• Title/Summary/Keyword: Psychiatric Nursing

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The Effect of Clinical Experience for Psychiatric Nursing on Urinary 17-Ketosteroid(KS) and 17-Hydroxycorticosteroid(OHCS) of the Student (간호학생의 정신간호학 실습이 요중 17-Ketosteroid(KS), 17-Hydroxycorticosteroid(OHCS)에 미치는 영향)

  • Na, Hyun-Ju
    • Journal of Korean Biological Nursing Science
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    • v.2 no.1
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    • pp.85-93
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    • 2000
  • The purpose of this study is to determine the effect of the first experience of the clinical experience for psychiatric nursing on the urinary 17-ketosteroid (KS) and 17-hydroxycorticosteroid (OHCS) of the nursing students. We analyzed the urine of fifteen students on curriculum who were students of D college in K city, compared with the control. In terms of 17-KS, at the end (4 PM) of the first day (p=0.001) and the last day (p=0.003), there was statistically significant difference between the control and the experimental group. In terms of 17-OHCS, at the end of the first day, there was statistically significant difference between the control and the experimental group (p=0.005), and between at the beginning (8 AM) and at the end during the clinical experience (p=0.035). At the last day, also, there was significant difference on the statistics between at the beginning and at the end in both the control (p=0.018) and the experimental group (p=0.004). In conclusion, 17-KS and 17-OHCS may be used as a indicator of the amount of stress to improve the educational environment for the students.

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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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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.

Self-perceived Stigma, Self-efficacy and Quality of Life in Psychiatric Outpatients (정신과 외래 환자가 지각하는 낙인과 자기효능감 및 삶의 만족도에 관한 연구)

  • Sung, Ki Hye
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.2
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    • pp.127-138
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    • 2009
  • Purpose: The purpose of this study was to explore self-reported perceived stigma, self-efficacy, and quality of life among psychiatric outpatients Methods: In the present study, researchers analyzed the survey responses of 195 patients recruited in the S hospital psychiatry outpatient clinic. The measurement tools used in this study were the "Devaluation & Discrimination" scale to determine perceptions of stigmatization, general and social efficacy scales to measure self-efficacy, and the "General Well-Being Index" to measure quality of life in psychiatric outpatient. Statistical analysis included means with standard deviation, t-test, ANOVA and Pearson correlation coefficients to identify relationships between the variables. Results: There was a significant difference in self-perceived stigma and quality of life in psychiatric outpatients (r=-.233, p=.001) and a negative correlation between self-efficacy and quality of life (r=-.424, p=.000). Correlation analysis results support the hypothesis that higher self-perceived stigma scores were related to reduced quality of life among patients with schizophrenia (r=-.231, p=.021), while there was a positive correlation between self-perceived stigma scores and self-efficacy scores among patients with bipolar disorder (r=.362, p=.013). Conclusion: The findings suggest that nursing imtervention strategies should include education programs to reduce stigmatization and enhance self-efficacy and quality of life among patients with chronic psychiatric illnesses.

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.

Modification of Severe Violent and Aggressive Behavior among Psychiatric Inpatients through the Use of a Short-Term Token Economy

  • Park, Jae Soon;Lee, Kyunghee
    • Journal of Korean Academy of Nursing
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    • v.42 no.7
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    • pp.1062-1069
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    • 2012
  • Purpose: Meager research has been carried out to determine the effectiveness of the token economy among patients behaving violently in mental hospitals. The purpose of this study was to examine the effectiveness of the Short-Term Token Economy (STTE) on violent behavior among chronic psychiatric in-patients. Methods: A nonequivalent control group design method was utilized. Participants in an experimental group (n=22) and control group (n=22) took part in this study from January to April, 2008. Observation on aggressive behavior among male in-patients in one hospital as a baseline was made during the week before the behavior modification program and measurement of aggressive behavior was done using the Overt Aggression Scale (OAS), which includes verbal attacks, property damage and physical attacks. Results: The aggressive behavior scores of the experimental group decreased, those of the control group, scores showed an increase after the eight-week behavior modification program utilizing STTE. Conclusion: The results of the study indicate that STTE is effective in reducing the incidence of aggressive behavior among male in-patients in psychiatric hospitals. The outcome of this study should be helpful in reducing the use of coercive measures or psychoactive medication in controlling the violent behavior among in-patients in hospitals.

