• Title/Summary/Keyword: 정신간호학

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Continuing Education/Psychiatric Nursing - Interviewing technic & communication skills for psychiatric patients. (지면을 통한 보수교육 : 정신과 간호학 편 - 정신과 환자를 위한 간호면담기술)

  • Lee P.S.
    • The Korean Nurse
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    • v.16 no.1 s.87
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    • pp.54-59
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    • 1977
  • 간호 현장에서의 면담은 가장 효과적인 간호 방법을 결정하기 위한 간호활동인 것이다. 그러므로 환자와 면담자와의 관계는 반드시 개방적이고 친밀한 관계이어야 한다. 특히 모든 인간은 독특하며 여러 가지 통합된 기전을 지니고 있기 때문에 면접자는 저항(resistance), 전이(transference), 역전이(counter transference), 감정의 현상을 잘 이해해야 할 것이다. 또한 면담목적을 성취시키기 위해 성실하고 진지하게 임해야 하며 면담시 의사소통 도구 사용에 능숙할 뿐만 아니라 성공적인 자료 수집에 공헌 할 수 있는 분위기를 유지해야 한다.

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An Integrative Review of Intervention for School-bullying Perpetrators (학교폭력 가해 아동·청소년을 위한 중재의 통합적 문헌고찰)

  • Song, Yul-mai;Song, Moonju;Kim, Sunah
    • Journal of Korean Academy of Psychiatric and Mental Health Nursing
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    • v.27 no.4
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    • pp.355-369
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    • 2018
  • Purpose: This study was intended to integrate the evidence of intervention for child and adolescent perpetrators of school violence through an integrative literature review. Methods: Using combinations of the terms 'bullying', 'school violence', and 'intervention' as key words, the researchers searched eight electronic databases for relevant studies. Fifteen studies were selected through full-text screening of related research published in academic journals before June 2018. The framework was used to identify the selected studies' intervention patterns and classify the various intervention components. The extracted intervention components were grouped into potential themes to determine whether the researchers clearly showed the interventions in the studies. Results: The intervention components of 15 selected studies were categorized into five themes: 1) Utilizing intervention techniques for voluntary participation, 2) Enhancing self-awareness, 3) Strategies to improve emotional intelligence, 4) Promoting interpersonal skills, and 5) Emphasis on responsibility through future vision experience. Conclusion: As a result of analyzing interventions for children and adolescent perpetrators of school violence, five components were derived. It is suggested that these components should be considered in the field, and intervention programs development and research using them are needed.

Factors Influencing Nursing Students실 Psychiatric Nursing Practice Evaluation Scores (간호학생의 정신간호학 실습에 영향을 미치는 요인)

  • 배행자;안황란
    • Journal of Korean Academy of Nursing
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    • v.23 no.1
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    • pp.5-15
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    • 1993
  • This study examined the effects of therapeutic communication skills, self esteem and self concept, psychiatric nursing lectures on students' psychiatric nursing practice evaluation scores. The purposes of this study were to determine factors influencing students' psychiatric nursing practice to improve the quality of that practice. The subjects were 123 third year nursing students in the department of nursing of G University in C city. Data were collected from 1989 to 1991 by question-aires and academic records. Pearson Correlation and t-test were used in analysing the data to confirm the relationship and influence among the study variables. Stepwise Multiple regression was used to confirm the predictors of the nursing students' psychiatric nursing practice evaluation scores. The results were as follows : 1) Relationship of General characteristics and Psychiatric Nursing Practice Evaluation Scores : General characteristics were not significant on psychiatric nursing pracice evaluation scores. 2) Relationship of the therapeutic communication skill and psychiatric nursing practice evaluation scores : the higher the degree of therapeutic communication skill was the higher the scores for psychiatric nursing practice (r=.5528, p(.001). 3) Relationship of psychiatric nursing course and psychiatric nursing practice evaluation scores the higher the scores in the psychiatric nursing course the higher the scores for psychiatric nursing practice (r=.2793, p(.01). 4) Relationship of self-esteem & self concept and psychiatric nursing practice evaluation scores : Self-esteem 8f concept was not significant on psychiatric nursing practice evaluation scores. 5) Stepwise multiple correlation of therapeutic communication skills, self-esteem and self concept, psychiatric nursing lectures on psychiatric nursing practice evaluation scores showed that therapeutic communication skills and the psychiatric nursing course scores influenced the evaluation scores psychiatric nursing practice significantly.

