대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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비정신과 간호사가 경험한 정신질환자 간호의 어려움

Difficulties in Caring for Psychiatric Patient as Experienced by Non-Psychiatric Nurses

  • 정재원 (경희의료원 간호본부) ;
  • 장미영 (경희의료원 간호본부) ;
  • 심지현 (경희의료원 간호본부) ;
  • 고윤희 (경희의료원 간호본부) ;
  • 신성희 (경희대학교 간호과학대학.동서간호학 연구소)
  • Joung, Jaewon (Department of Nursing, Kyung Hee University Medical Center) ;
  • Jang, Mi Young (Department of Nursing, Kyung Hee University Medical Center) ;
  • Shim, Jihyun (Department of Nursing, Kyung Hee University Medical Center) ;
  • Ko, Yoonhi (Department of Nursing, Kyung Hee University Medical Center) ;
  • Shin, Sung Hee (College of Nursing Science and East-West Nursing Research Institute, Kyung Hee University)
  • 투고 : 2016.01.25
  • 심사 : 2016.11.04
  • 발행 : 2017.02.28
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초록

Purpose: The purpose of this study was to identify non-psychiatric nurses' difficulties in caring for patients with mental illness. Methods: Data were collected from eighteen general medical-surgical nurses working at a university hospital in Seoul, Korea. This study involved two focus group discussions and three in-depth individual interviews. All interviews were recorded and transcribed as they were spoken, and data were analyzed using qualitative content analysis. Results: General medical-surgical nurses experienced difficulties in 3 categories, 9 subcategories, 27 codes. The three categories were 'nurse' related factors, 'patient' related factors, 'resource' related factors. The nine categories were 'unpreparedness', 'nursing barriers due to stigma', 'undervaluing and avoidance of psychiatric nursing', 'eroding into the trap of a vicious cycle', 'facing unapproachable patients', 'dealing with unhelpful family members', 'burdening already overburdened staff', 'obstructive environment', and 'isolation of staff with heavy responsibilities'. Conclusion: The results of this study indicate the need to develop psychiatric mental health education programs for non-psychiatric nurses. Education about psychiatric mental health and support from institutions for non-psychiatric nurses can reduce their negative attitude toward psychiatric patients and difficulties in caring for psychiatric patients.

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참고문헌

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  1. Care Burden for Mental Illness Patients, Attitude toward Mental Illness and Psychiatric Nursing Competency in Non-psychiatric Nurses vol.26, pp.1, 2017, https://doi.org/10.12934/jkpmhn.2017.26.1.55
  2. Validity and reliability of Korean version Competency Assessment Tool-Mental Health vol.7, pp.2, 2017, https://doi.org/10.2478/fon-2020-0017
  3. Experiences of Psychiatric Nurses Who Care for Patients with Physical and Psychological Violence: A Phenomenological Study vol.17, pp.14, 2017, https://doi.org/10.3390/ijerph17145159
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