Share This Article:

The Development of the Japanese Psychiatric Nursing Assessment Classification System (PsyNACS©)

Full-Text HTML XML Download Download as PDF (Size:434KB) PP. 20-33
DOI: 10.4236/ojpsych.2016.61003    3,217 Downloads   3,682 Views   Citations

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.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Ito, H. , Miyagawa, M. , Ozawa, K. , Tanioka, T. , Yasuhara, Y. , Kataoka, M. , King, B. , Tomotake, M. and Locsin, R. (2016) The Development of the Japanese Psychiatric Nursing Assessment Classification System (PsyNACS©). Open Journal of Psychiatry, 6, 20-33. doi: 10.4236/ojpsych.2016.61003.

References

[1] The Part of Disorder’s Health Welfare, Ministry of Health, Lavour and Welfare (2015) About Health Care Planning (Mental Disease). (In Japanese)
http://www.mhlw.go.jp/seisakunitsuite/bunya/kenkou_iryou/iryou/iryou_keikaku/dl/shiryou_a-3.pdf
[2] Organization of Economics and Development (OECD) (2014) Japan Trails Other Countries in ‘Deinstitutionalization’, But There Are Signs of Progress, Says OECD.
http://www.oecd.org/els/health-systems/MMHC-Country-Press-Note-Japan.pdf.
[3] Corrigan, P.W., Green, A., Lundin, R., Kubiak, M.A. and Penn, D.L. (2001) Familiarity with and Social Distance from People Who Have Serious Mental Illness. Psychiatric Services, 52, 953-958.
http://dx.doi.org/10.1176/appi.ps.52.7.953
[4] Crisp, A.H., Gelder, M.G., Rix, S., Meltzer, H.I. and Rowlands, O.J. (2000) Stigmatisation of People with Mental Illnesses. The British Journal of Psychiatry, 177, 4-7. http://dx.doi.org/10.1192/bjp.177.1.4
[5] WHO Media Center Fact Sheet No. 352 (2014) Disability and Health.
http://www.who.int/mediacentre/factsheets/fs352/en/
[6] Jobe, T.H. and Harrow, M. (2005) Long-Term Outcome of Patients with Schizophrenia, A Review. Canadian Journal of Psychiatry, 50, 892-900.
[7] Gastal, F.L., Andreoli, S.B., Quintana, M.I., Gameiroa, M.A., Leitea, S.O. and McGrathc, J. (2000) Predicting the Revolving Door Phenomenon among Patients with Schizophrenic, Affective Disorders and Non-Organic Psychoses. Revista de Saúde Pública, 34, 280-285.
http://dx.doi.org/10.1590/S0034-89102000000300011
[8] Frick, U., Frick, H., Langguth, B., Landgrebe, M., Hübner-Liebermann, B. and Hajak, G. (2013) The Revolving Door Phenomenon Revisited. Time to Readmission in 17’415 Patients with 37’697 Hospitalisations at a German Psychiatric Hospital. PLoS One, 8, e75612.
http://dx.doi.org/10.1371/journal.pone.0075612
[9] Long-Term Care, Health and Welfare Services for the Elderly Ministry of Health, Lavour and Welfare (2015) Elderly Person Care of 2015—For Establishment of the Care to Support the Dignity of the Elderly Person. (In Japanese) http://www.mhlw.go.jp/topics/kaigo/kentou/15kourei/3a.html
[10] Incorporated Administrative Agency National Statistics Center (2013) 2008 Patient Investigation. (In Japanese) http://www.e-stat.go.jp/SG1/estat/NewList.do?tid=000001031167
[11] Nakajima, N., Aiba, M., Fukuda, Y., BokuSoushin, B., Isomura, H., Tuda, H. and Hayashida, Y. (2009) Causes of Death in Hospitalized Elderly Patients. Nihon Ronen Igakkai Zasshi (Japanese Journal of Geriatrics), 46, 71-78. (In Japanese) http://dx.doi.org/10.3143/geriatrics.46.71
[12] NANDA International (2011) Nursing Diagnoses 2012-14 Definitions and Classification. Wiley-Blackwell, Hoboken.
[13] Ogasawara, C., Hasegawa, T., Kume, Y., Takahashi, I., Katayama, Y., Furuhashi, Y., Andoh, M., Yamamoto, Y., Okazaki, S. and Tanabe, M. (2005) Nursing Diagnoses and Interventions of Japanese Patients with End-Stage Breast Cancer Admitted for Different Care Purposes. International Journal of Nursing Terminologies and Classifications, 16, 54-64.
http://dx.doi.org/10.1111/j.1744-618X.2005.00014.x
[14] Henderson, V. (1997) Basic Principles of Nursing Care. American Nurses Publishing, Ltd., Washington DC.
[15] Chenitz, W.C. and Swanson, J.M. (1986) From Practice to Grounded Theory: Qualitative Research in Nursing. Addison-Wesley Publishing Company, Menlo Park.
[16] Dorothea, E. and Orem, D.E. (1985) Nursing Concepts of Practice. 3rd Edition, McGraw-Hill, New York.
[17] Minami, H. and Inaoka, F. (1987) A Concept of the Self-Care and Nursing Practice—From a Viewpoint of Dr. P.R. Underwood. Health Publishing Company, Tokyo.
[18] Okagaki, A., Koretsune, Y., Todo, R. and Kusuoka, H. (2007) Clinical Supporting System in Large-Scaled General Hospital with Customized Interface Layer between Electronic Patient Record System and Filemaker Pro. Proceedings of International Conference on Complex Medical Engineering, Beijing, 23-27 May 2007, 287-290. http://dx.doi.org/10.1109/iccme.2007.4381740
