Patient-authored medical record II: A not-knowing approach to psychiatric nursing

IF 2.2 4区 医学 Q1 NURSING Archives of Psychiatric Nursing Pub Date : 2024-06-18 DOI:10.1016/j.apnu.2024.06.012
Chizuru Tsubonouchi , Midori Asano , Naoki Nomura
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Abstract

A patient-authored medical record (PAMR) is a narrative-based prescription that is written by a psychiatric patient with help from a nurse. It is a tool specifically designed and developed for psychiatric nursing. We have reported its notable therapeutic effects for Japanese patients and found that the patients had accurate views of how to improve their illness. The present paper, which broadens the scope of this examination, includes the entire process of using this tool, including both patient-authored medical records and follow-up dialogue. We aim to demonstrate how a patient's potentials are leveraged and expanded through the interpretation of such texts through dialogue, in which interpretation takes the form of a conversational question based on not-knowing. Follow-up meetings facilitate the therapeutic process and team collaboration for patients, medical staff, and families. We also reaffirm the soundness and legitimacy of psychiatric patients writing their own prescription with help from a nurse.

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患者撰写的病历 II:精神科护理的不可知方法
患者撰写的医疗记录(PAMR)是由精神病患者在护士的帮助下撰写的基于叙述的处方。它是专门为精神科护理设计和开发的工具。我们曾报道过它对日本患者的显著治疗效果,并发现患者对如何改善病情有准确的看法。本文扩大了这一研究的范围,包括使用这一工具的整个过程,包括患者撰写的医疗记录和后续对话。我们的目的是展示如何通过对话解读这些文本来发挥和拓展病人的潜能,在对话中,解读采取了基于 "不知道 "的对话式提问的形式。后续会议促进了患者、医务人员和家属的治疗过程和团队合作。我们还重申了精神病患者在护士帮助下自己开处方的合理性和合法性。
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来源期刊
CiteScore
3.70
自引率
0.00%
发文量
131
审稿时长
160 days
期刊介绍: Archives of Psychiatric Nursing disseminates original, peer-reviewed research that is of interest to psychiatric and mental health care nurses. The field is considered in its broadest perspective, including theory, practice and research applications related to all ages, special populations, settings, and interdisciplinary collaborations in both the public and private sectors. Through critical study, expositions, and review of practice, Archives of Psychiatric Nursing is a medium for clinical scholarship to provide theoretical linkages among diverse areas of practice.
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ISPN News Forging connections: The imperative of global collaboration in behavioral health TOC editor's page/editorial board masthead, subscriber information
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