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Comparison of Nursing and Peer Support Worker Support in Crisis Plans for People with Mental Disorders in Japan: A Pilot Study Using Modified Grounded Theory Approach Within a Realist Evaluation Framework

Year: 2025

Type: article

Abstract: This pilot exploratory qualitative study used the Modified Grounded Theory Approach (M-GTA) and the Realist Evaluation (RE) framework to clarify the interrelationships between nursing support and Peer Support (PS) in the creation and utilization of Crisis Plans (CPs) in Japan. Findings revealed that nursing support, constrained by psychiatric ward institutions, struggled with internal conflict while seeking to bridge risk and recovery. In contrast, PS support, rooted in lived experience, reframes crisis and risk, actively fostering patient self-determination and growth, and transforming. We propose an exploratory Context–Mechanism–Outcome (CMO) model that maps the distinctive contributions and interactions of nursing and PS support. This model provides provisional insights to inform the development of more robust, recovery-oriented CP support systems.

Source: Psychiatry International

DOI: 10.3390/psychiatryint7010003

Authors: Mikie Ebihara, Noriko Sato, Neteru Masukawa, Kumiko Ando, Tomoko Omiya

Institutions: Jikei University School of Medicine, Inuyama Hospital, Institute of Science Tokyo, Tohoku University

Language: English

Topic: Mental Health and Patient Involvement

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,207