• Title/Summary/Keyword: Psychiatric Nurse

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An Experimental Study on the Excellences of Nurses′ Communication Method upon Psychiatric Patient′s Response. (간호원의 의사소통방법이 정신병환자 반응에 미치는 영향에 대한 실험적 연구)

  • 이평숙
    • Journal of Korean Academy of Nursing
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    • v.4 no.2
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    • pp.78-92
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    • 1974
  • It is the purpose of this study to make clear the way in which people can lead a more desirable human life, that is, to ascertain the method of achieving therapeutic change through transaction between nurses and psychiatric patients. The various problems proposed by th9 above-stated aims of study can be shown, such as: What kind of influences does the method of a nurse′s communication have upon the response of psychiatric patients? 1) What are the general methods of communication used by the nurses? 2) Are there any differences between the control group and experimental group in the patients′ "Child" response? 3) Are there any differences between the control group and experimental group in the Patients "Adult" response? 4) What is the most desirable method of communication for therapeutic change in the patients? In an effort to solve the above questions this study attempted and managed to draw a random sampling of 200 patients being accommodated in the National Mental Hospital by dividing them into two groups, experimental groups and control groups, and recording the transactions between nurses and patients. In the course of carrying,: out this study, the experimental group was interviewed by the nurses specially trained In the P.A.C theory. and the control group interviewed at random by the nurses with no special training in communication. Further, the communication between nurses and patients in a free, relaxed atmosphere was allowed only for 15 minutes, whereupon the nurses were requested to make process-recording according to her memory of nurse patient transaction. The process-recording which recorded a series ol transactions between the nurses and the patients was analyzed according to Berne and Harris′transactional Analysis Standard. Through this standard, the writer of this study examined the significance of difference to compare the transactions brought forth between the experimental group and the control group. The following is a summary of the study which the writer of this thesis undertook. Hypothesis to The method of communication which the nurses usually apply to the patients will be higher in "Parent" than in "Adult". The communication which the nurses carried out in the control group turned out to be not significant between "Adult" and "Parent" Accordingly hypothesis 1. carne to be rejected. Hypothesis 2. The patients "Adult" response will be higher in the experimental group than in the control group. According to the result of a CR examination, as the communication showed a significant difference on P〈.01 level′ hypothesis 2 became affirmative. Hypothesis 3. The patients′"Child" response will be higher in the control group than in the experimental group. Hypothesis 3 proved affirmative since it showed an significant degree on P〈.01 level according to the result of a CR examination. Hypothesis 4 "Adult" response of the patient will be higher in frequency by nurses′"Adult" stimulus than nurse′s "Parent" stimulus Chi-square examination revealed significant difference on P〈.05 level. Hypo. 4 is affirmed. The following conclusions are drawn out based on the result of this study. 1) The generally used method of communication stimulus used by nurses for patients proved to be "Adult" and "Parent" in similar proportion. 2) The group in which the nurses could increase the patients "Adult" response proved to be higher in the experimental group than in the control group. Therefore, the communication (or stimulus) which has been applied in the experimental group can be said to be possible method of achieving therapeutic change. 3) Since the patients′"Child" response were higher in the control group than in the experimental group the communication method used In the control group was suggested as the less agreeable method of achieving therapeutic change than that used in the experimental Group. 4) "Adult" response of patient was elicited in significantly greater percentage when the "Adult" stimulus was used by the nurse. Therefore the most desirable method of-communication to give therapeutic change definitely was shown to be the "Adult" stimulus. Recommendations for further studies are as follows: 1) Studies on nurses′role perception in nurse-patient relationships. 2) Studies on patients′response to the method of communication used by nurses according to variables such as sex, social status, educational background, state of health. 3) Application of T.A, method to various groups of patients. 4) Study of various methods to improve student skill in use of process recording.

