• Title/Summary/Keyword: 정신과 간호사

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A Qualitative Study on Public management of the Admission and Discharge of mental hospital (정신장애인의 정신의료기관 입·퇴원과 국가관리에 관한 질적 연구)

  • Lee, Yong-pyo;Chung, Hyun-ju
    • Korean Journal of Social Welfare Studies
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    • no.37
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    • pp.369-397
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    • 2008
  • The purpose of this study is to understand the context of mental hospital admission and discharge related with the stakeholder and to find out issues about public management on mental health disabilities. To this process, the more effecive alternative policies for mental health will be offered. As a research tool, the qualitative study was used, and the 6 case were analyzed. Through this study, we find 5 theme such as admission type occurred outside public management, uneffective public management in mental hospital treatment, long-term treatment mechanism occured in mental hospital, helplessness and role distortion of public follow-up system. According to the mental health law, mental hospital admission and discharge on mental health disabilities is to managed public system. But public management with mental health disabilities did not work on. In this results, we are find infringement on mental health disabilities. According to these findings, several suggestions are offered for better policies about admission and discharge procedures managed by public system.

A Study on Work Stress Perceived by Clinical Nurses (간호사의 업무 스트레스에 대한 연구 -정신과 간호사 중심-)

  • 배정이;서문자
    • Journal of Korean Academy of Nursing
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    • v.19 no.3
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    • pp.259-272
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    • 1989
  • This study was designed to measure the degree of work stress perceived by clinical nurses working in psyciatric ward, and to identify the factors influencing the difference of work stress. The survey method was used and the subjects of this study consisted of 135 psyciatric nurses from 7 university hospitals and 4 provincial general hospitals. The data were collected from August 1 to 20, 1988. The instrument used for this study was PNOSS(Psychiatric Nurse Occupational Stress Scale) which was developed by Bai(1989). The confidence verification of this instrument was computed and the Cronbach $\alpha$ was 0.94050. Data were analysed by t-test and ANOVA on 5% significant level with SPSS program. The results of study were summerized as follow : 1) The degree of perceived stress among psychiatric nurses was considerably high(4.32 out of 6.00). 2) Among the stressors, inadequate staffing(5.04), hospital administrational problems (4.7) and the conflict of nurse-patient relationship were identified as the stress factors with high rank of degree of stress. 3) There was significant relationship between the degree of stress and the demographic variables of nurses such as the marital status, educational level, and the motivation of working in psychiatric ward. 4) There was significant relationship between the job-related variables such as the working duration, the motivation of working and nurse's attitude toward the psychiatric patients. 5) The relationship between several stress factors and some of the demographic and the job-related variables were significantly identified.

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Influence of Death Perception, Attitude Toward Terminal Care, Mental Health on the Terminal Care Stress of Intensive Care Unit Nurses (중환자실 간호사의 죽음 인식, 임종간호 태도, 정신건강이 임종간호 스트레스에 미치는 영향)

  • Hwang, Jung Ok;Kim, Sang Hee
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.3
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    • pp.323-332
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    • 2019
  • Purpose: This study aimed to identify the factors affecting the terminal care stress of nurses in intensive care units in terms of their death perception, attitude toward terminal care, and mental health. Methods: This descriptive study collected data from 118 nurses in intensive care units in one tertiary referral hospital and three general hospitals. The instruments used in the study were the Terminal Care Stress Assessment Tool, the View of Life and Death Scale, the Frommelt Attitudes toward Nursing Care of the Dying Scale (FATCOD), and the Mental Health Assessment Tool. The data were analyzed by t-test, ANOVA, Pearson's correlation coefficient, and multiple regression. Results: There was a significant positive correlation between terminal care stress and death perception (r=.31, p<.001). The factors significantly influencing the terminal care stress of the participants included gender (β=.33, p<.001), religion (β=.24, p=.004), and death perception (β=.35, p<.001), and the overall explanatory power was 23.1% (F=12.73, p<.001). Conclusion: To decrease terminal care stress among nurses, establishing the death perception of nurses based on value clarification about death may be necessary. Furthermore, this study suggests an intervention study examining the effect of an education program on terminal care stress among ICU nurses.