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Effects of Self-efficacy, Health Attitudes, and Healthy Lifestyle on Recovery of People with Mental Disorders in the Community (지역사회 거주 정신질환자의 자기효능감, 건강태도, 건강생활습관이 회복에 미치는 영향)

  • Kwak, Yun Bok;Kim, Ji Young;Lee, Myung Ha
    • Journal of Korean Academy of Psychiatric and Mental Health Nursing
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    • v.27 no.4
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    • pp.303-312
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    • 2018
  • Purpose: The purpose of this study was to examine the effects of self-efficacy, health attitudes and healthy lifestyles on recovery of people with mental disorders in the community. Methods: Participants were 188 people with mental disorders receiving mental health services at community mental health welfare centers in the J province. The data were collected from May to June, 2018. Self-report questionnaires were used to measure general self-efficacy, health attitude scale, healthy lifestyles and recovery. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA with $Scheff{\acute{e}}$ test, Pearson's correlation coefficients, and stepwise regression using the SPSS/WIN 23.0 program. Results: Self-efficacy, health attitudes, and healthy lifestyle of people with mental disorders were significant factors, explained about 72% of the variance on recovery. Conclusion: These findings suggest that education programs and health promotion programs focused on healthy lifestyles, improving health attitudes, and self-efficacy should be developed for people with mental disorders to promote their recovery.

Assessing educational needs in the development of a simulation-based convergence training program on mental health nursing (시뮬레이션 융합 프로그램 개발을 위한 정신건강간호 교육요구도 조사)

  • Kim, Sun-Kyung
    • Journal of the Korea Convergence Society
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    • v.11 no.9
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    • pp.425-432
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    • 2020
  • This study was to identify the educational needs for mental health nursing among undergraduate nursing students, prioritizing the areas where require extensive convergence learning via simulation. One hundred and forty students completed the survey where data accrued from between March-May 2020. The educational needs for mental health nursing and nursing care schizophrenia patients were assessed using a self-reporting questionnaire, which included 19 and 15 items, respectively. Additional three essay questions were used to obtain information regarding previous simulation education experience. Higher educational needs in nursing care for schizophrenia were identified and the highest-priority need is communication skills. Factors, including realistic experience with standardized patients, teamwork, and feedback from the lecturers, affect positive experiences in mental health nursing simulation. The findings suggest that educational programs to improve communication skills are necessary for better mental health nursing competency. Well-designed and convergence based simulation programs providing real-like clinical experience would ensure optimal learning outcomes.

Influencing Factor of Nursing Students' Communication Competence and Practice Stress on Practice Satisfaction in Psychiatric Nursing Practice (정신간호학실습교육에서 간호학생의 의사소통능력과 실습스트레스가 실습만족도에 미치는 영향요인)

  • Mi Ja Kim;Hyun Joo Oh
    • Journal of Practical Engineering Education
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    • v.15 no.1
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    • pp.63-72
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    • 2023
  • The aim of this study was to identify the influencing factors of nursing student' communication competence and practice stress on practice satisfaction in psychiatric nursing practice. The subjects of the study were 237 fourth-year nursing students. For data analysis, descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression were performed using the SPSS/WIN 24.0 program. As a result of the study, communication competence was positively related with practice satisfaction, and practice stress were negatively related with practice satisfaction. In regression analysis, Role model, communication competence, major satisfaction, and associated education were confirmed as the predictive factors of psychiatric nursing practice satisfaction. It is required to develop teaching and learning methods to increase student satisfaction in psychiatric nursing practice.

