MATSUMOTO; Kenya^1*, SOYANO; Ayako1, HIRAIDE; Atsushi² 

^1*Faculty of Nursing School of Medicine, Nara Medical University (j-okuda@naramed-u.ac.jp)
²Faculty of Nursing, Mejiro University

This paper presents the results of a preliminary study clarifying the relationship-building process involving patients admitted to Medical Treatment and Supervision Act (MTSA) ward and nurses. We conducted semi-structured interviews with two nurses who had experience working in MTSA wards to gain insight as to how they perceived patients when building relationships with them and changes in feelings toward the patients as treatment progressed. The content was analyzed with reference to the modified grounded theory approach. Results show that the nurses sought to have an understanding of patients1. The core of their actions was the belief that negative impressions can be overcome to motivate oneself. By applying their personal beliefs, the nurses deepened their understanding of patients. In the process of understanding, the nurses conducted consistent engagement with the patient while feeling that the patient’s psychological and physical aspects were improving, which was conflicting with understanding the wavering of the patient’s mental state and involvement according to that mental state and involvement that allows the patient to take proactive actions (i.e., involvement with patients). Repetitions of this process are thought to foster relationship-building between patients and nurses. Given that the relationship buildinThis study endeavored to clarify the effects on subjective wellbeing of the elderly and resident activities in municipalities. We investigated the impact of resident activities in each municipality on the subjective wellbeing of the elderly and to examine intergenerational exchange activities (IGEAs) that connected the young and elderly. Participants (male: 5000; female: 5000) of age 65 years and over residing all over the nation were subjects of the study. The study was conducted through an anonymous self-administered web survey on the internet. With subjective wellbeing expressed as the dependent variable, and various independent variables, including statistical data from municipalities, basic demographic attributes (gender, age, cohabitation family structure, place of residence, etc.), and participation in resident activities. Multiple regression analysis and structural equation modeling were employed for analysis purposes. The results showed that individual attributes such as annual income and age had a negative impact. Higher age and higher annual income were associated with reduced subjective wellbeing. In addition, all resident activities appeared to have favorable effects, indicating that engaging in any IGEA enhanced subjective wellbeing. The financial status of the municipalities where participants resided did not have a significant impact on subjective wellbeing when population density was excluded from the analysis. Furthermore, a model based on family composition and gender was established. Based on results of the present investigation, young and elderly participants involving shared territorial bonding-type resident activities yielded a meaningful mix of the young and the elderly. Through the present study - where Japan now is undergoing depopulation and cascading into a gray society - not only thinking of the unilateral tendency of the young supporting the elderly, but the coupling of increased connections between the elderly and the young nurture an aspect of fusing the weak and the strong from both age groups in IGEAs over time, and brings along activated interactive participations, where each side stand to learn and earn things ‘new’. Our study highlights the positive effects of community involvement on the wellbeing of the elderly and underscores the potential benefits of promoting IGEAs that capitalize on the distinct features of individual communities.g between forensic psychiatry patients and nurses is reported to reduce recidivism, the results of this study could be used to prevent patients from recidivating and to promote social rehabilitation. However, this is a preliminary study, so there is a need to collect more data based on the results and clarify the process of relationship-building between patients and nurses.
Keywords: forensic psychiatry patient, patient-nurse relationship, relationship-building process, Medical Treatment and Supervision Act