- 期刊
建構社區精神衛生護理能力－自我管理
The Construction of Essential Competence of Community Psychiatric Mental Health Nursing-Self-Management
摘要
本研究的目的為發展護理人員於社區協助精神病患建立自我管理之實務能力範疇與行為操作定義。本研究採行動研究法，以自我管理之理論與協助復健期精神病患提升自我管理之研究結果，進行社區個案照護，以照護實證資料進行內容分析，發展出護理人員「協助病患自我管理」的實務能力範疇與行為操作定義。研究結果支持「協助病患自我管理」之能力範疇含：（一）評估個案自我管理狀況；（二）確定困難障礙及問題順序；（三）共同決定目標；（四）探索方法；（五）執行策略；（六）增強與評價自我管理策略等六項目。本研究發展結果可提升精神病患自我管理技能之護理策略，並可做為鑑定護理人員實務能力之參考。
並列摘要
The purpose of this study was to develop the scope and performance of nursing essential competence for promoting self-management skills of patients with psychosis. Method: The action research method was applied in this study. Based on the theories of self-management and studies of self-management programs on the outpatients with psychosis in the rehabilitation stage, the competences of promoting patients self-management skills were confirmed by nursing process, focus groups, and expert discussions. Subjects were both clinical participants and researchers including two clinical nurses providing directly community care and two nursing faculty. Content analysis was used to analyze the process recording. Results: The scope and performance of ”promoting patient's self-management skills” clinical competency were identified as the following six main items: 1. Assessing the patient's ability to monitor one's condition inherent in living with a chronic diseases. 2. Recognizing and identifying problems that patient experiences. 3. Pacing, planning and prioritizing the goal of self-management and changes in patient's daily life. 4. Making an action plan. 5. Practicing the self-management strategies. 6. Evaluating and increasing patient's confidence in the ability of making life-improving changes. Conclusion: The results of this study could serve as a basis guideline for nurses to promote the patients' self-management skills, and to develop a model of training and accreditation of essential competency for psychiatric community mental health nursing.
被引用紀錄
延伸閱讀
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- 蘇淑芳、戎瑾如、林梅鳳、黃瑞媛、許敏桃、白秋鳳、蕭淑貞（2006）。精神衛生護理師培訓內容－建構支持性團體心理治療實務能力。精神衛生護理雜誌，1(1)，42-47。https://doi.org/10.6847/TJPMHN.200603_1(1).0009
- 謝淑貞、陳錦茗、曾秋美、蔡文佩、蕭淑貞、黃瑞媛、戎瑾如（2006）。精神衛生護理師培訓內容－建構行爲治療實務能力。精神衛生護理雜誌，1(1)，34-41。https://doi.org/10.6847/TJPMHN.200603_1(1).0008
- 李曉芳、戎瑾如、蕭淑貞、陳喬琪（2014）。探討精神衛生護理人員家庭護理治療能力的自我評價。精神衛生護理雜誌，8(2)，1-10。https://doi.org/10.6847/TJPMHN.201401_8(2).0002
- 康云瑄、李依玲、戎瑾如、黃瑞媛、蕭淑貞（2006）。Constructing the Clinical Competence of Psychiatric Mental Health Nurses-Psychopharmacological Therapy。精神衛生護理雜誌，1(1)，23-27。https://doi.org/10.6847/TJPMHN.200603_1(1).0006