Qualitative Study about Acknowledgement of Psychiatric In-Patients and Professional Care Behavior of Psychiatric Nurses

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  • 入院中の精神疾患患者に対する看護師の認知と専門的ケア行動選択に関する研究
  • ニュウイン チュウ ノ セイシン シッカン カンジャ ニ タイスル カンゴシ ノ ニンチ ト センモンテキ ケア コウドウ センタク ニ カンスル ケンキュウ

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Abstract

The purpose of this study is to describe the relationship between the acknowledgment of psychiatric in-patients as human beings and professional care behavior of psychiatric nurses. Data were collected by semi-structured interviews of twenty-seven nurses who work at five private psychiatric hospitals and analyzed with reference to the mini-ethnographic technique. The results are summarized as follows. Nurses who regard psychiatric in-patients as persons having independent personalities took care of them in a professional manner. On the other hand, nurses who considered a patient as a person under the nurse's control or an object of pity did not show professional care behavior.<br> The professional care behaviors of nurses were correlated with the nurses' relationships with colleagues and superiors in the hospital, their knowledge of psychiatric nursing and the ability to carry out it practically, and keeping up the extent of values of existence in work organization and self-esteem.<br> It was concluded that psychiatric nurses used derogatory images of patients to defend themselves from emotional conflict and low self-esteem, and that they chose non professional type of care behavior because they could not practice professional care standards.

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