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일부 정신과 병동 근무 간호사의 치료적 의사소통개념 인지에 대한 연구
임현빈,고옥자,조희,김희경,장성옥,손정남 대한간호학회정신간호학회 1996 정신간호학회지 Vol.5 No.1
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. The 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 wee as follows : 1. The characteristics of therapeutic communication are identified as formal relation, patient's problem centered communication, professional area, active attitude in mutual relation, encouraging patient's expression, sufficiently allocated time, purpose to solve patient's problem, progressive phases in relation, active and facillitative coping skill of therapist in dealing patient's 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. It's 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 patient's 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 counseling. The content's characteristics of therapeutic communication are encourage of patient's expression, exploration of patient's subjectivity, planned communication pursuing formation of insight and emotional ventilation in patient. The environmental mileu of therapeutic communication is professional and formal authority based situation in interview, is situation that therapist deal with patient's problem with responsibility, and patient depends on therapist in solving his problem. The results of therapeutic communication are advance in therapist-patient relationship, reinforcement in emotional alliance in relation, patient's emotional catharsis, patient's insight and absence of patient's 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 superficial, 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 work-overloading. unwillingness, lack of knowledge and skill, lack of ability in emotional control, absence of nursing system about nurse-patient communication.
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김순자,고옥자,김지아,이성림 고려대학교 의과대학 1992 고려대 의대 잡지 Vol.29 No.2
160 nursing, medical and allied health periodicals published from January 1967 through December 1989 were reviewed and 360 death and dying articles were sorted. Subject headings, literatures reviewed and concepts defined, and the research problem statements of 360 articles were reveiwed. Of the 360, the 252 articles which analysed the biological death or/and the statistical facts about death were excluded for this study. The 108.77 empirical and 31 literary research reports were analysed, key-concepts and themes were identified and classified. 77 empirical research reports were analysed. specific research methodologies used were identified and classified. Results are summarised as follows; 1. 4 key-concepts ; death. dying. euthanasia and suicide were identified. 50 of death, 46 of suicide, 9 of dying and 3 of euthanasia articles were reported. Only 5 in the1967-1974 period, 14 in the late 1970s, 40 in the early 1980s and 16 in the late 1980s were reported. 34 of 50 death. 7 of 9 dying, 2 of 3 euthanasia researches were reported by nurse researchers while 39 of 46 suicide researches were reported by physician researchers. thus revealed the divergence of interest areas 2. Survey (56) ; descriptive (31), comparative (21) and case survey (4) approaches were most frequently used followed by retrospective approaches (10). In the 1980s, varieties of approaches such as word association (4), Q-sorting method (2) and primitive experiments (3) were introduced for death studies. 3. In the 45 death, dying and euthanasia research articles nurses and nursing students revealed to be the most frequently (34) used population sampled. Of the 32 suicide researches, suicidal attemptees were most frequently (30) used research subjects. 4. For the 45 death, dying and euthanasia researches, indirect self-reports (33) such as Schneidman's DAQ, psychological measurements (5) such as Collett-Lester's, FODS and projective methods like word association (4) were used to gather data. For most of the suicide researches, review of the clinical records of the dead and direct self-reports(interview) of the suicidal attemptees and/or the family were used as data gathering methods. 5. In most of the research reports, data were analysed and presented using descriptive statistics such as frequency distribution. The use of more elaborate descriptive statistics and some inferential statistics appear in very few research reports of the 1980s.
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