DOI QR코드

DOI QR Code

A Concet Analysis of Psychiatric Nurse's Compassionate Communication Competence: Hybrid Model

혼종모형을 이용한 정신 간호사의 공감적 의사소통역량 개념분석

  • 전원희 (계명대학교 간호학과) ;
  • 임혜숙 (영남이공대학교 간호학과)
  • Received : 2023.10.03
  • Accepted : 2023.11.05
  • Published : 2023.11.30

Abstract

This study was analyzed using a mixed methods approach to clarify the concept of compassionate communication competencies of psychiatric nurses. In the theoretical phase, the literature published from 2000 to 2022 was collected and 38 articles were analyzed. For the fieldwork phase, in-depth interviews were conducted with eight psychiatric nurses from December 1 to December 28, 2022. In the final analysis phase, the dimensions and attributes of psychiatric nurses' compassionate communication competence were identified and conceptualized. Based on the attributes identified in the theoretical and fieldwork phases, the definition of psychiatric nurses' compassionate communication competence was synthesized into five dimensions and 12 attributes. Therefore, psychiatric nurses' compassionate communication competence refers to the skills and abilities of psychiatric nurses to use active listening and empathic skills for effective communication based on compassion and understanding of the target, to be sensitive to the thoughts and feelings of the target, to accurately convey what the target wants to express, to respect the target, and to empower the target.

본 연구는 혼종 모형 방식을 사용하여 정신 간호사의 공감적 의사소통역량에 대한 개념을 명확히 하기 위해 분석되었다. 이론적 단계에서 2000년부터 2022년까지 출판된 문헌을 수집하여 최종 38편의 논문을 분석하였다. 현장 작업단계를 위하여 2022년 12월 1일부터 12월 28일까지 8명의 정신 간호사를 대상으로 심층 면담을 진행하였다. 최종 분석 단계를 통해 정신 간호사의 공감적 의사소통역량의 차원과 속성을 도출하여 개념을 분석하였다. 이론적 단계와 현장 작업단계에서 파악된 속성을 바탕으로 정신 간호사의 공감적 의사소통역량을 정의하면 5개의 차원과 12개의 속성으로 종합되었다. 이에 따라서 정신 간호사의 공감적 의사소통역량은 정신 간호사가 대상자에 대한 공감과 이해를 바탕으로 효과적인 의사소통을 위해 적극적 경청과 공감적 스킬을 사용하고, 대상자의 생각과 감정에 민감하게 반응하여 대상자가 표현하고자 하는 바를 정확하게 전달하고 대상자를 존중하며 대상자에게 힘을 실어주는 기술과 능력을 의미한다.

