• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제27권2호
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• pp.57-64
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• 2021

Purpose: The relationship between the staff area and the patient's private area is the key factor in designing the structure and the environmental characteristics of ward spaces in a psychiatric hospital. Recent research has found that for the purpose of treatment and securing privacy, psychiatric patients need to be in an open space of relief rather than closed confined environment and under the watch of nursing staffs. Methods: A survey at three kinds of wards in a private psychiatric hospital in Japan was conducted in October 2002. These wards include an acute ward, a psychiatric convalescence ward, and a stress care ward. All three kinds of wards have the same structure. At each ward, spatial preferences of the 145 psychiatric inpatients were surveyed and data concerning the patient's diagnostic category, symptoms, and activities of daily living were recorded. Results: The patients in the stress care ward prefer to stay in private spaces than public spaces. On the other hand, in the acute ward the patients seem to have a preference between managed public spaces where are monitored by nursing staffs and their private rooms where the nurse station is close. In addition, the patients in the psychiatric convalescence ward spend most of their time in the public space, such as the hallways or the day room. Implications: Base on this research, the spaces at the acute ward that could be monitored by the nursing station serves effectively as a safety space for patients was concluded. However, in the stress care ward, the patients may perceive the monitoring by the nursing staff as interruption or nuisance to their relaxation. In order to design an ideal healing environment for psychiatric patients in psychiatric ward, it is important to consider how environmental characteristics of space affect the environmental sense of patients in each ward.

• 보건의료산업학회지
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• 제13권3호
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• pp.67-80
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• 2019

Objectives: The purpose of this study was to identify the relationships among violent experiences, positive psychological capital, and burnout, as well as to clarify the factors that affect psychiatric ward nurses' burnout. Methods: A descriptive research design was used. Participants were 213 psychiatric ward nurses recruited from twelve psychiatric hospitals. A structured self-report questionnaire was used to measure the study variables, and data were analyzed with the SPSS 24.0 program using descriptive statistics, an independent t-test, a one-way ANOVA, Pearson's correlation coefficients, and multiple linear regression analyses. Results: Burnout positively correlated with violent experiences (r=.14, p=.041), but negatively correlated with positive psychological capital (r=-.73, p<.001). Positive psychological capital was a significant variable for the burnout of psychiatric ward nurses (${\beta}=-.71$, p<.001). Conclusions: The study findings indicate a need to reinforce positive psychological capital for preventing and alleviating burnout of psychiatric ward nurses.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제29권2호
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• pp.39-48
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• 2023

Purpose: In Korea, the increase rate of the number of mentally ill patients increases, and the hospitalization period for severely mentally ill patients to stay in acute wards is long and the re-hospitalization rate is high. In order to improve the dignity of patients with acute mental illness and to plan a therapeutic environment for this, this study attempted to present a basic framework of spacial planning for establishing guidelines for psychiatric acute ward in general hospitals. Methods: By analyzing the acute psychiatric ward guidelines of the UK, Australia, and the US., this study analyzed the areas and required rooms of psychiatric acute ward in general hospitals, as well as the net floor area of each room, and the connection between the rooms. Results: As a result of the study, the basic framework for the ward areas and the required rooms, the net floor areas of the rooms, and the connection between the rooms were presented for the establishment of guidelines for the psychiatric acute ward in general hospitals. Implication: The results of the study will be used as a basic framework of space planning for establishing of guidelines for the psychiatric acute ward in general hospitals and will contribute to the establishment of detailed guidelines based on the space configuration through surveys and analysis of space use status, operation status, and expert interviews in Korea.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제29권1호
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• pp.53-62
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• 2023

Purpose: Recently, the number of severely mentally ill patients has been increasing rapidly in Korea, but there are no design guidelines for spatial planning of Korea's acute psychiatric wards. The study aims to clarify the areas and required rooms in Korea's acute psychiatric wards which are important in establishing the design guidelines for Korea's acute psychiatric wards. Methods: This study proposed a structural framework based on the results of investigating and analyzing the acute psychiatric ward guidelines in the UK, Australia, and the U.S. and the areas and the required rooms of the wards stipulated in the basic data for establishing acute psychiatric ward design guidelines in Korea. The design guidelines for overseas acute psychiatric wards are 'Adult Acute Mental Health' in the UK, 'Adult Acute Mental Health Inpatient Unit' in the Australia, and 'Specific Requirements for Mental Health Hospitals' in the United States. Results: As a result of investigating and analyzing the design guidelines for overseas acute psychiatric wards, the areas of wards applicable to acute wards in domestic psychiatric wards were access, patient, treatment, support, and employee areas. In addition, the required rooms for each area were defined around major considerations such as visibility, convenience, comfort, security, safety, patient observation, barrier-free design, and privacy protection. Implications: The results of the study will be presented as a structural framework and basic data for establishing design guidelines for Korea's acute psychiatric wards, which is still absent.