The Influence of Psychiatric Nurses' Positive Psychological Capital, Empathy Ability and Stress Coping Style on Their Compassion Fatigue (정신과 병동 간호사의 긍정심리자본, 공감능력, 스트레스 대처방식이 공감피로에 미치는 영향)

  • Bae, Eun Nyo;Lee, Yongmi
    • Korean Journal of Occupational Health Nursing
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    • v.32 no.1
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    • pp.30-38
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    • 2023
  • Purpose: This study aimed to investigate the effect of positive psychological capital, empathy ability, and stress coping style on psychiatric ward nurses' compassion fatigue. Methods: Data were collected using structured questionnaires for 140 psychiatric ward nurses. The data were analyzed using t-test, one-way ANOVA, and hierarchical regression. Results: The variable predictors of compassion fatigue were as follows: positive psychological capital (β=-.35, p<.001), empathy ability (β=.32, p<.001), and passive coping (β=.25, p=.004). These factors explained 27% of compassion fatigue, and psychological capital was found to have the greatest influence among these variables. Conclusion: Positive psychological capital, empathy ability, and passive coping are important factors influencing nurses' compassion fatigue in psychiatric wards. It is necessary to develop interventions and appropriate coping styles that strengthen positive psychological capital to prevent and reduce nurses' compassion fatigue in psychiatric wards. In addition, it is necessary to identify the required level of empathy ability to maintain a therapeutic relationship.

Human Rights Sensitivity, Advocacy Attitudes, and Advocacy Interventions for Mentally Disabled People in Psychiatric Nurses and Nursing Students (정신간호사와 간호대학생의 인권감수성, 정신장애인에 대한 옹호태도와 옹호개입)

  • Chung, Myung-Sill;Lim, Kyung-Choon;Ko, Jain
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.3
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    • pp.309-318
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    • 2017
  • Purpose: This study aimed to verify the relationship between human rights sensitivity, advocacy attitudes, and advocacy interventions for mentally disabled people in psychiatric nurses and nursing students. Methods: This is a descriptive study. Using questionnaires, data were collected from 206 participants who were recruited from one mental health institute, one general hospital, and one university in S city. Data were analyzed by t-test, ANOVA, Pearson's correlation coefficient using SPSS/WIN 22. Results: The mean age was $33.8{\pm}12.89$. The mean scores of human rights sensitivity, advocacy attitudes, and advocacy intervention was $37.7{\pm}18.09$, $53.7{\pm}5.67$, and $47.4{\pm}7.08$, respectively. Human rights sensitivity correlated significantly with advocacy attitudes (r=.25, p=.020) and advocacy intervention (r=.17, p=.015). Also, there was a significant positive correlation between advocacy attitudes and advocacy intervention (r=.44, p<.001). Conclusion: These findings highlight that advocacy attitudes and advocacy interventions for mentally disabled people could be improved by increasing human rights sensitivity. Tailored education programs will be effective in the field of mental health care services to increase human rights sensitivity.

A Theoretical Structural Model for Caring Persons with Early Psychosis: A systematic review and qualitative meta-analysis (조기 정신증 돌봄 모형 개발: 질적 메타분석을 통한 이론적 접근)

  • Sung, Kyung Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.1
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    • pp.66-74
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    • 2017
  • This study was aimed to construct a theoretical model for managing persons with early psychosis. We systematically searched SCOPUS, PubMed, RISS, Web of Knowledge, and KoreaMed for related factors to manage persons with early psychosis. Significant terms or phrases for a preliminary structural model were obtained from 19 studies since 2000 regarding the management of persons with early psychosis. Moreover, the content validity for the model was evaluated by 22 professionals. The study results revealed 51 factors for managing persons with early psychosis extracted by meta-analysis, and all factors were divided into 21 medium classification and 8 categories. A theoretical model was constructed with 8 categories, by using the middle range theory of Peplau's Interpersonal Relationships in Nursing. The results suggest that the theoretical model for the management of persons with early psychosis provides a sound theoretical basis for future study.

The Psychosocial Adaptation Process of Psychiatric Nurses Working in Community Mental Health Centers (정신건강증진센터에 근무하는 정신보건간호사의 심리사회적 적응과정)

  • Min, So-Young
    • Journal of Korean Academy of Nursing
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    • v.45 no.6
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    • pp.868-878
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    • 2015
  • Purpose: The aim of this study was to verify psychosocial issues faced by psychiatric and community mental health nurse practitioners (PCMHNP) working in community mental health centers, and to identify the adaptation processes used to resolve the issues. Methods: Data were collected through in-depth interviews between December 2013 and August 2014. Participants were 11 PCMHNP working in community mental health centers. Analysis was done using the grounded theory methodology. The first question was "How did you start working at a community mental health center; what were the difficulties you faced during your employment and how did you resolve them?" Results: The core category was 'regulating within relationships.' The adaptation process was categorized into three sequential stages: 'nesting,' 'hanging around the nest,' and 'settling into the nest.' Various action/interaction strategies were employed in these stages. The adaptation results from using these strategies were 'psychiatric nursing within life' and 'a long way to go.' Conclusion: The results of this study are significant as they aid in understanding the psychosocial adaptation processes of PCMHNP working in community mental health centers, and indicate areas to be addressed in the future in order for PCMHNP to fulfill their professional role in the local community.