Keywords

References

  1. Rahmat, Ibrahim et al. "Psychosocial Problems among Psychiatric Nurses for Caring Patients with Mental Disorders during the COVID-19 Pandemic." Nursing Research and Practice vol. 2023 3689759. 24 Jun. 2023, doi:10.1155/2023/3689759
  2. J. D'Afflitti, "A psychiatric clinical nurse specialist as liaison to ob/gyn practice", Journal of Obstetric, Gynecologic &Amp; Neonatal Nursing, vol. 34, no. 2, p. 280-285, 2005. https://doi.org/10.1177/0884217505274697
  3. H. Elsayes and A. Abdelraof, "Promoting resilience in nurses caring for patients with psychiatric disorders", Tanta Scientific Nursing Journal, vol. 19, no. 2, p. 151-173, 2020. https://doi.org/10.21608/tsnj.2020.131969
  4. S. Cowman, "Commentary on sun f-k, long a, boore j & lee-ing t (2006) Patients and nurses' perceptions of ward environmental factors and support systems in the care of suicidal patients. Journal of Clinical Nursing 15, 83-92", Journal of Clinical Nursing, vol. 16, no. 4, p. 805-806, 2007. https://doi.org/10.1111/j.1365-2702.2005.01441.x
  5. L. Piccolo and C. Goss, "People-centred care: New research needs and methods in doctor- patient communication. Challenges in mental health", Epidemiology and Psychiatric Sciences, vol. 21, no. 2, p. 145-149, 2012. https://doi.org/10.1017/s2045796012000091
  6. P. Enarsson and P. Sandman, ""They can do whatever they want: Meanings of receiving psychiatric care based on a common staff approach", International Journal of Qualitative Studies on Health and Well-Being, vol. 6, no. 1, p. 5296, 2011. https://doi.org/10.3402/qhw.v6i1.5296
  7. Schwartz-Barcott D. "An expansion and elaboration of the Hybrid Model of Concept Development."Concept Development in Nursing Foundations, Techniques, and Applications. no.2000. pp.129-59. 2000.
  8. G. H. Choi, "Understanding of Hybrid Model by Schwartz-Barcott & Kim," Korean Association for Qualitative Research, vol.4, pp.40-50, 2019. https://doi.org/10.48000/KAQRKR.2019.4.40
  9. K. A. Kang, "Concept Analysis and Development of Suffering -Application of Hybrid Model Method," Journal of Korean Academy of Nursing, vol. 26, no. 2, pp. 290-303, 1996. https://doi.org/10.4040/jnas.1996.26.2.290
  10. H. J. Kim, and J. H. Kim, "Concept Analysis of Tacit Nursing Knowledge," Journal of Korean Academy of Nursing, vol. 48, no. 6, pp. 637-655, 2018. https://doi.org/10.4040/jkan.2018.48.6.637
  11. H. H. Choi, and S. J.Shin, "Quality of clinical nursing education for new graduate nurses: A concept analysis with a hybrid model," The J ournal of Korean Academic Society of Nursing Education, vol. 29, no. 1, pp. 27-40, 2023. https://doi.org/10.5977/jkasne.2023.29.1.27
  12. The National Institute of the Korean Language. Standard Korean Language Dictionary Communications [internet]. Seoul: The National Institute of the Korean Language. 2023 [cited 2023 March 5]. Available from: https://stdict.korean.go.kr/search/searchResult.do?pageSize=10&searchKeyword=%EA%B3%B5%EA%B0%90]
  13. The National Institute of the Korean Language. Standard Korean Language Dictionary Communications [internet]. Seoul: The National Institute of the Korean Language. 2023 [cited 2023 March 5]. Available from:https://stdict.korean.go.kr/search/searchView.do?pageSize=10&searchKeyword=%EC%9D%98%EC%82%AC%EC%86%8C%ED%86%B5]
  14. N. Salum and M. Prado, "Continuing education in the development of competences in nurses", Texto &Amp; Contexto - Enfermagem, vol. 23, no. 2, p. 301-308, 2014. https://doi.org/10.1590/0104-070720140021600011
  15. L. Vemde, M. Donker, and T. Mainhard, "Teachers, loosen up! how teachers can trigger interpersonally cooperative behavior in students at risk of academic failure", Learning and Instruction, vol. 82, p. 101687, 2022. https://doi.org/10.1016/j.learninstruc.2022.101687
  16. N. Ultay, N. Usta, and E. Ultay, "Descriptive content analysis of studies on 21st century skills", SDU International J ournal of Educational Studies, vol. 8, no. 2, p. 85-101, 2021. https://doi.org/10.33710/sduijes.895160
  17. S. Chandra and M. Mohammadnezhad, "Doctor-patient communication in primary health care: a mixed-method study in fiji", International Journal of Environmental Research and Public Health, vol. 18, no. 14, p. 7548, 2021. https://doi.org/10.3390/ijerph18147548
