| Study on the Percieved Concept about Therapeutic Communication of Nurses working in Psychiatric Ward |
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Hyun Bin Yim1, OkJa Koh2, Hee Cho2, Hee Kyung Kim3, Sung Ok Chang4, Jeong Nam Shon5 |
1Department of Nursing, Suwon College
2Red Cross Junior College of Nursing
3KongJu Junior College of Nursing
4Department of Nursing, Korea University
5Department of Nursing, Dongwoo Junior College |
| 일부 정신과 병동 근무 간호사의 치료적 의사소통개념 인지에 대한 연구 |
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임현빈1, 고옥자2, 조 희2, 김희경3, 장성옥4, 손정남5 |
1수원전문대학 간호과 교수
2적십자간호전문대학강사
3공주전문대학간호과 교수
4고려대학교 의과대학 간호학과 연구강사
5동우전문대학 간호과 교수 |
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| Abstract |
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This study was designed to identify the characteristics and properties about therapeutic communication.
The subjects of this study were 20 nurses working in psychiatric ward.
Th6 data were gathered through interview from March 2nd. to May 30th in 1996.
The data were subject*s descriptions about therapeutic communication and analysed by content analysis.
The result were as follows :
1. The characteristics of therapeutic communi cation are identified as formal relation, patienfs problem centered communication, professional area, active attitude in mutual relation, encouraging patient’s expression, sufficiently allocated time, purpose to solve patienfs problem, progressive phases in relation, active and facillitative coping skill of therapist in dealing patienfs problem.
2. The description of therapeutic communication is follows : Due to analyses of data, the data were divided into six categories : motive in relation, mutual position in relation, preliquiste condition, content characteristics, the structure of mileu, result of relation.
Ifs motive are good intention to help patient and professionality to deal patient’s problem.
In mutual relation, therapist leads communication with professional responsibility to solve patienfs problem through systematic and individualized approach.
The preliquistes of therapeutic communication are patient's capability to have mutual relation, active attitude in relation, rapport in patient-therapist relation, therapist’s professional capability in counselling.
The content’s characteristics of therapeutic communication are encourage of patient’s expression, exploration of patient’s subjectivity, planned communication pursueing formation of insight and emotional ventilation in patient.
The environmental mileu of therapeutic communi cation is professional and formal authority based situation in interview, is situation that therapist deal with patienfs problem with responsibility, and patient depends on therapist in solving his problem.
The results of therapeutic communication are ad vance in therapist-patient relationship, reinforce ment in emotional alliance in relation, patienfs emotional catharsis, patient's insight and absence of patienfs problematic behaviors.
3. The barriers of therapeutic communication in nursing situation.
Due to analyses of interview about nurses’s experience of therapeutic communication, nurses’s therapeutic communication in clinical setting is super ficial, non - planed, non—clarified purpose in communication and it was different from perception of therapeutic communication they have.
The reasons of nurses’s difficulties in appling therapeutic communication in practice were workoverloading, unwillingness, lack of knowledge and skill, lack of ability in emotional control, absence of nursing system about nurse —patient communication. |
| Key Words:
Therapeutic Communication |
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