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Learning Objective 1: The learner will be able to consider about how nurses and doctors should have cooperated to make use of each other's roles to the maximum.
Learning Objective 2: The learner will be able to know the problems and the dilenmas about the seclusion and the physical restraint in the Japanese psychiatric ward.
Methods: This study was analyzed by the qualitative inductive approach. The semi-structured interviews were done to collect data. Subjects; 12 doctors and 14 nurses. Average of doctor’s experience;12.9 years, average of nurse’s experience;8.1 years. Average of interview time;30 minutes. This study was started after approving from the Ethical Committee of Kanazawa University.
Results: 9 categories extracted both the doctors and the nurses; “Secure safety in the whole of the ward”, “Making up the imperfection of the ward”, “Judgment on the necessity about the seclusion and the physical restraint”, “Evasion of action limitation due to calming down”, “Action limitation by rapid teamwork”, “Releasing step by step”, “Doubting to the non-treated side”, “Dilemma to the unethical action”, “Fear to the unstable patients”. 5 categories extracted by the doctors; “Necessary and indispensable therapeutic procedure”, “The prevention of the delay of treatment”, “Use of nursing judgments”, “Keeping the relation of treatment”, “Keep understanding of the key person”. 3 categories extracted by the nurses; “Nursing to self-care”, “Gathering nursing date to release”, “Check of the nursing date”.
Conclusion: The doctor kept a constant distance with the patient, and was accomplishing treatments as a doctor in the process of the seclusion and the physical restraint. The nurse was aiming to regain the original life level of patients, and nurse was trying to support patient's daily life.
See more of: World Academy of Nursing Science: Oral Paper & Posters