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Japanese psychiatric nurses’ attitudes toward Evidence-Based Practice: association with needs for learning psychoeducation practices.

Mitsunobu Matsuda, Ayumi Kono


Rationale, aims and objectives: To support patients with mental disorders to address appropriate symptom control and preventive measures against relapse, evidence-based practice (EBP), such as psychoeducation, is an important intervention while performing psychiatric pharmacotherapy. However, the use of EBP is likely to have remained passive, as it has been reported being disseminated and implemented slowly. This study explored a classification of psychiatric nurses’ attitudes toward EBP and examined the association between a classification of attitudes toward EBP and needs for learning psychoeducation practices in nursing professionals involved with psychiatric services, with the aim of providing a basis for the dissemination of psychoeducation.

Method: A mail questionnaire survey was conducted, involving a total of 194 nurses and assistant nurses working in 13 of the 42 psychiatric hospitals. Analysis was performed using the cluster analysis, chi-square test and one-way analysis of variance.

Results: The psychiatric nurses’ attitudes toward EBP were classified into 3 types: experience-oriented challenging, amotivational and rejective and conservative and obedient. Nurses showing amotivational and rejective attitudes accounted for the majority, while those showing experience-oriented challenging attitudes were more aware of the usefulness of psychoeducation and their levels of need for learning related practices were higher on comparison with the others.

Conclusions: In order to disseminate psychoeducation among psychiatric hospitals, it may be important to develop interest in psychoeducation, particularly that of nurses showing experience-oriented challenging or conservative and obedient attitudes, with co-operation from nursing managers.


Behavioural change, community-based services, diffusion of innovation, evidence-based practice (EBP), mental healthcare, nurse's practice patterns, patient outcomes, person-centered healthcare, professional learning, psychiatric nursing, psychoeducation

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Ministry of Health, Labour and Welfare. (2013). Summary of Static/Dynamic Survey of Medical Institutions and Hospital Report, web site: (accessed 2015-9-1) (in Japanese).

Ministry of Health, Labour and Welfare. (2009). Study Meeting to Develop Future Perspectives on Mental Health Care and Welfare Services to Further Improve Them web site: (accessed 2015-9-1) (in Japanese).

Kissling, W. (1991). The current unsatisfactory state of relapse prevention in schizophrenic psychoses--suggestions for improvement. Clinical Neuropharmacology 14 (Supplement 2) S33-44.

Matsuda, M. & Kono, A. (2015). Development and Evaluation of a Psychoeducation Practitioner Training Program (PPTP). Archives of Psychiatric Nursing 29 (4) 217-222.

Fukui, R. (2011). Support for Families as Persons Involved: Family-centered Approaches, Current Status of Specialized Family Support - Family Support Based on Psychoeducation. Japanese Journal of Psychiatric Rehabilitation 15 (2) 167-171 (in Japanese).

Boström, A.M.., Kajermo, K.N., Nordström, G. & Wallin, L. (2009). Registered nurses' use of research findings in the care of older people. Journal of Clinical Nursing 18 (10) 1430-1441.

Boström, A.M., Ehrenberg, A., Gustavsson, J.P. & Wallin, L. (2009). Registered nurses’ application of evidence-based practice: a national survey. Journal of Evaluation in Clinical Practice 15 (6) 1159-1163.

Bonner, A. & Sando, J. (2008). Examining the knowledge, attitude and use of research by nurses. Journal of Nursing Management 16 (3) 334-343.

Lai, N.M., Teng, C.L. & Lee, M.L. (2010). The place and barriers of evidence based practice: knowledge and perceptions of medical, nursing and allied health practitioners in Malaysia. BMC Research Notes 3, 279.

Crawford, P., Brown, B., Anthony, P. & Hicks, C. (2002). Reluctant empiricists: community mental health nurses and the art of evidence-based praxis. Health & Social Care in the Community 10 (4) 87-98.

Carrion, M.., Woods, P. & Norman, I. (2004). Barriers to research utilisation among forensic mental health nurses. International Journal of Nursing Studies 41, 613-619.

Matsuda, M. & Kono, A. (2011). A translational research aimed at dissemination of psychoeducation program for patients with schizophrenia as nursing intervention. Policy-Based Medical Service Foundation Research Grant Working Paper, 15-35 (in Japanese).

Parahoo, K. (1999). Research utilization and attitudes research among psychiatric nurses in Northern Ireland. Journal of Psychiatric and Mental Health Nursing 6 (2) 125-135.

Melnyk, B.M., Fineout-Overholt, E., Fischbeck Feinstein, N., Li, H., Small, L., Wilcox, L. & Kraus, R. (2004). Nurses' perceived knowledge, beliefs, skills, and needs regarding evidence-based practice: implications for accelerating the paradigm shift. Worldviews on Evidence-Based Nursing 1 (3) 185-193.

National Institute of Mental Health. (2010) Web site: (accessed 2015-9-1) (in Japanese).

Aarons, G.A. (2004). Mental health provider attitudes toward adoption of evidence-based practice: The Evidence-Based Practice Attitude Scale (EBPAS). Mental Health Services Research 6 (2) 61-74.

Okumura, Y., Fujita, J., Noda, T. & Ito, H. (2010). Psychometric Properties of the Japanese Version of the Evidence-Based Practice Attitude Scale. Seishin Igaku (Clinical Psychiatry) 52 (1) 79-85 (in Japanese).

Sekine, T. & Takebuchi, Y. (2013). Professional Identity of Nurses Working on Pediatric and Adolescent Wards. Bulletin of Gunma Prefectural College of Health Sciences 8 (1) 65-79 (in Japanese).

Papathanasiou, I.V., Fradelos, E.C., Kleisiaris, C.F., Tsaras, K., Kalota, M.A. & Kourkouta, L. (2014). Motivation, leadership, empowerment and confidence: their relation with nurses' burnout. Materia Socio-Medica 26 (6) 405-410.

Soudagar, S., Rambod, M. & Beheshtipour, N. (2015). Factors associated with nurses' self-efficacy in clinical setting in Iran. Iranian Journal of Nursing and Midwifery Research 20 (2) 226-231.

Kimura, K. & Matsumura, H. (2010). Issues Underlying Japanese Psychiatric Practice, which were Revealed by an Analysis of Conflicts of Nurses Working in Psychiatric in-Patients Wards; Journal of Japanese Society of Nursing Research 33 (2) 49-59.

Kimura, K. & Matsumura, H. (2012). Current Status of Psychiatric Nursing and Improvement Strategies Based on the Results of Analysis on Dilemmas in Nurses Working on Psychiatric Wards. Journal of Japanese Society of Nursing Research 35 (5) 87-96 (in Japanese).

Barrowclough, H.G. & McGovern, J. (1999), The dissemination of innovative cognitive-behavioural psychosocial treatments for schizophrenia. Journal of Mental Health 8 (6) 569-582.



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