• 정신간호학회지
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• 제27권4호
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• pp.415-426
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• 2018

Purpose: This study aimed to explore the essentials of psychiatric and mental health nursing by identifying the care experience of the psychiatric nurses. Methods: Eleven psychiatric nurses were recruited across five geographical areas in the Korea. Data were collected using semi-structured interviews from two focus groups, which were analyzed with an inductive content analysis. Results: Participants constructed two categories including 'nursing tasks for the client' and 'nursing tasks for the organization'. Subcategories of nursing tasks for the client are 'staying alert on crisis prevention', 'leading them to be real with eager and persistent will', 'nursing beyond role boundaries', 'tuning the needs of clients' family', 'taking journey with clients' personal life history', and 'doing invisible but recognizable nursing'. Subcategories of nursing tasks for the organization are 'working as a responsible team member', 'integrating team competencies at the center of team', and 'balancing protection and control'. Conclusion: Psychiatric nurses played professional and holistic care roles for the clients, and managerial roles for the organizations. This study provides essential data for defining psychiatric nursing and estimating the appropriate ratio of psychiatric nursing staffing.

• 한국직업건강간호학회지
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• 제21권2호
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• pp.108-115
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• 2012

Purpose: The purpose of this study was to investigate the relationship of psychiatric and community mental health nurses' job satisfaction. Methods: This was a descriptive and correlational study in which 151 psychiatric and community mental health nurses (PCMHNs) took part between September and October 2009. Results: The mean score for job satisfaction of the participants was 3.25. In job satisfaction, there were significant differences between psychiatric and community mental health nurse practitioner (PCMHNP) and nurse in community mental health center. All variables except role conflict were positively correlated with job satisfaction. As a result, factors influencing job satisfaction were reward system (${\beta}$=.46, p<.001), self-esteem (${\beta}$=.35, p<.001), leadership (${\beta}$= .27, p<.001), career as a PCMHNP (${\beta}$=-.12, p<.007), job-related characteristics (${\beta}$=.11, p<.24), and career as a nurse in community mental health center (${\beta}$=.09. p<.045). These factors explained 70.3% of the total variance. Conclusion: The results indicated that the comprehensive understanding of job satisfaction to the independent variables could suggest the way how to increase the job satisfaction for psychiatric and community mental health nurse who are a catalysts promoting mental health in community mental health center.

• 간호행정학회지
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• 제16권3호
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• pp.229-239
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• 2010

Purpose: This study aimed to investigate the impact of nursing professionalism on the nursing performance and retention intention among psychiatric mental health nurses. Methods: As a descriptive correlational study, this study sampled 206 psychiatric mental health nurses in six hospitals in Seoul and Gyeonggi area through convenience sampling. Data were collected from March 2 to 31, 2009 using a self-report questionnaire. The collected data were analyzed using SPSS WIN 16.0. Results: In the subscales of professionalism, the 'Sense of calling' had the highest mean score while the 'Professional organization' had the lowest mean score. A significant positive correlation was observed in nursing professionalism, nursing performance and retention intention. According to an analysis on the impact of each subscale of nursing professionalism on nursing performance and retention intention, the 'Sense of calling' and 'Autonomy' were the most significant predictor variable. Conclusion: The results confirmed that the improvement of psychiatric mental health nurses' professionalism increases their nursing performance and retention intention and the 'Sense of calling' and 'Autonomy' are critical prediction factors. It is necessary to come up with a strategy which strengthens nursing professionalism in order to improve psychiatric mental health nurses' performance and retention intention.

• International Journal of Advanced Culture Technology
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• 제8권3호
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• pp.140-147
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• 2020

The purpose of this study is to improve the empathy, communication efficacy, and communication skills of nursing students through a psychiatric nursing practice program using storytelling by allowing the students to immerse in the narratives and identify themselves with the main characters with mental illness. This study is a single group pretest-posttest design that applied psychological nursing practice using storytelling to 46 nursing students from a local university in Korea and evaluated its effectiveness. Data analysis was performed by a paired t-test to compare the effects of the participants' empathy, communication self-efficacy, and therapeutic communication ability using SPSS 21.0 program. The results showed that psychiatric nursing practice using storytelling had an effect on the empathy (t=3.565, p=.001) and communication self-efficacy (t=2.320, p=.025) of nursing students. Based on these results, psychiatric and mental health clinical practice curriculums should be developed to improve nursing students' understanding of mental disorders and develop their communication ability with patients.

• 정신간호학회지
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• 제28권2호
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• pp.156-164
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• 2019

Purpose: The aim of this study was to identify factors influencing on the mental health in bereaved adults. Methods: A descriptive and correlational study was conducted in 160 adults who had experienced bereavement. The collected data was analyzed using descriptive statistics, Pearson's correlation, and hierarchical multiple linear regression analyses with SPSS 26.0. Results: The participants' mental health showed a positive correlation with complicated grief (r=.31, p<.001) and a negative correlation with grief and meaning reconstruction (r=-.30, p<.001). Sex, sleeping time, intimacy with the deceased, grief reaction, and grief and meaning reconstruction were significant factors influencing on the mental health. The total explanatory power of these variables was 31.8%. Conclusion: It is necessary to explore the persistent and impairing grief after experiencing bereavement. Our study findings will be fundamental evidence to develop nursing interventions to improve adult mental health dealing with bereavement and grief.