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Nurse's Perception of Technological Development and Professional Self-Concept (의료기술발달에 대한 간호사의 지각과 전문직 자아개념)

  • No, Chun-Hui;Song, Gyeong-Ae
    • Journal of Korean Academy of Nursing
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    • v.30 no.5
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    • pp.1368-1378
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    • 2000
  • This study was conducted to explore the nurse's perception of technological development and professional self-concept. The research subjects were 560 clinical nurses in Korea, who worked the general hospitals in Seoul, Kyeonggi, and the Kangwon province. Data sampling was done for the month, of December. 1997. The research tool consisted of 82 items questionnaires which were demographic data, TIQ, PSCNI. The research findings were as follows: 1. Nurses perceived the technological development as slightly positive (Mean =48.8). Also, nurses saw that the fastest developing technological nursing unit was the cardiac care unit, while the lowest technological developing nursing unit was the psychiatric unit. 2. The view of technological development was found to be significantly different according to religion (P=.0109), marital status (P=.0431), and the practical setting (P=.0048). Professional self concept was significantly different according to age (P=.0001), religion (P=.0001), education (P=.0007), marital status (P=.0000), career (P=.0001), and position (P=.0000). 3. The relationship between a nurse's perception of technological development and professional self-concept was highly correlated(r=.26, P=.0001). In the results of the multiple regression, the factors influencing professional self-concept were career, the nurse's perception of technological development, the level of technological development in nursing unit, and education. All these parameters showed the explaining power of 15.4% of the professional self-concept. In conclusion, nurses recognized the technological development was related to the professional self-concept. This study shed light on the meaning of technological development and vision of the nursing profession. Inservice education program should be developed to help the adaptability to technological development and conduct the qualitative research to explore the world of technological development which the nurses are experiencing in nursing.

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A Convergence Study about System of Public Health Nurse (공중보건간호사제도 관련 융합연구)

  • Lee, Young-Shin
    • Journal of Digital Convergence
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    • v.14 no.3
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    • pp.13-23
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    • 2016
  • The purpose of this convergence study was to describe Medical Service Providers and Consumers' perception of the PHN system, and of the Quality of nursing provided by male nurses. This study was a cross-sectional survey. The subject group included medical service providers and consumers. Data were analyzed using descriptive statistics, Chi-square and t-test using SPSS 19.0. 77.3% of providers and 66.2% of consumers agree with the PHN system. 81.4% of providers and 70.8% of consumers agreed with the statement that the nurse is the most qualified public health worker. Period of service showed statistically significant differences according to the group (t=7.56, p=.03). The development of nursing experts was identified as an important strength of the PHN. Quality of nursing Male wasn't statistically significants between groups. Compared to earlier studies, it is to suggest a study that confirms preliminary nurses' psychiatric, social, and communicational nursing.

The Study on the Communication Barrier for Nurses in Clinical Settings (간호사의 임상에서의 의사소통장애에 관한 연구)

  • Chang Sung-Ok;Park Young-Joo
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.1
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    • pp.130-140
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    • 1999
  • This study was designated to investigate communication barriers of nurses in clinical settings. This study was done in 2 phases, first content analysis on descriptions of 50 nurses in three general hospitals and 40 nursing students on communication barriers for nurses in clinical settings, and second a survey to investigate the factors related to communication barriers and the relation between the nurse's characteristics and the extent of communication barriers in clinical settings from two nurses educators, 13 nursing students who experienced clinical practice and 71 nurses in 11 general hospitals. The results are as follows : 1. Through content analysis, 11 properties of communication barriers for nurses in clinical settings were identified. These were inappropriate communication style as a nurse, lack of professionalism, in appropriate control of emotions, lack of knowledge about the clincal setting, the lack of preparation about content of communication, the problem in trust relation, differences in priorities in needs, uncontroleable situation for nurses, inappropriate nurses' perception about patients, conflict with medical team and inadequate systematic support were identified and grouped in to four categories, communicator, message, feed-back and communication context. 2. The four factors in communication barriers for nurses in the clinical setting were identified and named as ambiguity in the nurses' position, lack of confidence, difference in perspectives with patients and in-adequate nurse-patient relationship. 3. There was a significant difference(F=5.31, P=0.0022, F=3.62, P=0.0316, F=2.80, P=0.067, F=9.01, P=0.0003) among the groups according to work place in rating the extent of the communication barrier in the clinical setting and in the four factors, the nurses working in the psychiatric patient unit rated the communication barrier in the clinical setting lowest among the groups. There was a significant negative correlation between the length of the nurses's carrier and the extent of communication barrier in three factors, ambiguity in the nurses' position, lack of confidence and inadequate nurse-patient relationship.