Pain Management Survey of Psychiatric Unit Nurses (정신과 근무하는 간호사의 통증관리 지식 및 태도에 대한 조사)

  • Park, Hey In;Lee, Kyunghee
    • Journal of Korean Biological Nursing Science
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    • v.16 no.2
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    • pp.150-156
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    • 2014
  • Purpose: This study was intended to measure the knowledge and attitudes of nurses working in a psychiatric ward regarding the subject of pain. Methods: In this descriptive study, data were collected in psychiatric wards(or hospitals) located in the Kyungnam and Kyungpook area from December 2013 to January 2014, using a modified version of the McCaffrey and Pasero Clinical Manual Survey Regarding Pain. The content of the survey follows a logical progression from common pain management problems through mechanisms of pain, assessment and pharmacology. Results: The average score of knowledge regarding pain was roughly $21.59{\pm}2.93$ among the 181 participants. The nurses selected Tylenol as the preferred choice (81.2%). Seventy-one percent of respondents didn't use Pain Intensity Instruments during the pain assessment. The subjects preferred the Numerical Rating Scale rather than Visual Analogue Scales. Pharmacology questions were the least likely to be answered correctly. No specific correlations were found between score and demographic variables of age and experience. No specific correlation between score and educational level was noted. Conclusion: Nurses require ongoing education on pain management, particularly regarding pharmaceutical agents.

Development and Effects of an Acceptance Commitment-based Cognitive Behavioral Program for Patients with Schizophrenia (조현병 환자를 위한 수용전념기반 인지행동 프로그램 개발 및 효과)

  • Lee, Jae Woon;Park, Hyun Sook
    • Journal of Korean Academy of Psychiatric and Mental Health Nursing
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    • v.27 no.4
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    • pp.342-354
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    • 2018
  • Purpose: The purposes of this study were to develop an acceptance commitment-based cognitive behavioral program for patients with schizophrenia and to use it as an intervention tool for psychiatric mental health nursing and thereby confirm the program's effects on patients' psychological flexibility, psychological well-being, and treatment adherence including insight and attitude toward treatment. Methods: This study consisted of a pretest, posttest 1, and posttest 2 for a nonequivalent control group design. The participants were 42 patients with schizophrenia (experimental group: 21, control group: 21). The acceptance commitment-based cognitive behavioral program was conducted in 10 sessions for 5 weeks. Data collected from February to April 2018 were analyzed using the SPSS/WIN 25.0 for $x^2$ test, Fisher's exact test, independent t-test, and repeated measurement ANOVA. Results: The differences between experimental and control groups were statistically significant regarding psychological flexibility, psychological well-being, and insight. Conclusion: This study findings suggest that the acceptance commitment-based cognitive behavioral program can be used as an effective mental health nursing intervention for psychological flexibility, psychological well-being, and insight of patients with schizophrenia.

Self. Actualization of College of Nursing Students Resulting from Psychiatric Nursing Practice (정신과 간호실습 과정과 자기실현에 관한 연구)

  • 이광자
    • Journal of Korean Academy of Nursing
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    • v.6 no.1
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    • pp.29-40
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    • 1976
  • This study attempted to measure personality changes in collegiate nursing students as a result of their psychiatric nursing practice. The study population consisted of 310 students in 8 colleges of nursing in Korea, 96 with psychiatric practice, 103 with other clinical practice and III without clinical practice experience. The objectives of the study were to identify: 1. The self-actualization scores of nursing students resulting from psychiatric nursing practice. 2. The self-actualization scores of nursing students resulting from other clinical nursing practice. 3. The difference between scores for students with clinical practice experience and those without experience. 4. The relevance between self-actualization and sibling order. 5. The relevance between self- actualization and religion. 6. The coefficiently scores for students before and after clinical practice. The instrument used was the Personal Orientation Inventory (POI), developed by Shostrom. It provides a measure of values and behavior which are thought to be of importance in the development of self- actualization. The main findings of the study were as follows: 1. There was a significant difference in the Time Competence, Self Regard, and Nature of Man scales resulting from psychiatric nursing practice. 2. There was a significant difference in the Inner Directed, Existentialist, Feeling Reactivity, Spontaneity, Nature of Man and Capacity for Intimate Contact scales resulting from other clinical nursing practice. 3. There was a significant difference in the Inner Directed, Feeling Reactivity, Spontaneity, Self- Regard and Capacity for Intimate Contact scales between students with clinical practice and those without practice. 4. There was a significant difference in the Self-Acceptance scale for both the eldest and the youngest siblings. 5. There was a significant difference in the Time Competence, Inner Directed, Existentialist, Self-Acceptance and Capacity for Intimate Contact scales for middle and youngest siblings, 6. There was a significant difference in the Existentialist scale between students with a religion and those without one. 7. There was a significant difference for students without a religion in the Time Competence, Inner Directed, Self-Regard, Nature of Man, and Capacity for Intimate Contact scales after clinical practice. 8. There was a significant difference for students, with a religion in the Inner Directed, Existentialist, Spontaneity, and Nature of Man scales after clinical practice. 9. There was a significant difference for students in the Self- Actualizing value, Spontaneity, Nature of Man and Synergy scales according to whether their parents had a religion or not. 10. Before and after practice, significantly different correlations were found between the Time Competence and Capacity for Intimate Contact scales : the Inner Directed and Existentialist scales ; the Self- Actualizing Value and the Feeling Reactivity, Spontaneity, Self-Regard and Nature of Man scales : the Feeling Reactivity and Acceptance of Aggression scales: the Spontaneity and the Self-Regard and Nature of Man scales; and between the Self-Regard and Nature of Man scales.

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