毎週火曜日10:30-14:30/Every Tuesday, 10 / 30am-2 / 30pm 毎週水曜日13:00-14:30/Every Wed, 1 / 00pm-2 / 30pm. 単位数/Credit(s): 2. 授業代表教員/Director: 吉井 初美. 開講期間/Term of Classes: 2024年12月25日(水)~2025年2月4日(火) From Wed, 25 Dec 2024 to Tuesday, 4 February 2025. 履修年度: 2024. 科目ナンバリング/Course Numbering: -J. 使用言語/Language Used in Course: 日本語.
救急・急性期精神看護
救急・急性期精神看護
Psychiatric Emergency Nursing
吉井初美、中西三春、坂井舞、柴田裕希/Hatsumi Yoshii, Miharu Nakanishi, mai Sakai, Yuki Shibata
原則第3講義室で開講する。しかし、次の日時は別教室で授業を行う。
1/7(第6講義室)、1/14(10:30~第5、13:00~第3講義室)、1/21(第5講義室)、1/29(第5講義室)。
In principle, classes will be held in Lecture Room 3. However, classes will be held in a different classroom on the following dates and times.
1/7 (Lecture Room 6), 1/14 (10:30 - Lecture Room 5, 13:00 - Lecture Room 3), 1/21 (Lecture Room 5), 1/29 (Lecture Room 5).
精神疾患の救急・急性期における患者とその家族に対して、これまでに学んだ危機理論をはじめとする各種理論を用いた高度な精神看護を実践するための能力を養う。また、行動制限中の患者や精神科救急・急性期の患者に見られがちな興奮・攻撃性に対するアセスメントとリスクマネジメント、暴力の予防、援助技法を演習を通して習得する。さらに、精神看護専門看護師の役割である、実践、教育、相談、研究、調整、倫理的調整の方法と技術を精神科救急・急性期で発展させる。
To foster the competence to practice advanced mental health nursing interventions to patients with mental illness in psychiatric emergency and/or acute care and their families by applying various theories such as the crisis theory that were learnt in previous sessions. In addition, to learn assessment and risk management of agitation and aggression that are often observed in patients with behavioural restrictions, or those in psychiatric emergency and/or acute care units; violence prevention, and support techniques through the practice sessions. Furthermore, to extend approaches and skills in psychiatric emergency and/or acute care for practice, education, consultation, research, coordination, and ethical coordination that are roles of psychiatric-mental health clinical nurse specialists.
1)救急・急性期精神看護の対象である患者とその家族の状態をバイオサイコソーシャル面から既習の理論を用いてアセスメントし、援助する方法を習得できる。
2)行動制限中の患者や興奮・攻撃性のある患者に対する危機理論等を用いたアセスメントとリスクマネジメント、予防法、援助技法を習得できる。
3)救急・急性期精神看護の対象である患者とその家族に対する権利擁護、倫理調整、意思決定支援の方法を習得できる。
4)救急・急性期精神看護の対象である患者とその家族へ卓越した看護を提供するために必要な実践、教育、相談、研究、調整、倫理的調整を検討できる。
1) Learn techniques for assessment of bio-psychosocial aspects by applying learnt theories, and support for patients and families who are subject to psychiatric emergency and/or acute nursing care.
2) Learn techniques for assessment, risk management, violence prevention and support for patients with behaviour restrictions, agitation, or aggression by applying the crisis theory.
3) To learn approaches for advocacy, ethical coordination, and support for decision making for patients and families who are subject to psychiatric emergency and/or acute nursing care.
4) To foster the competence to examine practice, education, consultation, research, coordination, and ethical coordination that are required to provide advanced nursing interventions to patients and families who are subject to psychiatric emergency and/or acute nursing care.
第1回(12.25Meet) 精神科救急システムと治療環境の特性および精神看護専門看護師の役割と機能
第2回(1.7Meet) 精神科救急・急性期における治療と看護
第3-5回(1.7,8,14Meet) 興奮・攻撃性・暴力のアセスメントと予防、ケア
第6回(1.14Meet) 自傷他害、自殺未遂者へのケアの基本軸
第7回(1.15Meet) 精神科救急・急性期における患者の権利擁護、倫理調整、意思決定支援
第8回(1.21Meet) 精神症状の再燃・再発の早期発見と対応
第9回(1. 21Meet) 精神科救急・急性期における興奮・攻撃性・暴力のアセスメントと予防;事例検討
第10回(1.22Meet) )精神科救急・急性期における患者の行動制限に対するケア①
第11回(1.28演習)精神科救急・急性期における暴力への対応
第12回(1.28演習)精神科救急・急性期における身体拘束技法の習得
第13回(1.29Meet) 精神科救急・急性期における患者の行動制限に対するケア②
第14回(2.4Meet) 精神科救急・急性期における患者の症状とケア①事例検討
第15回(2.4Meet) 精神科救急・急性期における患者の症状とケア②事例検討
1st session: Characteristics of psychiatric emergency service systems and treatment environment, and psychiatric-mental health clinical nurse specialists’ role and function
2nd session: Treatment and nursing care in psychiatric emergency and/or acute care
3rd-5th session: Assessment, prevention, and care for agitation, aggression, and violence
6th session: Basic rationales of care for the person with self-harm or suicidal attempt
7th session: Advocacy, ethical coordination, and support for decision making for patients in psychiatric emergency and/or acute care
8th session:Early identification and intervention to relapse and recurrence of psychiatric symptoms
9th session: Assessment and prevention of agitation, aggression, and violence in psychiatric emergency and/or acute care; A case study
10th session: Care for patients with behavioural restrictions in psychiatric emergency and/or acute care (1)
11th session: Interventions to violence in psychiatric emergency and/or acute care
12th session:Learning of techniques for mechanical restraint in psychiatric emergency and/or acute care
13th session: Care for patients with behavioural restrictions in psychiatric emergency and/or acute care (2)
14th session: Care for symptoms of patients in psychiatric emergency and/or acute care units (1)
15th session: Care for symptoms of patients in psychiatric emergency and/or acute care units (2)
演習における習得度で評価する。
Grade evaluation will be based on overall achievement level of learning in practice sessions.
事前に、精神看護学特論Ⅰ、Ⅱ、精神看護学セミナーⅠ、Ⅱ、Ⅲ、Ⅳを復習しておくこと。
Review lessons of Theory of Psychiatric Nursing I and II, and Psychiatric Nursing Seminar I-IV, prior to the session.
精神看護CNS必修
Certified Nurse Specialist in Psychiatric Mental Health Nursing/Required