DEVELOPMENT OF A CURRICULUM MODEL OF PSYCHIATRIC MENTAL HEALTH NURSING

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The objectives of this research was to identify the current status of psychiatric mental health nursing in the Japanese nursing education and to establish a new curriculum model of psychiatric mental health nursing. Firstly the literatures on the nursing education in USA and Britain since 1950's were reviewed and it was found that there has been the major splitting in the psychiatric mental health nursing : special' and fundamental'. The former regard it as a special nursing area which needs specific knowledge and skills while the latter regards it as a fundamental area which has common knowlege and skills which are shared with other areas in general nursing. Secondly the questionnaires which were sent to 21 nursing colleges in Japan and a similar tendency was found in the results.Then interviews with 13 college professor were made which reveal the wide varieties of their educational and professional backgrounds and their opinions about the psychiatric mental health nursing varied acco … More rdingly.Then the extensive research of all Japanese nursing schools was curried out and the answers were analyzed by computer software HALBOU.The result indicated there were six elements in the contents of psychiatric mental health nursing and those elements were disintegrated and taught separately. And the lack of theoretical framework which could integrate the understanding of human relations and psychiatric nursing practice became clear. It was also suggested that the experts of psychiatric nursing should be employed as a full-time teachers because the strong relations were found between what was taught in the class and the professional careers and educational backgrounds of the teachers.And it was also found that the statutory regulations of nursing education strongly effected upon the every school which did not seem apropriate for the psychiatric services changing drastically from the hosptal-based to the community-based and newly developing roles of nursing. So a new concept of psychiatric mental health nursing which can be applied to the current psychiatric mental health nursing services not only theoretically but also practically must be emerged. Finally the researchers presented a theoretical model based on the object relations theories. Less