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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.

Improving Empathy in Nursing Students: A Comparative Longitudinal Study of Two Curricula

  • Ozcan, Celale Tangul;Oksuz, Emine;Oflaz, Fahriye
    • Journal of Korean Academy of Nursing
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    • v.48 no.5
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    • pp.497-505
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    • 2018
  • Purpose: This study aimed to examine changes of empathy levels of nursing student in two different curricula structures, one called "traditional" and the other called "integrated" curricula. The study was a longitudinal design to follow a cohort of nursing students to examine the magnitude of changes in empathy in their education years. Methods: The study was conducted in a public school of nursing giving a baccalaureate degree, which had a fundamental change in their curricula. In all, 81 students from the traditional curricula and 66 students from the integrated curricula completed the study, and data from a total of 147 students were analyzed between 2003 and 2008. The Empathic Communication Skills Scale and the Empathic Tendency Scale were given to the students in the beginning of their freshman year and at the end of the fourth year just before graduation. Results: Although both of the curricula were seemed effective at improving empathic skills of students, especially the scores of students who completed the integrated curricula were higher than the scores of the other group attending the traditional curricula (p<.05). However, the empathic tendency scores of students in both curricula decreased at the end of fourth year. Conclusion: Although undergraduate nursing curricula either traditional or integrated improved empathic skills, it seemed that integrated curricula were more effective than traditional curricula in increasing empathic skills. The more hours and more experiential methods contributed to improved empathy. The decrease in empathic tendency requires further attention of educators and nurse managers.

Analysis of research papers using movies in nursing education (간호교육에서 영화를 활용한 국외 연구논문 분석)

  • Oh, Jin-A;Im, Mi-Hae
    • The Journal of Korean Academic Society of Nursing Education
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    • v.17 no.3
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    • pp.395-404
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    • 2011
  • Purpose: The purpose of this paper was to analyze research papers using movies and to introduce a practical instruction in cinema education for nurse educators in Korea. Method: The computerized database of PubMed, Google scholar, NDSL, CINAHL, and PsychINFO were used to generate relevant literature. Sixteen studies were published between 1990 and 2011 and were included in this review. These papers were analyzed using the matrix method suggested by Garrad (2007). Results: The first paper using movies in nursing education was performed in 1995. There were 16 studies on this issue and classified into one qualitative and 15 quantitative research. Because psychiatric mental health nursing was the main course, movies relating to mental illness were mainly considered. Most papers used questionnaires developed by researchers and discussions regarding the course. The key findings in these papers were all positive. Conclusion: The critics and syntheses in these papers emerged into seven overarching merits of cinema education and that lead to conduct cinema education to deepen students' understanding and to evoke empathy, critical thinking, entertainment, and intimacy. In addition, cinema education was safe and economical. This study recommends discovering suitable films and developments in both instruction process and educational evaluation tools.

A Study on Visiting Nursing Service in Primary Health Care Units (일차보건의료조직에서의 방문간호사업 실태조사연구)

  • Lim, Young-Ok;So, Ae-Young
    • Research in Community and Public Health Nursing
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    • v.10 no.2
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    • pp.480-493
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    • 1999
  • The visiting nursing service is an essential part of public health. The purpose of this study was to analyze the visiting nursing service in primary health service centers. The data were collected from visiting nurse records in Wonju City Health Center, Myun Health Center and Community Health Subcenters. The period of data collection was from April 6 to July 15, 1998. The major findings were as follows: 1. Characteristics of 36 service providers. 1) Age : Over 40 years old - 66.7% 2) Educational level: The proportion of registered nurses was 47.2% and nurse aids 52.8% 3) Career: The proportion of providers who worked over 11 years in Public Health Service was 7.8% 2. Characteristics of Subjects 1) The major health problems were cerebro vascular attack, hypertension, D. M., arthritis, gastrointestinal problems and psychiatric problems. The prevalence of chronic health problems increased with age, except for mental illness. 2) The prevalence of cancer was 4.3/1000. 3. Contents of Home Visiting Nursing Services. 1) The major service was education and counseling. 2) The other services were Direct Care(ROM exercise, wound care, physical therapy, basic nursing care etc,) as 56.5%, of the work involved Indirect Care(teaching, counseling, emotional support, etc,) 30.3%, medication - 11.7%, and referral to hospitals - 1.5%.

