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As a descriptive survey, this study was attempted to get basic data necessary to recognize the factors that disturb the therapeutic atmosphere of hospital wards as perceived by nurses and hospitalized patients, to identify differences between the perceptions of the nurses and of patients. The subjects, 159 patients in Pusan National Hospital and 68 nurses working there were sampled between March 18 and April 13, 1996. The tool used to measure the disturbing factors was an amended form of the one developed by Kim, Mae Ja(1983). The differences between each subjects score for each factor were analyzed using means & SD. and the highest 3 items above the mean score for each factor were collected and compared. The results are described below : 1. Subjects perception of main disturbing factors : patients reported that the main factors were loss of role & economic trouble, the prognosis of disease, the change of daily life but nurses replied that the main factors were the prognosis of disease, the communication trouble with the medical team & interpersonal relationships. The change of daily life was not a perceved factor by nurses, but ranked third by the patients. 2. Subjects perception degree of each disturbing factor : (1) among the items related to interpersonal relationship. the patient group reported that the worst disturbance was dur to severely ill patients in the same room but the nurse group regarded greed to monopolize wheelchairs or other supplies as the worst disturbance. (2) among the items related to physical factors. the patient group regarded limitations to wash their body, physical pain and limitations in physical activity as the worst disturbance, but the nurse group regarded physical pain, and limitations to activity or change of appearance as the worst disturbance. (3) among the items related to the change of daily activity, the patient group regarded the boredom of hospitalization or infavorable diet as the worst disturbance, but the nurse group regarded too much noise or unclean room as the worst disturbance. (4) among the items related to the communication trouble with medical team, the patient group regarded the ignorance of their disease due to poor information. the inability to understand the language of the medical team or the difficulty in seeing physician in time as the worst disturbance, but the nurse group regarded the inability to trust physicians and physicians poor attention to patients as the worst disturbance.
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