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Hospital Experience and Recovery Orientation Among Psychiatric Home-Visit Nurses: A Cross-Sectional Study
Yoshiyuki Takashima1, Maiko Matsumura2, Ryu Suzuki3
1Faculty of Nursing, School of Medicine, Nara Medical University, Nara, Japan.
SAGE Open Nursing
|July 12, 2026
Summary
Psychiatric hospital experience in nurses did not correlate with overall recovery attitudes or knowledge. However, inpatient work may strengthen belief in recovery, though it
Area of Science:
- Mental Health Nursing
- Community Psychiatry
- Healthcare Professional Development
Background:
- Recovery-oriented care is fundamental in community mental health services.
- Psychiatric home-visit nurses in Japan often require prior hospital experience or recovery training.
- The impact of psychiatric hospital experience on nurses' recovery-oriented attitudes and knowledge is not well understood.
Purpose of the Study:
- To investigate the association between years of psychiatric hospital work experience and recovery-oriented attitudes and knowledge among psychiatric home-visit nurses in Japan.
- To assess how inpatient experience influences nurses' adoption of recovery-oriented principles in community mental health settings.
Main Methods:
- A nationwide cross-sectional web survey was conducted with 237 registered nurses from 1,500 randomly selected agencies.
- Recovery attitudes and knowledge were measured using the Japanese Recovery Attitudes Questionnaire (RAQ) and Recovery Knowledge Inventory (RKI-16).
- Linear regression analyses were performed, adjusting for demographic and professional variables, with an exploratory subgroup analysis comparing specialized and general agencies.
Main Results:
- Years of psychiatric hospital experience showed no significant association with overall recovery attitudes (RAQ) or knowledge (RKI-16) in fully adjusted models.
- A modest positive association was found between hospital experience and the RAQ Beliefs subscale.
- Psychiatric-specialized agencies reported higher RAQ scores but lower RKI-16 scores compared to general agencies.
Conclusions:
- While inpatient experience may enhance nurses' belief in recovery, it appears insufficient on its own to foster broader recovery-oriented attitudes or knowledge.
- Further investigation into specific training and workplace factors is needed to optimize recovery-oriented care delivery by psychiatric home-visit nurses.
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