  18. M. Khanom, S. Akter, A. Zahed, M. Ata, R. Khair, P. Sharifet al., "Outcome of training on "doctor-patient communication skill" for the pre-intern physicians", J ournal of Medicine, vol. 21, no. 1, p. 3-7, 2019. https://doi.org/10.3329/jom.v21i1.44093
  19. J. G. Kim, and B. H. Lee, "The Effects of Value Style on Stress Coping - Mediating Effect of Communication Ability - ," International J ournal of Advanced Culture Technology(IJACT), vol.7, no.2, pp.201-208, 2019.
  20. N. Alquwez, J. Cruz, A. Thobaity, J. Almazan, H. Alabdulaziz, F. Alshammariet al., "Self-compassion influences the caring behaviour and compassion competence among saudi nursing students: a multi-university study", Nursing Open, vol. 8, no. 5, p. 2732-2742, 2021. https://doi.org/10.1002/nop2.848
  21. M. Keulen, T. Teunis, J. Kortlever, G. Vagner, D. Ring, and L. Reichel, "Measurement of perceived physician empathy in orthopedic patients", Journal of Patient Experience, vol. 7, no. 4, p. 600-606, 2019. https://doi.org/10.1177/2374373519875842
  22. G. Engel, "How much longer must medicine's science be bound by a seventeenth century world view?", Family Systems Medicine, vol. 10, no. 3, p. 333-346, 1992. https://doi.org/10.1037/h0089296
  23. L. Li, X. Wang, and J. Rezaei, "A bayesian best-worst method-based multicriteria competence analysis of crowdsourcing delivery personnel", Complexity, vol. 2020, p. 1-17, 2020. https://doi.org/10.1155/2020/4250417
  24. L. Chaby, A. Benamara, M. Pino, E. Prigent, B. Ravenet, J. Martinet al., "Embodied virtual patients as a simulation-based framework for training clinician-patient communication skills: an overview of their use in psychiatric and geriatric care", Frontiers in Virtual Reality, vol. 3, 2022. https://doi.org/10.3389/frvir.2022.827312
  25. S. Malenfant, P. Jaggi, K. Hayden, and S. Sinclair, "Compassion in healthcare: an updated scoping review of the literature", BMC Palliative Care, vol. 21, no. 1, 2022. https://doi.org/10.1186/s12904-022-00942-3
  26. S. Yildirim-Hamurcu and F. Terzioglu, "Nursing students' perceived stress: interaction with emotional intelligence and self-leadership", Perspectives in Psychiatric Care, vol. 58, no. 4, p. 1381-1387, 2021. https://doi.org/10.1111/ppc.12940
  27. A. Kaliampos and P. Roussi, "Quality of partner support moderates positive affect in patients with cancer", Psycho-Oncology, vol. 27, no. 4, p. 1298-1304, 2018. https://doi.org/10.1002/pon.4672
  28. L. Hui, S. Nazir, Q. Wang, M. Asadullah, Z. Khaqan, and A. Shafi, "Influence of transformational leadership on employees' innovative work behavior in sustainable organizations: test of mediation and moderation processes", Sustainability, vol. 11, no. 6, p. 1594, 2019. https://doi.org/10.3390/su11061594
  29. B. Vachon, M. Durand, and J. Leblanc, "Using reflective learning to improve the impact of continuing education in the context of work rehabilitation", Advances in Health Sciences Education, vol. 15, no. 3, p. 329-348, 2009. https://doi.org/10.1007/s10459-009-9200-4
  30. J.W. Joung and Y.H. Park. "Exploring the Therapeutic Communication Practical Experience of Mental Health Nurses." Journal of Korean Academy of Psychiatric Mental Health Nursing, vol. 28, no. 4, pp. 321-332, 2019. https://doi.org/10.12934/jkpmhn.2019.28.4.321
  31. E.J. Oh , M.H. Lee and S.H. Ko. "Influence of Emotional Intelligence and Empathy on the Facilitative Communication Ability of Psychiatric Nurses." Journal of Korean Academy of Psychiatric Mental Health Nursing, vol. 25, no. 4, pp. 283-293, 2016. https://doi.org/10.12934/jkpmhn.2016.25.4.283
  32. M. Roche and J. Haar, "Motivations, work-family enrichment and job satisfaction: an indirect effects model", Personnel Review, vol. 49, no. 3, p. 903-920, 2019. https://doi.org/10.1108/pr-06-2019-0289
  33. N. Campbell, L. McAllister, and D. Eley, "The influence of motivation in recruitment and retention of rural and remote allied health professionals: a literature review", Rural and Remote Health, 2012.
  34. H.S. Hwang, S.E. Joung and E.H. Cho. "A Study on the Use of Narrative Education for Nursing College Students." , vol. 12, no. 2, pp. 217-239, 2018.