ツボノウチ　チヅル   TSUBONOUCHI, Chizuru   坪之内　千鶴 看護学部 看護学科 助教
言語種別	英語
発行・発表の年月	2024/08
形態種別	学術雑誌
査読	査読あり
標題	Patient-authored medical record II: A not-knowing approach to psychiatric nursing
執筆形態	共同
掲載誌名	Archives of Psychiatric Nursing
掲載区分	国外
巻・号・頁	51,pp.143-151
著者・共著者	◎Chizuru Tsubonouchi, Midori Asano, Naoki Nomura
概要	A patient-authored medical record (PAMR) is a narrative-based prescription that is written by a psychiatric patient with help from a nurse. It is a tool specifically designed and developed for psychiatric nursing. We have reported its notable therapeutic effects for Japanese patients and found that the patients had accurate views of how to improve their illness. The present paper, which broadens the scope of this examination, includes the entire process of using this tool, including both patient-authored medical records and follow-up dialogue. We aim to demonstrate how a patient's potentials are leveraged and expanded through the interpretation of such texts through dialogue, in which interpretation takes the form of a conversational question based on not-knowing. Follow-up meetings facilitate the therapeutic process and team collaboration for patients, medical staff, and families. We also reaffirm the soundness and legitimacy of psychiatric patients writing their own prescription with help from a nurse.