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KMID : 0607320030120030296
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Journal of Korean Academy of Psychiatric and Mental Health Nursing
2003 Volume.12 No. 3 p.296 ~ p.306
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The Psychiatric Nurses´ Experiences in Nursing Care of Client with Delusion
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최윤정/Choi, Yun Jung
민소영/김경희/이숙/노춘희/Min, So Young/Kim, Gyung Hee/Lee Sook/Noh, Choon Hee
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Abstract
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The purpose of this study is to. analyze and explain the substance of psychiatric nurses´ experiences in nursing care of client with delusion. This -study utilized Grounded Theory method to find and understand the essentials of psychiatric nurses´ experiences. The causal conditions of psychiatric nurses´ experiences in nursing care of client with delusion shown in grounded data was ´Pt´s delusion´, and the context was ´course of delusion´. The central phenomenon was ´unbearable´, and the interventional condition was ´effort for trust´. In order to get out of the feeling of unbearable, psychiatric nurses use various strategies such as ´reassuaring, giving empathy, letting go, encouraging expression of pt´s thought and feeling, focusing medication, assessing accurately, -suggesting moving, giving reality´. Through theses strategies psychiatric nurses experienced following result: ´recognizing the need for the details of nursing approach´. According to the nurses´ strategies and results used to cope with the feeling ´unbearable´, 3 types were found: self-reflector, negotiator, withdrawer. In conclusion, these results could enlighten the challengeable phenomena which made psychiatric nurses feel helplessness and self-doubt in nursing care for pt´s delusion. Much more attention for nurses´ feeling and response in order to give the most comprehensive nursing care will be suggested.
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KEYWORD
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