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Development of the Tentative Educational Objectives for the Nursing College (대학간호교육목표의 시안개발)

  • Lee Haw-Ja
    • The Journal of Korean Academic Society of Nursing Education
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    • v.1 no.1
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    • pp.32-45
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    • 1995
  • This thesis is a study to develop the tentative objectives and present the professional and courses for the nursing college. The conclusions conducted by the purpose of this study are as follows. First, on the basis of the concepts of the nursing and the view-points of nursing education, the tentative goals for the nursing education are set up as follows. 1. To understand human being's life, dignity and their physical, mental, and social aspects. 2. To understand the basic concepts and the principles of human sciences, social sciences, natural sciences, and medical sciences. To apply their knowledges to nursing practices. 3. To diagnose and assess the problems of individual, family and community in terms of nursing practice. To develop the ability of planning, negotiation, management, and evaluation for the nursing education. 4. To develop appropriate knowlege, attitudes, and skills to promote the clients' health and treat their illness. 5. To accomplish all tasks effectively as a trained and qualified professional nurse through the endless studies. Second, the nursing areas and courses for the nursing college in terms of validity, Importance, continuity, relationship, utility and appropriateness are listed as follows. 1. Fundamental courses of the nursing. (1) General courses communication human development, behavior science, biochemistry, microbiology, pharmacology (2) Medical courses physiology, anatomy, pathology 2. Basic courses in nursing (1) General nursing fundamental nursing, introduction of nursing, nursing history, nursing process, health education, health assessment, philosophy of nursing, nursing psychology (2) Maternal-Child nursing child-health nursing, child-disease nursing, adolescent nursing, obstetric nursing, post-partum nursing, gyneco-pathy nursing (3) Adult nursing adult health nursing, adult disease nursing I(fluid & electrotonic, shock, anoxia disorder), adult disease nursing II(nutrition-excretion disorder, sexual dysfunction), adult disease nursing III(sense-, control-, activity-, sleep disorder), adult disease nursing IV(operation, rehabilitation, emergency), gerontological nursing (4) Psychiatric nursing child-adolescent psychiatric nursing, adult psychiatric nursing, gerontological psychiatric nursing, spiritual nursing (5) Community health nursing community nursing, school nursing, industrial nursing, family nursing, nursing epidemiology 3. Nursing management and research skills (1) Nursing management nursing administration, nursing ethics, laws related to nursing (2) Research skills nursing statistics, nursing research methodology Finally, the principles of the statement of the specific objectives are the followings : 1. To state the specific objectives on the basis of the syllabus of each courses. 2. To match a content with a verb or gerund as the basic form of objectives. 3. To control the level of the objectives according to the rule 'the higher the level of a content, the lower the level of a verb or a gerund'. This rule applies in the reverse, as well. 4. To decide the number of the objectives in each course on the basis of the numbers of the syllabus and the level of its comprehensiveness, 5. To correct, supplement or eliminate the stated objectives by a professional or professional groups in that area.

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Relationships between Perceived Stress, Mental Health, and Social Support in Community Residents (일 도시지역 주민의 스트레스 지각, 정신건강 및 사회적 지지)

  • Kim, Pan-Hee;Kim, Hee-Sook
    • Journal of Korean Public Health Nursing
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    • v.24 no.2
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    • pp.197-210
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    • 2010
  • Purpose: The study investigated the relationships among perceived stress, mental health, and social support in community residents. Method: A self-reporting questionnaire was completed by 302 community residents aged 19-64-years-of-age from October 7 to November 30, 2008. Assessment tools were an The established perceived stress scale, standardized mental health scale, and established social support scale. The data was analyzed by descriptive statistics, t-test, one-way ANOVA, Scheffe's test, and Pearson's correlation coefficient using the SPSS WIN 12.0 program. Result: Significantly negative correlations were evident between perceived stress and social support, and between social support and mental health. But, there was a significantly positive correlation between perceived stress and mental health. Conclusion: It is necessary to develop a strategy to decrease perceived stress, improve mental health, and increase social support for community residents.