title: Nursing care delivery in Japanese psychiatric units.
abstract: Japan has the largest number of psychiatric beds per population in the world. At the same time, little research had been done to describe nursing care delivered in psychiatric units. To describe contents of nursing care, the framework for care classification and measuring methods must be examined. The purpose of this study was to develop a nursing intervention classification and examine the correlation between amount of care and patients' mental states. Data were collected from 39 patient care records from 4 randomly selected psychiatric hospitals. Patients' function and condition were evaluated by their doctors using the Global Assessment of Functioning (GAF) and the Brief Psychiatric Rating Scale (BPRS). Six care categories were extracted: basic activities of daily living, psychological support/interpersonal skills, medical support, monitoring, family support and miscellaneous. By examining three cases with this classification, there were significant correlations between the GAF and BPRS scores and amount of care for two acutely ill psychotic patients.
authors.affiliation: Department of Psychiatric Nursing, Graduate School of Medicine, University of Tokyo, Japan.
authors.forename: Aki
authors.initials: A
authors.lastname: Sawada
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Porter
authors.forename: Mami
authors.initials: M
authors.lastname: Kayama
authors.forename: Nozomi
authors.initials: N
authors.lastname: Setoya
authors.forename: Yuki
authors.initials: Y
authors.lastname: Miyamoto
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003695:Delivery of Health Care / Q000145:classification / Q000458:organization & administration; D016903:Drug Monitoring / Q000451:nursing; D005260:Female; D006778:Hospitals, Psychiatric; D006801:Humans; D007564:Japan; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000451:nursing* / Q000523:psychology; D008875:Middle Aged; D024802:Nurse's Role / Q000523:psychology; D009723:Nurse-Patient Relations; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D011568:Psychiatric Nursing / Q000145:classification* / Q000458:organization & administration; D011569:Psychiatric Status Rating Scales; D036301:Qualitative Research; D012944:Social Support; D013996:Time and Motion Studies