Sachiko Deguchi
currently she is teaching at Kitasato University.
Title: Status and issues of Japanese psychiatric hospitals; Based on the hearing from nursing directors
Biography
Biography: Sachiko Deguchi
Abstract
In Japan, over 90% of the psychiatric hospitals are private hospitals where there are long stayed patients and have problems of
social hospitalization and revolving door etc. The psychiatric nursing staff has various educational background and many of
them are mid- career recruited workers and the employee turn-over rate is higher than general practice nurses. So the directors
of nursing have been facing difficulties of career education. To clarify the difficulty of continuous learning, the needs of nurses,
learning and to give some suggestions on the continuing education, we interviewed five directors of nursing service department
at five different private psychiatric hospitals. As a result, we have found out they understand that the base of nursing care’s
quality depends on the continuing education supported by staff. So, they have been working together with the back office on a
trial -and –error bases. They are looking for the way to succeed in continuing education, while experiencing difficulties. On the
other hand, due to the various social backgrounds of nursing staff at private psychiatric hospitals, there is the limit to conduct
conventional top-down education. They should rather have the bottom –up type learning-support programs. Moreover, it was
suggested that it is important to support the directors of nursing as well as to maintain effective tie -up between the specialists.