KMID : 0806120170470010049
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´ëÇÑ°£È£ÇÐȸÁö 2017 Volume.47 No. 1 p.49 ~ p.59
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Difficulties in Caring for Psychiatric Patient as Experienced by Non-Psychiatric Nurses
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Joung Jae-Won
Jang Mi-Young Shim Ji-Hyun Ko Yoon-Hi Shin Sung-Hee
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Abstract
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Purpose: The purpose of this study was to identify non-psychiatric nurses¡¯ difficulties in caring for patients with mental illness.
Methods: Datawere collected from eighteen general medical-surgical nurses working at a university hospital in Seoul, Korea. This study involved two focusgroup discussions and three in-depth individual interviews. All interviews were recorded and transcribed as they were spoken, and data were analyzedusing qualitative content analysis.
Results: General medical-surgical nurses experienced difficulties in 3 categories, 9 subcategories, 27codes. The three categories were ¡®nurse¡¯ related factors, ¡®patient¡¯ related factors, ¡®resource¡¯ related factors. The nine categories were ¡®unpreparedness¡¯,¡®nursing barriers due to stigma¡¯, ¡®undervaluing and avoidance of psychiatric nursing¡¯, ¡®eroding into the trap of a vicious cycle¡¯, ¡®facingunapproachable patients¡¯, ¡®dealing with unhelpful family members¡¯, ¡®burdening already overburdened staff¡¯, ¡®obstructive environment¡¯, and ¡®isolationof staff with heavy responsibilities¡¯.
Conclusion: The results of this study indicate the need to develop psychiatric mental health educationprograms for non-psychiatric nurses. Education about psychiatric mental health and support from institutions for non-psychiatric nurses can reducetheir negative attitude toward psychiatric patients and difficulties in caring for psychiatric patients.
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KEYWORD
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Qualitative research, Psychiatric nursing, Patients, Medical-surgical nursing, Mental disorders
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