An Experimental Study on the Nursing Therapy as a Emotional Crisis Intervention of the Psychiatric Emergency Patient (정신과 응급환자의 위기 해결로서의 간호치료에 관한 실험적 연구)

  • Kim, Chung-In
    • Journal of Korean Academy of Nursing
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    • v.5 no.1
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    • pp.48-58
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    • 1975
  • 대부분의 정신과적 위기 (자살시도.도주 공격적 파괴적행동.싸움 등)는 노여움이 원인이 되는데 심한 불안. 초초나 또는 규칙등을 위반하였을 때에. 고지식한 병원직원들의 마구 다툼에 의해서 자신의 권리나 존엄성을 모욕 받았다고 생각될 때 그것에 대한 반응으로 일어나게 된다. 이러한 환자들의 흥분및 공격적 파괴적 행동들에 대해서 우리 간호원들은 과연 겁내야 하며 곧 진정제를 투여하거나 강박의를 입혀야 하는가 하는 것이 이 연구의 촛점이다. 본인은 이러한 환자들의 위기상황에 성급한 행동들이 주어지기에 앞서 과학적이고 체계적인 간호적 이해가 따른다면 환자들의 태도는 휠씬 달라질 수 있을 것이라는 가정하에 국립정신 병원에서 1973년 6월 1일부터 9월30일까지 실험군 10명. 통제군 10명의 환자에게 관찰기 (5일). 간호기(5일). 후반기 (5일)로 나누어 실험군에는 간호기에 유효적절한 과학적 체계적 간호를 실시하고. 통제군에는 실시하지 않음으로써 그 효과도를 검증하였다. 환자의 치료에는 간호적 치료이외에도 약물요법, 정신치료. 충격요법 등 관계 요인이 많으므로. 이러한 기간동안의 환자의 행동변화가 간호적 치료 (Nursing Therapy)에 의해 변화된 것인가를 확인하기 위해 검증하였다. 그 결과는 다음과 같다. (P<.01) 표6. 7에서 관찰기. 간호기. 후반기 동안의 정신과 응급 행동의 빈도는, 실험군에서는 15.4. 7.0. 2.9 로 감소되어 p <.01의 수준에서 의미 있는 변화임이 밝혀졌고, 통제군에서는 10.6. 6.9. 6.6으로 행동빈도가 감소되었으나 p >.05의 수준에서 의미 있는 변화가 아님을 보이고 있다. 위의 결과들로 미루어 본 연구는 다음과 같은 결론을 내릴 수 있을 것이라고 생각한다. \circled1환자의 위기 행동에 관한 사전의 이해없이 무조건의 안정제 투여와 강박의 사용은 금해야 할 것이다. \circled2유효 적절한 자학적 체계적 간호치료 (Scientific & Systematic Nursing Therapy 로서 정신과적 위기는 해 결될 수 있을 것이다. \circled3간호원은 치료적 요원의 역할을 담당할 수 있을 것이다. 본 논문을 시종 지도하여 주신 이부영선생님과 조언을 주신 이은옥 선생님. 이귀향 선생님. 그리고 국립정신병원의 김종해선생님, 보건대학원의 이영환 선생님께 진심으로 감사를 드리며. 아울러, 실험에 협력하여 주신 모든 분들께도 감사를 드립니다.

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Nursing Sudents' Experiences of Online Psychiatric Nursing Practice in COVID-19 : A Parse Research Method Study (COVID-19 상황에서 간호대학생의 정신건강간호학 온라인 실습 경험: Parse 연구방법 적용)

  • Gyun-Young Kang;Jinju Kim
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.6
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    • pp.1127-1134
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    • 2023
  • This study is a qualitative study to uncover the meaning and structure of nursing students' online psychiatric nursing practice experience by applying Parse's research method. The subjects of the study were 9 fourth-year nursing students at K University who took psychiatric nursing practice online in the COVID-19 situation. Data collection was conducted from March 7, 2022 to May 27, 2022. As a result of the study, the core concepts of nursing students' online practice experience in psychiatric nursing in the COVID-19 situation were: 'Recognizing the importance of understanding oneself and others', 'Preparing for communication to build therapeutic relationships', and 'A perspective on the future through exploration of the meaning of nursing'. Structural transposition was presented as 'Empathy for self and others', 'Mindset for interpersonal human relationship', 'Exploring the essence of nursing and self-realization'. Conceptual integration appeared as 'Valuing', 'Revealing-Concealing', 'Revealing-Concealing'. In conclusion, nursing students' online practice experience in mental health nursing in the COVID-19 situation was an experience of growing and transcending as future nurses by recognizing the importance of human understanding and communication for the therapeutic relationship that is the purpose of mental nursing. This study will serve as basic data for efficient clinical practice operations in various unpredictable situations, such as future pandemics.