The care of patients with psychiatric symptoms in general hospitalisation units: A phenomenological study

Daniel Ricardo Zaraza-Morales , Camilo Duque-Ortiz , Hellen Lucia Castañeda-Palacio , Liliana María Hinestrosa Montoya , Maria Isabel Chica Chica , Lina Marcela Hernández Sánchez
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Abstract

Introduction

The objective of this study was to explore the approach to patients with psychiatric symptoms by nursing professionals in general hospitalisation units in the city of Medellín, Colombia.

Methods

A qualitative study with the method of interpretive phenomenology. 11 nursing professionals from general hospitalisation units in the city of Medellín, Colombia participated. The information analysis was processed according to the Phenomenological Interpretive Analysis method and with the support of the NVIVO Plus 12 software.

Results

The nurses’ experience is described through three themes: representations of the patient with psychiatric symptoms, the patient as aggressive, violent and unpredictable; feeling fearful while providing care, caring for others in the midst of prevention, fear and stress, and being in a chaotic situation, a circumstance that gets out of control and alters the dynamics of the hospitalisation unit.

Conclusions

Caring for patients with psychiatric symptoms is stressful, especially when nursing professionals perceive a lack of support from other colleagues and from the hospital administration. The above favours the development of alterations in the professional's physical and mental health.
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普通住院部对有精神症状病人的护理:一项现象学研究。
引言本研究的目的是探讨哥伦比亚麦德林市综合住院部的护理专业人员如何对待有精神症状的病人:方法:采用解释现象学方法进行定性研究。11 名来自哥伦比亚麦德林市综合住院部的护理专业人员参与了研究。在 NVIVO Plus 12 软件的支持下,按照现象学解释分析方法进行了信息分析:结果:护士们的经历通过三个主题进行了描述:对有精神症状的病人的描述,病人具有攻击性、暴力性和不可预测性;在提供护理时感到恐惧,在预防、恐惧和压力中照顾他人,以及处于混乱状态,一种失控的情况,改变了住院部的动态:护理有精神症状的病人压力很大,尤其是当护理专业人员认为缺乏来自其他同事和医院管理部门的支持时。上述情况会导致专业人员的身心健康发生变化。
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