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J Korean Acad Psychiatr Ment Health Nurs > Volume 28(4); 2019 > Article
Journal of Korean Academy of psychiatric and Mental Health Nursing 2019;28(4):321-332.
DOI: https://doi.org/10.12934/jkpmhn.2019.28.4.321    Published online January 13, 2020.
Exploring the Therapeutic Communication Practical Experience of Mental Health Nurses.
Jaewon Joung, Younghee Park
1Assistant Professor, Department of Nursing, Semyung University, Jecheon, Korea.
2Assistant Professor, Department of Nursing, Dongguk University, Gyeongju, Korea. gml34@dongguk.ac.kr
Abstract
PURPOSE
The purpose of this study was to explore the therapeutic communication experience of nurses in psychiatric wards. METHODS: Data were collected from 9 mental health nurses working at psychiatric wards in three university hospitals in Seoul and Gyeongju, South Korea. The study involved in-depth individual interviews, which were recorded and transcribed as they were spoken, and data were analyzed using qualitative content analysis. RESULTS: Therapeutic communication experiences of psychiatric ward nurses were categorized into 4 categories, 12 subcategories, and 24 codes. The four categories were ‘therapeutic communication practiced as a nurse’, ‘therapeutic communication delivered to patients’, ‘power revealed between patients and nurses’, and ‘environment surrounding therapeutic communication’. The twelve subcategories were ‘approaching with interest’, ‘with all one's heart and soul’, ‘learning and grow from peers’, ‘understanding the true meaning of mental health nursing’, ‘boosting in strength’, ‘providing a sense of security’, ‘formation of rapport’, ‘lead to recovery’, ‘variability of interaction’, ‘powerful energy originating from sparklet’, ‘lack of physical time’, and ‘absence of supervision’. CONCLUSION: The results of this study indicate the need to develop and apply therapeutic communication interventions for psychiatric nurses. Supervision is needed to promote therapeutic communication among psychiatric nurses and requires institutional support.
Key Words: Qualitative research; Psychiatric nursing; Nurses; Patients; Communication


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