Nurses’ Recognition for Care for Patients in Psychiatric Wards

World Journal of Nursing Research | Vol 1, Issue 1

Table 2. Categories about recognition for nursing in psychiatric wards

Code	Subcategory	Category
・We had difficulties such that the price of goods were high and we couldn’t use them as usual.	1) Stress from lackof goods	1. Increase of stress and fatigue caused of infection control
・All staffs work on prevention infection. ・We worry about cluster occurrence. ・I felt difficulties and effort to behave with consciousness of infection control. ・It is hard to prevent infection.	2) Difficulty ofinfection control
・Strengthening and limitation of infection prevention increases stress. ・Not keeping up with the measures for prevention strength/fatigue, ・I felt fatigued by changing information. ・We tend to propose business instead of nursing. ・We were fatigued physically by coping with infection control.	3) Increase of stress and fatigue
・I am always anxious about bringing virus in the hospital. ・I pay attention to risk of bringing virus in. ・I pay attention to self-hygiene on a holiday. ・I have been tired because I can’t release stress on a holiday.	4) Concerned about infection in private time

・Patients might feel crippled since they couldn’t sleep at night. ・Continuation of infection prevention like mask or washing hands may be a stress. ・Patients couldn’t meet their families and friends. ・Patients live in hospital feeling crippled.	5) Stress of patients due to limits in hospitalized life	2. Negative effects to body and mind of patients
・It seems to take much time to recover from their sickness because of sense of obstruction in society. ・I feel that the health level of patients is lower than that of last year. ・I feel psychological distance between a patient and me.	6) Long-time negative effects to patients

・Voice is hardly heard for elderly far from ear with masks. ・The other person’s expression is hard to understand with mask. ・Patients and nurse have difficulty mutually communicating with mask in psychiatric nursing.	7) Obstacle to communication with patients by mask	3. Effects to nursing care in psychiatric nursing
・Patients understand the states of Corona and we are grateful for patients’ understanding. ・It is hard for us to get understanding and cooperation from patients at chronic wards in psychiatry. ・I wonder if a patient with mental disease may follow a rule of not leaving their room. ・It may be hard for us to get cooperation of infection prevention countermeasures.	8) Differences by degree of cooperation depending on comprehension
・Moving to life after discharge is difficult because patients couldn’t have a chance of meeting face-to-face and had a sleepless night. ・Nurses had difficulty seeing how patients live at home because they can’t stay overnight. ・Patients couldn’t or had a hard time to have relationships with families. ・Nurses had a hard time to see relationships between a patient and family members or support power.	9) Difficulty of discharge support because of being hard to see family relationships

・Thinking or consciousness for infection improves whole hospitals. ・Nurses thought explanation about infection control does not convey well to patients or staffs. ・Nurses couldn’t perform unified measures, because there were various ways of receiving explanation. ・Nurses have impression that adaptation to infection control of patients was better than that of staffs.	10) Differences of cognition for infection control among staffs		4. Differences of attitude toward infection control in the hospital
・Nurses felt difficulties for cooperation in a hospital to perform infection control. ・There are differences of business burden in each department. ・Nurses had difficulties about getting understanding of infection control by non-medical staffs.	11) Difficulties of cooperation with each department for infection control
・Psychiatry nurses work such that they get in touch on mental problems. ・There is a cultural climate such that nurses are conscious for other staffs mutually and support each other.	12) Compassion of psychiatric nurses mutually

・Nurses had difficulty to talk around people as medical staffs. ・Nurses felt sad that medical staffs disliked in nursery school in TV.	13) Prejudice to health care workers		5. Cognition of social movement related to Corona -virus
・Nurses felt that people became irritable, since people around get out when I sneeze with hay fever. ・I was often worried about visits and attendants in pediatrics.	14) Overreaction of people to infection
・Nurses felt that people get a new social rule like disinfection, mask and temperature measurement. ・I think that it is better for people to get along with Coronavirus without overreacting. ・I would like to get along with Coronavirus like any other illness. ・PR or enlightenment activities are needed for people to get along.	15) Necessity of coping with Coronavirus for future
・I felt unequal such that only accepting hospitals of Coronavirus patients have great burden. ・Single department psychiatry didn’t accept corona virus patients. ・Infection controls were different by hospitals.	16) Difference of accepting burden or infection control in each hospital

・I felt that interaction with people was very precious. ・I became grateful for everyday life.	17) Awareness of importance of everyday life	6. New awareness by Corona infection and future
・I felt that infection prevention is important since there is not corona virus patient. ・I recognize that protecting my health lead to protecting other people who I am related to. ・To protect patients’ and staff‘s safety is important, through requiring changes in easier and harder parts.	18) Importance of protection of patients, staffs, and myself from infection
・I have to take leading role to improve knowledge and skills in nursing. ・Relax of nursing standards such that nurses in community can cooperate in order to make up for the shortage of human resources.	19) Importance of sending out information for social outreach about medicine

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