03-23
Degree Name
Doctor of Health Science
Grantor
Tokushima University
departments
Medical Sciences