Hermeneutic Phenomenological Study on Caring Experiences of Mental Health Nurses for the Mentally Ill Patients

S. Kim, S. Kong
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Abstract

Purpose: This study aimed at understanding the experiences of mental health nurses caring for mentally ill patients.Methods: Van Manen’s hermeneutic phenomenological method was used to analyze qualitative data. The partici- pants were 8 mental health nurses who worked in hospitals, mental health welfare centers, or psychiatric reha- bilitation facilities. Data were collected through in-depth interviews from July 24, 2017, to June 20, 2018.Results: Eight essential themes emerged: “A body that must endure severe symptoms”, “A hand that cares for the wound”, “Ambivalence in a closed space”, “Making them adapt to the open world”, “Being together and getting close to the patients”, “Going forward, leaning on each other”, “Time to protect even a small light”, and “Becoming a shining star by myself”.Conclusion: Strategies are needed to cope with patient violence and prevent psychological trauma. Mental health nurses should be trained for empathetic competency to understand symptoms and build trusting relationships. Caring requires respect and love based on humanity. Mental health nurses learn from patients and experience mutual care that grows through self-reflection. Policy support including financial and manpower security is essential to improving the quality of care and preventing exhaustion.
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心理保健护士对精神病患者护理经验的解释学现象学研究
目的:了解心理健康护士护理精神病患者的经验。方法:采用Van Manen的解释学现象学方法对定性资料进行分析。研究对象为8名在医院、心理健康福利中心或精神康复机构工作的心理健康护士。数据收集时间为2017年7月24日至2018年6月20日。结果:出现了8个基本主题:“必须忍受严重症状的身体”、“照顾伤口的手”、“封闭空间中的矛盾”、“让他们适应开放的世界”、“在一起并接近患者”、“向前走,相互依靠”、“时间保护一盏小灯”、“自己成为一颗闪亮的星”。结论:应对患者暴力,预防心理创伤,需要相应的对策。心理健康护士应该接受移情能力的培训,以了解症状并建立信任关系。关心需要基于人性的尊重和爱。心理健康护士向病人学习,通过自我反思体验相互照顾。包括财政和人力保障在内的政策支持对于提高护理质量和防止疲劳至关重要。
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