This study was designed to shed light on the degree of formation of therapeutic relationship between the nurse and the patient. Toward this end a survey was made on the structure of verbal and non-verbal communication between the nurse and the
patient
as well as on the extent of emphathy as perceived on the part of the patient.
This study adopted as a research tool a transactional analysis list provided by the preceding studies on the basis of Berne's theory on the aforesaid research method. Communication model was analyzed as the stage of ego in the context of Berne's
theory
in accordance with the structural charascteristics of Nurturing Parent (NP), Critical Parent(CP), Adult(A), Free Child(FC), and Adapted(AC).
Kathleen Wheeler's PEI(Perception of Empathy Inventory) was used to measure the degree of therapeutic relationship-an attempt to confirm the efficiency of cross-sectional analysis.
The subjects f this study were two patients who were recently admitted by the closed psychiatric ward of a university hospital and thus found-to be capable of reasonable communication. Data were collected through 4-5 sessions of nurse's
counselling
undertaken from March 10-26, 1993. The inteviewe were transcribed following each counselling session. Structural characteristics in communication were analyzed in terms of frequency and percentile. The data representing changes in empathy were
given
specific grading.
@ES The major finding of this study are as follows:
@EN 1. The communicative structure used by the nurse was topped by Adult ego(A) with 85.5% and 96.2%, followed by Nurturing Parent ego(NP)with 13.0% and 3.3%, respectively.
2. The communicative structure adopted by the patient was topped by Adapted Child (AC) with 54.7% and 45.3%, respectively. As the interview proceeds, Adapted Child is reduced while the Adult ego increases.
The increase of the Adult ego as well as of Adult interaction has proved the validity of the theory of transactional analysis.
3. The nurse's counselling using the transactional analysis showed an overall increases of +1.1 and 1.0+ in empathy, the most important in therapeutic relationship
|