• 디지털융복합연구
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• 제11권11호
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• pp.455-462
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• 2013

본 연구의 목적은 정신질환자의 권리에 대한 정신보건시설 종사자의 인식정도와 실제 보장 정도를 확인하기 위한 서술적조사연구이다. 연구대상자는 정신보건시설 종사자 231명을 대상으로 하였고, 자료수집기간은 2007년 2월 10일부터 3월 5일까지였다. 본 연구의 결과는 정신보건시설 종사자의 정신질환자 권리 인식은 사전 동의, 치료받을 권리, 비밀보장, 기본적 권리, 일상생활 및 환경, 입원, 치료를 거부할 권리 순으로 나타났다. 실제적인 권리 보장정도는 사전 동의, 치료받을 권리, 비밀보장, 일상생활 및 환경, 기본적 권리, 치료를 거부할 권리, 입원 순이었다. 종사자의 특성에 따른 권리 인식정도는 최종학력, 종교, 월수입, 직종, 권리교육 참석경험 등에서, 권리 보장정도는 월수입, 근무기관, 정신보건과 현재기관 근무경력 등에서 차이가 있었다. 본 연구결과는 정신보건시설에서 정신질환자의 권리 향상을 위한 기초자료로 활용될 것이다.

• 정신간호학회지
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• 제27권4호
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• pp.303-312
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• 2018

Purpose: The purpose of this study was to examine the effects of self-efficacy, health attitudes and healthy lifestyles on recovery of people with mental disorders in the community. Methods: Participants were 188 people with mental disorders receiving mental health services at community mental health welfare centers in the J province. The data were collected from May to June, 2018. Self-report questionnaires were used to measure general self-efficacy, health attitude scale, healthy lifestyles and recovery. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA with $Scheff{\acute{e}}$ test, Pearson's correlation coefficients, and stepwise regression using the SPSS/WIN 23.0 program. Results: Self-efficacy, health attitudes, and healthy lifestyle of people with mental disorders were significant factors, explained about 72% of the variance on recovery. Conclusion: These findings suggest that education programs and health promotion programs focused on healthy lifestyles, improving health attitudes, and self-efficacy should be developed for people with mental disorders to promote their recovery.

• 대한간호학회지
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• 제47권1호
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• pp.49-59
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• 2017

Purpose: The purpose of this study was to identify non-psychiatric nurses' difficulties in caring for patients with mental illness. Methods: Data were collected from eighteen general medical-surgical nurses working at a university hospital in Seoul, Korea. This study involved two focus group discussions and three in-depth individual interviews. All interviews were recorded and transcribed as they were spoken, and data were analyzed using qualitative content analysis. Results: General medical-surgical nurses experienced difficulties in 3 categories, 9 subcategories, 27 codes. The three categories were 'nurse' related factors, 'patient' related factors, 'resource' related factors. The nine categories were 'unpreparedness', 'nursing barriers due to stigma', 'undervaluing and avoidance of psychiatric nursing', 'eroding into the trap of a vicious cycle', 'facing unapproachable patients', 'dealing with unhelpful family members', 'burdening already overburdened staff', 'obstructive environment', and 'isolation of staff with heavy responsibilities'. Conclusion: The results of this study indicate the need to develop psychiatric mental health education programs for non-psychiatric nurses. Education about psychiatric mental health and support from institutions for non-psychiatric nurses can reduce their negative attitude toward psychiatric patients and difficulties in caring for psychiatric patients.

• 대한간호학회지
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• 제45권6호
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• pp.868-878
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• 2015

Purpose: The aim of this study was to verify psychosocial issues faced by psychiatric and community mental health nurse practitioners (PCMHNP) working in community mental health centers, and to identify the adaptation processes used to resolve the issues. Methods: Data were collected through in-depth interviews between December 2013 and August 2014. Participants were 11 PCMHNP working in community mental health centers. Analysis was done using the grounded theory methodology. The first question was "How did you start working at a community mental health center; what were the difficulties you faced during your employment and how did you resolve them?" Results: The core category was 'regulating within relationships.' The adaptation process was categorized into three sequential stages: 'nesting,' 'hanging around the nest,' and 'settling into the nest.' Various action/interaction strategies were employed in these stages. The adaptation results from using these strategies were 'psychiatric nursing within life' and 'a long way to go.' Conclusion: The results of this study are significant as they aid in understanding the psychosocial adaptation processes of PCMHNP working in community mental health centers, and indicate areas to be addressed in the future in order for PCMHNP to fulfill their professional role in the local community.

• 산업융합연구
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• 제20권2호
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• pp.61-70
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• 2022

본 연구는 COVID-19 pandemic으로 간호대학생의 정신간호학 임상실습이 제한되면서 블랜디드 러닝을 기반으로 한 정신간호학실습 프로그램을 개발하고 의사소통 능력, 협력적 자기효능감 및 학습전이동기에 미치는 효과를 확인하기 위한 연구이다. 연구는 2021년 10월 18일부터 2021년 12월 11일까지 간호대학생 64명이 참여하였으며 온라인 구글설문지를 이용하여 실습 전과 실습 후에 설문지를 완성하였다. 수집된 자료는 SPSS 25.0 프로그램을 이용하여 기술적 통계, paired t-test로 분석하였다. 연구결과, 대상자는 블렌디드 러닝을 기반으로 한 정신간호학실습프로그램 전에 비해 후에 의사소통 능력, 협력적 자기효능감과 학습전이동기가 유의미하게 상승되었다. 본 연구결과를 통하여 블렌디드 러닝을 기반으로 한 정신간호학실습프로그램의 효과를 확인할 수 있었다. 추후 포스트 코로나 상황에서도 임상현장실습을 대체하여 적용할 수 있는 정신간호학실습교육의 실행성과 후속연구의 근거자료로 활용될 수 있을 것이다.