{"created":"2023-05-15T10:11:53.872631+00:00","id":1479,"links":{},"metadata":{"_buckets":{"deposit":"dd823d3b-fc7c-4ff5-8521-1fd377324c10"},"_deposit":{"created_by":11,"id":"1479","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"1479"},"status":"published"},"_oai":{"id":"oai:meio-u.repo.nii.ac.jp:00001479","sets":["60:124"]},"author_link":["3284","3283"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021-03-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"157","bibliographicPageStart":"149","bibliographic_titles":[{"bibliographic_title":"環太平洋地域文化研究"},{"bibliographic_title":"Pacific Rim Studies","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"目的：退院拒否を翻した長期入院精神障害者の地域移行支援が停滞した実践内容を，患者の立場になって理解する視点から解明する。\n方法：担当看護師の実践の振り返りと看護記録等を，受け持ちから６年間の時系列にそって大小の見出しをつけた。\n結果：実践内容は，①担当看護師の共感に基づく【現状肯定】を関係性の基盤としていた。②繰り返されるＡ氏の逸脱行為に対して社会的入院を強いられている「人」と理解しつつも，【わかるけどダメ】と対応していた。③地域移行支援では，本人や家族の意向に添えない【難しい注文】をしていた。\n結論：地域移行が停滞する実践内容には次の３点が見出された。①共感に基づく現状肯定には，看護の方向性を見失うことや自己移入のリスクがある。②看護師が言葉を閉ざすことで患者を孤立させる可能性がある。③患者の立場になって理解したことを自由に表現する看護師の主体性が狭められていた。","subitem_description_type":"Abstract"},{"subitem_description":"Objective: This study aimed to examine the care practices that led to stagnation of community transition support for a long-term inpatient with mental illness who had retracted his refusal for hospital discharge and clarify the contents from the patient’s viewpoint. \nMethods: Based on the nurse’s review about the care practices, nursing records, and events, since the assignment 6 years ago, we organized chronologically using small and large headings.\nResults: The care practices were （1）founded on a relationship built on the nurse’s acceptance by the empathy with the patient; （2）facing Mr. A’s repeated deviant behaviors, though the nurse knew that he is “a person” being involuntarily in the hospital, the nurse was forced saying “Yes and No“; and（3）community transition support made “difficult requests” not in line with the wishes of the patient or family.\nConclusion: The following three points were obtained:（1）accepting the current state based on empathy may cause the nurse to lose sight of nursing direction and reflect himself in the patient;（2）the nurse’s closing his free dialog may cause the patient to be isolated; and（3） the nurse narrow his comportment, by preventing from freely expressing the patient’s viewpoint.","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"名桜大学環太平洋地域文化研究所"}]},"item_10002_rights_15":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"名桜大学"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"2435-7510","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"村上, 満子"},{"creatorName":"ムラカミ, ミツコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"3283","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Murakami, Mitsuko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"3284","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-07-07"}],"displaytype":"detail","filename":"149-157 10村上満子（研究ノート）（環太平洋地域文化研究　№２）.pdf","filesize":[{"value":"1.5 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"149-157 10村上満子（研究ノート）（環太平洋地域文化研究　№２）","url":"https://meio-u.repo.nii.ac.jp/record/1479/files/149-157 10村上満子（研究ノート）（環太平洋地域文化研究　№２）.pdf"},"version_id":"eed3caf7-6969-4593-96a6-18b167b17e64"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"長期入院精神障害者","subitem_subject_scheme":"Other"},{"subitem_subject":"地域移行の停滞","subitem_subject_scheme":"Other"},{"subitem_subject":"患者の立場になって理解すること","subitem_subject_scheme":"Other"},{"subitem_subject":"実践内容","subitem_subject_scheme":"Other"},{"subitem_subject":"long-term inpatient with mental illness","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"stagnation of community transition","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"understanding from the patient’s viewpoint","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"practical contents","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"長期入院精神障害者の地域移行支援が停滞するときに起こっていること ―患者の立場になって理解するということ―","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"長期入院精神障害者の地域移行支援が停滞するときに起こっていること ―患者の立場になって理解するということ―"},{"subitem_title":"What happens when community transition support for a long-term inpatient with mental illness is stagnant: understanding from the patient’s viewpoint","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"11","path":["124"],"pubdate":{"attribute_name":"公開日","attribute_value":"2021-07-09"},"publish_date":"2021-07-09","publish_status":"0","recid":"1479","relation_version_is_last":true,"title":["長期入院精神障害者の地域移行支援が停滞するときに起こっていること ―患者の立場になって理解するということ―"],"weko_creator_id":"11","weko_shared_id":11},"updated":"2023-05-15T11:02:41.837586+00:00"}