Code (if there is no special mention of the subject, the manager)

Fears and worries about family members’ problematic behaviors

Tension and fears that may trigger family members’ problematic behaviors

Since I knew about his use of abusive language and violent behavior, I was nervous during our first meeting.

I was uncertain if I had responded correctly to the husband, and even now, I am afraid that the husband’s behavior may change and that he may turn on me.

Especially at night when there are few staff at work and it is difficult to get help from colleagues, the nurses have been very nervous not to strike a nerve when dealing with sensitive family members.

I heard from the nurses that they hesitate in fear, even when they simply have to tell family members that it is time to turn the lights off.

Fear of being attacked by family members

After the husband, who was prohibited from visiting his wife (due to DV), made threatening phone calls to his wife in the ward, the nurses feared being attacked. On their way home, they went in groups to the parking lot, which was a short distance away.

The abusive language they heard from family members remained in their minds for a long time, even after the patient was discharged from the hospital. When I come to the outpatient department with a patient, I continue to be anxious and afraid that I might be attacked when I come up to the ward.

A concern that family members’ problematic behaviors may adversely affect the patient in question and other patients as well

Due to the original relationship between the couple, it was difficult for the patient to completely escape the violence and to mind control by the family members.

I thought that if they weren’t separated from their family members, I wouldn’t be able to protect the hospitalized patients and babies.

I was worried that even the patients in the adjacent room might have been able to hear all the abusive language of the family members and that it made them feel unpleasant.

Reactions to becoming involved with family members

Reaction to the fact that some two-way communication with family members has become possible

I was happy when we were able to gradually have a conversation with the family member.

The husband responded differently depending on the person, but I was relieved when he listened and stopped his selfish behavior when I, the chief nurse, told him: “You shouldn’t do that”.

Resistance to staying involved with family members following patient discharge

An out-of-place feeling toward building an unpleasant relationship with family members

I was afraid that a co-dependent human relationship would form between us as I interacted with the family members.

Even if good communication with the family members seems to have been maintained, I do not feel that a true relationship of trust has been established between us.

The feeling of not wanting to become involved with family members

Although we knew that guards and police would come in case of an emergency, we didn’t have a single sense that we were protected at all on a daily basis.

Every day, as soon as that family member has left the ward, we stroke our chests with the relieved feeling that, “Finally, that person went home”.

All the staff were counting down the days until the scheduled discharge date.