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J Korean Acad Psychiatr Ment Health Nurs > Volume 12(3); 2003 > Article
Journal of Korean Academy of psychiatric and Mental Health Nursing 2003;12(3):296-306.
DOI: https://doi.org/10.12934/jkpmhn.2003.12.3.296    Published online September 30, 2003.
The Psychiatric Nurses’ Experience in Nursing Care of Client with Delusion
Yun Jung Choi1, So Young Min1, Gyung Hee Kim2, Sook Lee3, Choon Hee Noh4
1Instructor, College of Nursing Science, Ewha Womans University
2Full-time lecturer, Seoul Women' s College of Nursing
3Assistant Professor, Department of Nursing, Dankook University
4Associate Professor, Department of Nursing, Hallym University
정신간호사의 망상간호경험
최윤정1, 민소영1, 김경희2, 이 숙3, 노춘희4
1이화여자대학교 간호대학 시간강사
2서울여자간호대학
3단국대학교 간호학과
4한림대학교 간호학과
Correspondence:  Yun Jung Choi, Tel: 82-2-3277-2882, Fax: 82-3277-2882, 
Email: wisdom2323@ewha.ac.kr
Abstract
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.
Key Words: Delusion; Psychiatric nursing; Grounded theory


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