• 한국융합학회논문지
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• 제13권4호
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• pp.521-530
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• 2022

본 연구는 최근 22년 간 정신과 병동 간호사의 소진과 관련된 국내 연구논문의 현황을 분석하여 앞으로의 연구 방향을 제시하기 위한 목적을 두고 시행되었다. 국내 5개의 데이터베이스를 이용하여 문헌을 검색하였고 선정 기준에 맞는 총 14개의 연구가 분석에 포함되었다. 13개 연구가 횡단적 조사연구였으며 1개의 연구가 질적연구였다. 양적 연구 중 정신과 병동 간호사의 소진을 측정한 도구 중 Maslach Burnout Inventory(MBI)가 가장 많이 사용되었다. 정신과 병동 간호사의 소진에 영향을 미치는 개인적 요인은 나이, 결혼 여부, 임상경력, 정신건강간호사 자격증 소지 여부, 월 급여, 종교 여부, 정신과 관련 교육을 받은 횟수였음을 알 수 있었다. 정신과 병동 간호사의 소진에 가장 큰 영향을 미치는 상황적 근무 시 폭력 경험 여부임을 알 수 있었다. 추후 큰 규모의 횡단적 연구와 추적연구가 시행되어야 하며 이를 바탕으로 정신과 병동 간호사의 소진을 감소시키기 위한 중재 연구가 이루어질 필요가 있다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제26권1호
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• pp.39-49
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• 2020

Purpose : The purpose of this study is to investigate the current status of operation and ward environment of psychiatry in regional public hospitals. Methods: The method of this study utilized legal system and statistical data analysis, and drawing analysis of psychiatric ward. Results: In addition to treatment, psychiatric wards require additional space for special purposes such as psychological stability, social rehabilitation, and psychotherapy and so on. The room should improve the quality of the environment, taking into account the patient's psychological state, privacy, safety, amenity and hygiene. In addition, various types of room are needed to ensure sufficient area per bed. Implications: Psychiatric wards should be provided with a preference for psychological consideration of patients. The result of this study would be useful as a reference to plan psychiatric wards.

• 한국산학기술학회논문지
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• 제17권9호
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• pp.188-195
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• 2016

본 연구는 한국형 행동건강간호역량 측정 도구를 활용하여 정신과병동과 일반병동 간호사들의 행동건강간호역량의 정도를 확인하고 비교하는 횡단적 서술조사 연구이다. 연구 대상자는 서울시 및 경기도에 소재한 300병상 이상의 병원 6곳에서 근무하는 정신과병동 간호사 90명과 일반병동 간호사 100명, 총 190명을 대상으로 실시되었다. 정신과병동과 일반병동 간호사의 행동건강간호역량의 정도를 비교한 결과, 대부분의 문항에서 정신과병동 간호사가 행동건강간호역량의 정도가 높은 것으로 나타났다. 또한 정신과병동 간호사는 일반병동 간호사에 비해 사정 5.29배, 중재 6.06배, 적절한 자원 활용 2.63배가 높은 것으로 나타났으나 치료권장에 대한 부분은 영향력을 미치지 않은 것으로 나타났다. 이에 따라 일반병동 간호사에 대한 교육과 훈련이 강화되어야 하며, 병원 관리자들은 일반병동 간호사의 행동건강간호역량 교육에 관심을 두고 이와 관련된 교육 전문가를 양성하여 프로그램을 개발해야 할 것이다. 본 연구는 정신과병동과 일반병동 간호사들을 대상으로 행동건강간호역량의 정도를 확인하고 비교한 연구로 일반병동 간호사의 정신간호에 대한 역량을 증가시킬 수 있는 기초자료를 마련하였다는데 의의가 있다.

