Based on a modified grounded theory approach, in this study, we sought to elucidate the nursing care process used to guide psychiatric inpatients in long-term seclusion towards release from seclusion. Participant observations and interviews were conducted with a total of 18 nurses from three long-term psychiatric wards at two institutions from September 2011 to November 2012, to collect data on the nursing care they provided for psychiatric patients in long-term seclusion. Consequently, four categories and 15 concepts were extracted. The nurses viewed "a mature therapeutic environment that utilizes flexible apportionment of care" as the foundation (i.e. the core category) in guiding psychiatric inpatients towards release from long-term seclusion. The results revealed a care structure in which nurses in such a treatment environment provided care by flexible apportionment of three types of care: care aimed at avoiding mental and physical exhaustion, standardized care that does not confer a disadvantage to patients, and immediately responding to prevent problematic behaviors.

The present study reports the findings of a qualitative, descriptive study that sought to clarify nursing philosophy for community mental health nurses (CMHN) working at independent psychiatric home-visit nursing agencies in Japan. We carried out participant observation and semistructured interviews with 13 CMHN in rural and urban areas. We identified eight subthemes and three higher-order themes based on these subthemes. CMHN embraced a nursing philosophy in which they: (i) have respect for consumers' ways of life and their self-realization; (ii) find harmony between view of life and work; and (iii) build communities where residents support each other beyond their roles. Together, these themes constitute a valuable nursing philosophy that supports the recovery of people with mental illness. The themes could also help educate professionals about principles and meanings relevant to recovery, which are regarded as key to changing the professional's care paradigm from a biomedical model to a recovery model.

As a global trend in mental health and welfare services, the community is increasingly considered to play a central role in the lives of people with mental illness. Group homes (GHs) are used globally as a means of promoting deinstitutionalization and establishing community life. The Japanese government issued a call to build Community-Based Integrated Care Systems for people with mental illness (CICSM). Therefore, we evaluated the location characteristics of GHs to determine the feasibility of daily life skills training, using a Geographic Information System (GIS). The target area was Ishikawa Prefecture. The size of everyday living areas (ELAs) for older adults was set at 1.8 km, and at 2.5 km for adults. We counted the number of service providers (SPs). Two GHs in the adult ELA and two GHs in the older adult ELA did not have SPs. Eight GHs had only one SP in their ELAs. Results showed that GHs with no or a few SPs in their ELAs are disadvantaged in shopping skills training. These findings may help people with mental illness in various countries develop support plans to effectively provide daily life training, considering the characteristics of the geographical environment and social resources around their living bases.

The use of coercive measures in psychiatric inpatient settings has been an important issue for many years. Nursing interventions based on a strengths model could enable a reduction in the use of these measures. This study aimed to describe the practice of nursing interventions using a strengths model for psychiatric inpatients who have been in seclusion for a long time. We also constructed a nursing model to minimize coercive measures. The participants were eight inpatients who had been in seclusion for a long time. Nursing interventions based on a strengths model were implemented in collaboration with nurses from six long-term care units in three psychiatric hospitals in Japan. For 4 of the 8 participants, the seclusion time decreased by 20–45%. However, for another 2, it increased by about 23–34%. An average decrease of 9.6% was observed, and the open observation time increased by 1.4 h per day on the seclusion days. When using this model, the nurses considered the effects of stimulating strengths. We believe this approach may promote inpatients’ self-insight. Considering the perspective of stimulus adjustment might be useful for maximizing the positive effects of working on strengths.

Aim: e aim of this study was reveal acquisition process of the motivation for job continuation in new graduate nurse.Method: Semi-structured interviews were conducted with 6 new graduate nurses. Data were analyzed using e Modi ed Grounded eory Approach. Results: New graduate nurses were familiar with nursing techniques and had adapted to working arrangements. In addition, they felt capable based on evaluations made by senior nurses and patients and on changes in their perception of patients. e graduate nurses had already entered a phase of self-realization and started the process of becoming an ideal nurse. To reduce stress, they reminded themselves of their reasons for choosing nursing, changed the pace of their work, and reminded themselves to accept the normal challenges of the job. Colleagues and friends supported the new graduate nurses in going through the process of evaluating their jobs, and the graduates also rebuilt their motivation through discovering the professional advantages that nursing o ers.Conclusion: ese results of the study suggest that, to facilitate the acquisition process of the motivation for job continuation required to remain in nursing, new graduate nurses need to smoothly establish a foundation for their role as a nurse and to view nursing as an occupation. 6