Inventi Impact: Advanced Nursing

Inventi:han/20751/16

Prioritizing Patient Assessment Data (PAD) Using the Japanese Psychiatric Nursing Assessment\nClassification System (PsyNACS)©

The study identified priorities of the Patient Assessment Data (PAD) using the Japanese Psychiatric\nNursing Assessment Classification System (PsyNACSÃ?©) derived from 644 psychiatric nursesââ?¬â?¢\nresponses who were practicing in specific units: Acute Care Units (ACU), General Care Units (GCU),\nLong-term Care Units (LCU), physically Complicated Disease Care Units (CDCU), and Dementia Care\nUnits (DCU). Secondary analysis of the PsyNACSÃ?© on-line survey data using four levels of ââ?¬Å?importanceââ?¬Â\nwas used to determine the priorities: 1) unnecessary; 2) quite important; 3) important and\n4) very important. The Mean Factor Points (MFP) and the Welchââ?¬â?¢s ANOVA were calculated. Psy-\nNACSÃ?© score of 3 or higher indicates the PAD as priority. The results showed that in the ACU PAD1,\nââ?¬Å?Psychological symptomââ?¬Â, ââ?¬Å?Stress copingââ?¬Â, and ââ?¬Å?Mood disorder and aggressionââ?¬Â, and PAD2 ââ?¬Å?Information\nof adherenceââ?¬Â, and ââ?¬Å?Information of the psychiatry rehabilitationââ?¬Â, and PAD7 ââ?¬Å?Situation of\nthe family and social lifeââ?¬Â, ââ?¬Å?Relationship to the health care providersââ?¬Â, and ââ?¬Å?Relationships with\nothersââ?¬Â are high priority (high importance). Other PADs showed results below PsyNACSÃ?© score of\n3. The GCU had PAD 3 ââ?¬Å?Balance of waterââ?¬Â, the LCU had PAD 4 ââ?¬Å?Intention/Point of viewââ?¬Â, and\nââ?¬Å?Thoughts of the patientââ?¬Â and PAD 7 ââ?¬Å?Disease and familyââ?¬Â. The CDCU showed PAD 2 ââ?¬Å?Blood testââ?¬Â,\nPAD 3 ââ?¬Å?Excretion situationââ?¬Â, and PAD 5 ââ?¬Å?General health conditionââ?¬Â, ââ?¬Å?Respiratory and chest symp-tomââ?¬Â, and ââ?¬Å?Vital signsââ?¬Â, and the DCU had PAD 1 ââ?¬Å?Cognition functionââ?¬Â, and ââ?¬Å?Delirium and derangement\ncapacity to register failureââ?¬Â, PAD 3 ââ?¬Å?Function of eatingââ?¬Â, PAD 6 ââ?¬Å?Egestion and cleanlinessââ?¬Â and\nPAD 8 ââ?¬Å?Activity and sleepingââ?¬Â, and ââ?¬Å?Mobility capabilityââ?¬Â. These classifications indicated levels of\nimportance in the CAD comprising the PAD below the score of ââ?¬Å?2ââ?¬Â. Japanese psychiatric hospitals\nspecify assessments according to functional areas. By prioritizing the CAD for each PAD, more effective\nand efficient assessments can be performed according to practice unit.