TITLE:
Prioritizing Patient Assessment Data (PAD) Using 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, Yumi Kuwamura, Rozzano C. Locsin
KEYWORDS:
PsyNACS©, Nursing Database, Priority Nursing Assessment Items, Unit Function, Psychiatric Hospital
JOURNAL NAME:
Open Journal of Psychiatry,
Vol.6 No.3,
July
5,
2016
ABSTRACT: The study identified
priorities of the Patient Assessment Data (PAD) using the Japanese Psychiatric
Nursing Assessment Classification System (PsyNACS©) derived from 644
psychiatric nurses’ responses who were practicing in specific units: Acute Care
Units (ACU), General Care Units (GCU), Long-term Care Units (LCU), physically
Complicated Disease Care Units (CDCU), and Dementia Care Units (DCU). Secondary
analysis of the PsyNACS© on-line survey data using four levels of “importance”
was used to determine the priorities: 1) unnecessary; 2) quite important; 3)
important and 4) very important. The Mean Factor Points (MFP) and the Welch’s
ANOVA were calculated. PsyNACS© score of 3 or higher indicates the PAD as
priority. The results showed that in the ACU PAD1, “Psychological symptom”,
“Stress coping”, and “Mood disorder and aggression”, and PAD2 “Information of
adherence”, and “Information of the psychiatry rehabilitation”, and PAD7
“Situation of the family and social life”, “Relationship to the health care
providers”, and “Relationships with others” are high priority (high
importance). Other PADs showed results below PsyNACS© score of 3. The GCU had
PAD 3 “Balance of water”, the LCU had PAD 4 “Intention/Point of view”, and
“Thoughts of the patient” and PAD 7 “Disease and family”. The CDCU showed PAD 2
“Blood test”, PAD 3 “Excretion situation”, and PAD 5 “General health
condition”, “Respiratory and chest symptom”, and “Vital signs”, and the DCU had
PAD 1 “Cognition function”, and “Delirium and derangement capacity to register
failure”, PAD 3 “Function of eating”, PAD 6 “Egestion and cleanliness” and PAD
8 “Activity and sleeping”, and “Mobility capability”. These classifications
indicated levels of importance in the CAD comprising the PAD below the score of
“2”. Japanese psychiatric hospitals specify assessments according to functional
areas. By prioritizing the CAD for each PAD, more effective and efficient assessments
can be performed according to practice unit.