[19] Staggers, N., Weir, C. and Phansalkar, S. (2008) Chapter 47. Patient Safety and Health Information Technology: Role of the Electronic Health Record. In: Hughes, R.G., Ed., Patient Safety and Quality: An Evidence-Based Handbook for Nurses, Agency for Healthcare Research and Quality, Rockville, 251-265.
[20] Population Dynamics, Health Statistics Section Ministry of Health, Lavour and Welfare (2005) The General Condition of 2005 Medical Facilities (Static Condition, Change) Investigation. The Hospital Report. http://www.mhlw.go.jp/toukei/saikin/hw/iryosd/05/kekka1-3.html
[21] Nin, K. (2009) Nursing Process Development Guide—According to Henderson, Gordon, a Framework of NANDA. 2nd Edition, Shorinsha, Tokyo.
[22] Stuart, G.W. and Laraia, M.T. (2005) Principles and Practice of Psychiatric Nursing. 8th Edition, Mosby, Inc., St. Louis.
[23] Matson, J.L., Hattier, M.A., Belva, B. and Matson, M.L. (2013) Pica in Persons with Developmental Disabilities: Approaches to Treatment. Research in Developmental Disabilities, 34, 2564-2571. http://dx.doi.org/10.1016/j.ridd.2013.05.018
[24] Ministry of Health, Labour and Welfare (2007) Health Statistics in Japan 2007. (In Japanese) http://www.mhlw.go.jp/english/database/db-hss/dl/hs2007a.pdf
[25] Central Medical Council, Ministry of Health, Labour and Welfare (2013) About Mind Medical Care. (In Japanese) http://www.mhlw.go.jp/file/05-Shingikai-12404000-Hokenkyoku-Iryouka/0000031076.pdf
[26] Rudnick, A. and Martins, J. (2009) Coping and Schizophrenia: A Re-Analysis. Archives of Psychiatric Nursing, 23, 11-15. http://dx.doi.org/10.1016/j.apnu.2008.02.009
[27] Bowers, L. (2005) Reasons for Admission and Their Implications for the Nature of Acute Inpatient Psychiatric Nursing. Journal of Psychiatric and Mental Health Nursing, 12, 231-236.
http://dx.doi.org/10.1111/j.1365-2850.2004.00825.x
[28] Kataoka, M., Ozawa, K., Tanioka, T. and Locsin, R. (2015) Clarifying the Strengths-Oriented Attitude among Nurses in Psychiatric Hospitals in Japan. Health, 7, 776-787.
http://dx.doi.org/10.4236/health.2015.76092
[29] Boykin, A. and Schoenhofer, S.O. (2001) Caring: A Model for Transforming Practice. Jones & Bartlett Learning, Burlington.
[30] Evansa, J.D., Heatona, R.K., Paulsenc, J.S., Palmera, B.W., Pattersona, T. and Jestea, D.V. (2003) The Relationship of Neuropsychological Abilities to Specific Domains of Functional Capacity in Older Schizophrenia Patients. Biological Psychiatry, 53, 422-430.
http://dx.doi.org/10.1016/S0006-3223(02)01476-2
[31] Sawada, A., Porter, S.E., Kayama, M., Setoya, N. and Miyamoto, Y. (2006) Nursing Care Delivery in Japanese Psychiatric Units. British Journal in Nursing, 15, 920-925.
http://dx.doi.org/10.12968/bjon.2006.15.17.21906
[32] Sano, T., Harada, M., Sugawara, T., Isaka, N., Masuoka, A., Mikami, A., Shimamori, Y. and Kurosawa, N. (2013) Use of Psychotropics and the Risk of Falls in Hospitalized Psychiatric Patients. Yakugaku Zasshi, 133, 897-903. (In Japanese) http://dx.doi.org/10.1248/yakushi.13-00003
[33] Stenhagen, M., Ekstrom, H., Nordell, E. and Elmstahl, S. (2014) Both Deterioration and Improvement in Activities of Daily Living Are Related to Falls: A 6-Year Follow-Up of the General Elderly Population Study Good Aging in Skone. Clinical Interventions in Aging, 9, 1839-1846.
[34] Soderqvist, A., Stromberg, L., Ponzer, S. and Tidermark, J. (2006) Documenting the Cognitive Status of Hip Fracture Patients Using the Short Portable Mental Status Questionnaire. Journal of Clinical Nursing, 15, 308-314. http://dx.doi.org/10.1111/j.1365-2702.2006.01296.x
[35] Gallego, A.J., Nielsen, J., Hert, D.M., Kane, J.M. and Correll, C.U. (2012) Safety and Tolerability of Antipsychotic Polypharmacy. Expert Opinion on Drug Safety, 11, 527-542.
http://dx.doi.org/10.1517/14740338.2012.683523
[36] Steven, J.W. and Gerrit, W.C. (1996) Development of a Policy on Sexuality for Hospitalized Chronic Psychiatric Patients. Canadian Journal of Psychiatry, 41, 273-279.
[37] Tanioka, T., Mano, M., Takasaka, Y., Tada, T. and Kawanishi, C. (2006) Challenge of Psychiatric Rehabilitation for Patients with Long-Term Hospitalizations Using the Nirje’s Normalization Principles as a Valuation Standard: Two Case Studies. The Journal of Medical Investigation, 53, 209-217. http://dx.doi.org/10.2152/jmi.53.209

  
comments powered by Disqus

Copyright © 2018 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.