Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo 113-8510, Japan.
Int J Environ Res Public Health. 2023 Oct 24;20(21):6965. doi: 10.3390/ijerph20216965.
The number of people with mental disorders (PMD) living in the community is increasing; however, it is unclear how home-visiting nurses (HVNs) supporting them in the community acquire their support skills. This study aimed to reveal the process of how HVNs learn support skills for PMD. Semi-structured interviews were conducted with 14 HVNs supporting PMD living in the community. The grounded theory approach was used for data analysis. As a result, two stages were present: "Explore the personal recovery of PMD" and "Believe in the potential of PMD and accompanying them". The first stage is further divided into two themes: "Overlapping the worlds of PMD and HVNs", and "Easing difficulty in living for PMD". In the first stage, HVNs gained a better understanding of PMD and obtained insight into the support they needed in their daily lives. In the second stage, HVNs became to provide the support that PMD truly needed. HVNs gained a deeper understanding of the reality of PMD through their support. After HVNs found the support PMD required, they sought to provide it, ultimately resulting in finding ways to facilitate the personal recovery of PMD.
社区中精神障碍患者(PMD)的数量正在增加;然而,尚不清楚在社区中支持他们的家庭访视护士(HVN)如何获得支持技能。本研究旨在揭示 HVN 学习支持 PMD 技能的过程。对 14 名在社区中支持 PMD 的 HVN 进行了半结构化访谈。使用扎根理论方法进行数据分析。结果显示存在两个阶段:“探索 PMD 的个人康复”和“相信 PMD 的潜力并陪伴他们”。第一阶段进一步分为两个主题:“PMD 和 HVN 的世界重叠”和“减轻 PMD 的生活困难”。在第一阶段,HVN 对 PMD 有了更好的了解,并深入了解他们日常生活中所需的支持。在第二阶段,HVN 开始提供 PMD 真正需要的支持。HVN 通过他们的支持对 PMD 的现实有了更深入的了解。在 HVN 找到 PMD 需要的支持后,他们试图提供支持,最终找到了促进 PMD 个人康复的方法。