A Correlation Study of Perceived Importance of Nursing Interventions with Performance Frequency in Psychiatric Nursing Units Using the 3th NIC (정신과 병동 간호사의 간호중재에 대한 중요도 인지 및 수행빈도와의 관계 - 3차개정 Nursing Interventions Classification(NIC)을 적용하여 -)

  • 최자윤;김혜숙;박미선
    • Journal of Korean Academy of Nursing
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    • v.33 no.1
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    • pp.95-103
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    • 2003
  • Purpose: The purpose of this study was to identify the perceived importance of nursing intserventions of psychiatric nurses according to domains, classes and interventions using the 3th NIC. Method: In this study, a 435 of 486 nursing interventions were selected from 75% consent reached by experts. Data were collected from 9 hospitals and 141 nurses(return rates: 94,0%) in Seoul, Kyonggi, Chungnam, Gwang-ju and Chonnam region from January, 2002 to February, 2002 using 4 point Likert scale. Result: Total perceived importance score was $2.905{\pm}0.463$ and total correlation score with performance frequency was r=0.295. The most important perceived domain and class was found to be ‘safety’ ($3.217{\pm}0.465$) and ‘community health promotion’ ($3.285{\pm}0.866$). The most correlated domain and class with performance frequency appeared to be ‘behavioral’ (r=0.431, p=0.000) and ‘communication enhancement’ (r=0.439, p=0.000). The most important perceived nursing intervention was found to be ‘active listening’ ($3.652{\pm}0.549$). Conclusion: In conclusion, nurses in clinical settings were found to perform less than perceive its importance. Therefore, further researches are needed to identify factors related to impede and develop strategies to improve the performance of nursing interventions.

Mental health literacy of local public officials and the mental health business attitude survey (일 지역사회 공무원의 정신건강지식 및 정신건강사업에 대한 태도조사)

  • Kim, Hyeun-Sil;Kang, Eun-Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.2
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    • pp.275-285
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    • 2019
  • The purpose of the present study was to investigate perceptions of mental health literacy and mental health services of local public officials in Korea. The participants were 273 civil servants working in three Gangwondo provinces. Data were collected from July 1, 2018 to August 15, 2018 using structured questionnaires, and SPSS Ver. 22.0 was used for data analysis. Results showed mental health literacy of public officials was 101.45 points (range 35-160). Mental health literacy level was found to be significantly dependent on occupation and levels of mental health education, mental health treatment experience, and family mental health treatment experience. Only 39.9% of respondents stated they were aware of mental health welfare centers. The most common condition that caused respondents to seek mental health services was depression (35.9%). In addition, 44.7% of the respondents opined that mental health care was improving due to community changes. An analysis of the relationship between perceptions of mental health welfare centers and mental health literacy scores showed a positive relationship between participant prior knowledge about mental health welfare centers and investment in mental health management (p=.012), suggesting a need for further development of educational programs using mental health nurses to improve mental health literacy among community officials.

Journal of Convergence for Information Technology (한국 간호사의 피로 측정도구의 타당도와 신뢰도)

  • Ju, Eun-Sil
    • Journal of Convergence for Information Technology
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    • v.8 no.2
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    • pp.67-75
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    • 2018
  • We sought to develop a multi-dimensional tool for measuring and understanding nurse fatigue. The participants were 301 nurses working in four hospitals in Seoul, South Korea. Basic items were developed after a preliminary literature review, and content validity was verified by a group of experts. The first 52 items from which the fatigue measurement tool was to be developed were tested for construct validity and were reduced via factor analysis to 31 items. Following a confirmatory factor analysis, the items were further reduced to 23 items in three categories: physical, mental, and emotional. A confirmatory factor analysis found the items to be adequate. The fatigue scale was found to have high construct validity and reliability. This scale is expected to serve as a preliminary data-gathering tool to assess the level of nurse fatigue and to develop interventions to alleviate it.