TITLE:
The Development of the Japanese Psychiatric Nursing Assessment Classification System (PsyNACS©)
AUTHORS:
Hirokazu Ito, Misao Miyagawa, Kazuhiro Ozawa, Tetsuya Tanioka, Yuko Yasuhara, Mutsuko Kataoka, Beth King, Masahito Tomotake, Rozzano C. Locsin
KEYWORDS:
PsyNACS, Psychiatric Nursing, Patient Assessment Data, Psychiatric Hospital
JOURNAL NAME:
Open Journal of Psychiatry,
Vol.6 No.1,
December
29,
2015
ABSTRACT: 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.