• 대한간호학회지
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• 제5권1호
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• pp.59-69
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• 1975

Author studied on various psychiatric nursing problems applying with the test of questionnaire to the 376 nurses who are attending at 13 general hospitals and one mental hospital in Korea from Apr. 1, 1974 to July 30. 1974. The results obtained were ai follows: 1. 13.095 of nonpsychiatric registered nurses wanted the psychiatric service for their most attractive assignment and this was the 3rd in order next to the general surgical and operating room. Among the psychiatric nurses, the popularity toward psychiatric ward was 31. 0% and they were 26.0%at the private general hospitals and 6, 0% in national public hospitals. 2, The feelings or attitudes of disgust and apprehension on nursing care of the patients at-flirted with infectious diseases were the highest responses (38.5%) and these 1.ends were also appeared in 6.9% of psychiatric nurses. 3. 85.5% of nonpsychiatric registered nurses have had received course lectures on psychiatric nursing and nursing care training on the psychiatric ward at their school of nursing. 38.0% of psychiatric nurses had received post graduate psychiatric nursing and they were higher in national public hospitals (27.0% ) than in private general hospitals (11.0%). 4. The responses of satisfaction and security on their employment were almost similar patterns between nonpsychiatric registered nurses and psychiatric nurses. But among the psychiatric nurses. they were more satisfied at private general hospitals (33.0%) than that of national public hospitals (10.0%). 5. Almost the half of the nurses (50.8%) were employed by the hospitals without considering their past educational or clinical experience or career. Among the psychiatric nurses, who were employed by hospitals without considering their past experience or career were 35.0% in national public hospitals and 12.0% in private hospitals. On the contrary, the nurses who were employed by their wishes fore more higher (26.0%) in private general hospitals than national public hospitals (2.0%). 6. The nurses who thought their employment was fit for their aptitude were 48.6% in nonpsychiatric registered nurses and 51.0% in psychiatric nurses. Among the psychiatric nurses, this response was higher in private general hospitals (34.0%) than the national public hospitals (17.0%). 7. Responses on wort loadings of nurses showed almost same patterns between nonpsychiatric registered nurses and psychiatric nurses. But. among the psychiatric nurses who felt much heavier than the nurses of other part were 24.0% in national public hospitals and 8.0% in private general hospitals. 8. 92.6% of nurses felt that the psychiatric nurses should have post graduate training in psychiatric nursing prior to their assignment. 9. 96.0% of nurses agreed to the risk coverage on the payment for the nurses assigned to the psychiatric ward and the ward for infection diseases.

• 정신신체의학
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• 제1권1호
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• pp.75-80
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• 1993

To understand and evaluate the patients who were referred for psychiatric consultation from medical departments, the authors reviewed the concept of disease, psychological reaction to disease, problems on psychiatric diagnosis and evaluation which were encountered at the medical ward. In addition, we reviewed what psychiatrists should do during consultation.

• 대한간호학회지
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• 제19권1호
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• pp.81-91
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• 1989

This descriptive-comparative study attempted to examine the differences according to the year in college of 288 junior college nursing students attitudes about mental illness. The instrument used for this study was the OㆍMㆍI (Opinion about Mental Illness) scale developed by Cohen and Struening. Data collection was done from the 27th to the 30th of September, 1988 by means of a questionnaire. Data were analyzed by computer, using the t-test and Analysis of Variance. The finding of this study are as follows : 1. Hypothesis I: “There will be a difference in attitudes toward mental illness according to the year in college 1"There will be a difference in the attitude about authoritarianism-according to the year in college" was rejected(F＝.5675, P＝.5676). 2 "There will be a difference in the attitude about benevolence-according to the year in college." was accepted(F＝.5376, P＝.5848). 3. "There will be a difference in the attitude about mental hygiene ideology-according to." was accepted (F＝17.3497, P＝.0000). 4. "There will be a difference in the attitude about social restrictiveness-according to" was rejected (F＝1.7416, P＝.1771), 5."There will be a difference in the attitude about interpersonal etiology-according to" was accepted (F＝10.8597, P＝.0000). 2. Hypothesis II : "There will bed difference in attitudes toward mental illness." according to whether or not the student have had clinical practice in the psychiatric ward. 1.There will be a difference in the attitudes about authoritarianism - according to "whether or not the student's have had clinical practice in the psychiatric ward was rejected(t＝.59, p＝.555). 2. "Whether they have had clinical practice at the psychiatric ward or not, There will be difference in the attitudes about benevolence." was rejected (t＝1.34, p＝.182). 3."Whether they have had clinical practice at the psychiatric ward or not, there will be difference of the mental hygiene ideology attitude." was accepted (t＝2.72, p＝.008). \circled4 “Whether they have had clinical practice at the psychiatric ward or not, there will be difference of the social restrictiveness - attitude." was rejected (t＝-.59, p＝.557). 5. "Whether they have had clinical practice at the psychiatric ward or not, there will be difference of to interpersonal etiology-attitude." was accepted(t＝3.55, p＝.001). In conclusion, it was found that the higher the year in College, the more positive the attitudes are about mental hygiene ideology and interpersonal etiology. This study suggests that more positive attifudes about psychiatric illness can be induced by a more effective educational experience. The main limitation of this study was that the sociocultural background of Korea is not considered in the OㆍMㆍI scale.