護生精神科實習的護病溝通經驗

The Experience of Nurse-Patient Communication among Psychiatric Nursing Internship

陳曉菁(XIAO-JING CHEN)

指導教授 ： 江青桂

中臺科技大學/護理學院/護理研究所/碩士(2019年)

摘要

背景：「溝通」是精神科最常使用的技術，但是護生首次面對精神病人時，常常不知道要如何與病人溝通，因而可能影響護生在精神科的學習成效。目的：本研究從護生的角度觀點來描述及詮釋精神科實習的護病溝通經驗。方法：採質性研究設計，以立意取樣招募研究對象，透過一對一、半結構式深度訪談收集研究資料，以了解護生精神科實習之護病溝通經驗。訪談過程全程錄音並謄寫成逐字稿後，以Lieblich、Tuval-Mashiach 與 Zilber (1998)內容分析法進行資料分析。結果：本研究共訪談10名護理科學生，資料分析呈現三個主題及九個概念類組，包括(一)從焦慮開始的旅程：烙印觀的影響、監控受限的環境、緊張害怕的情緒；(二)溝通技巧的學習：覺察反思期、新手摸索期、進階學習期；(三)在互動溝通中成長：以病人為中心的關懷、以目標為導向的溝通、人際互動的反思整合。結論：護生於監控封閉的精神科病房實習期間，面對精神病人的疾病特性及老師教學的要求，因而產生焦慮的負面情緒反應，影響其與個案的溝通互動，經由實習過程的覺察反思淬鍊之後，溝通技巧逐漸養成，發展出整合性的護病溝通能力。本研究結果可提供未來護生護病溝通自我準備、教師及護理人員指導護生溝通技巧、以及學校溝通課程設計之參考。
關鍵字：護生、精神科實習、護病溝通、經驗

關鍵字

護生 ； 精神科實習 ； 護病溝通 ； 經驗

並列摘要

Background: "Communication" is the most commonly used technique in psychiatry. The first clinical experiences of psychiatric nursing students, they often do not know how to communicate with patients, therefore, it may affect the effectiveness of nursing students in psychiatry. Purposee: This study describes and interprets the experience of nursing communication in psychiatric internship from the perspective of students. Methods: A qualitative research design, taking a Purposive Sampling by intentional sampling, collecting research data through one-on-one, semi-structured in-depth interviews to understand the nursing experience of nursing psychiatric internship. After the interview process was recorded and written in verbatim, the data analysis was carried out by Lieblich, Tuval-Mashiach and Zilber (1998) content analysis.Results: A total of 10 nursing students were interviewed in this study. The data analysis presented three themes and nine conceptual groups, including (1) the journey from anxiety: the influence of branding, the monitoring of restricted environment, the fear of nervousness; (2) the learning of communication skills: awareness and reflection Period, novice groping period, advanced learning period; (3) Growing up in interactive communication: patient-centered care, goal-oriented communication, and reflection and integration of interpersonal interaction.
Conclusion: During the internship of the closed psychiatric ward, the nursing students facing the disease characteristics of the mental patients and the requirements of the teacher's teaching both could generate a negative emotional reaction of anxiety that affecting their communication and interaction with the case, but after the reflection of the internship process, the communication skills gradually developed and developed an integrated ability to communicate with patients. The results of this study can provide self-preparation for future nursing and patient care, the communication skills also can offer teachers and nursing staff to guide nursing students, and refer to the development for school communication course design.

Keywords: nursing students, psychiatric internships, nursing communication, experience

並列關鍵字

nursing students ； psychiatric internships ； nursing communication ； experience

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