精神障害者のためのコンコーダンス・モデルに基づいた新しい看護面接

Mental health measures in Japan are moving from hospitalization-centered care to community-based care. With the demand for changes in the functions of psychiatric hospitals and clinics, the role of nurses is growing. The primary role of nursing is to enable each and every individual to maintain a healthy life, which involves providing those individuals with assistance to maximize their vitality and healing capacity and enable them to exploit those abilities as best they can. In order to practice such nursing interview, following basic concepts are useful : （１） It should be based on a concordance model ; （２） It should set opportunities to promote remarks from mentally ill individuals and utilize concordance skills that elicit their thoughts ; and （３） It should utilize the Strengths Assessment Sheet that focuses on lifestyle including the abilities, environment, and hopes of mentally ill individuals. In this article, we describe a proposed new nursing interview framework based on a concordance model for people with mental disorders.