暴力と攻撃行動に対処する精神科看護実践の技術的諸相--「読みと見極め」および「身体準備性」について  [in Japanese] Coping skills for violent and aggressive behavior in psychiatric nursing practice: "reading and grasping of the situation" and "physical readiness"  [in Japanese]

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Author(s)

Abstract

精神科臨床に見られる暴力と攻撃行動をめぐる問題は,軽視できない現象として注目を集めている。精神科看護師はこのようなリスクの高い状況に身を置きながら,患者の安全の確保と治療的な保護を目指してケアに取り組んでいる。本稿の目的は,精神科看護師が患者の救急場面や急性期状態をどのように認知し,どのような過程を経て事態の収拾に当たっているのか,その介入のメカニズムを明らかにすることにある。このために暴力や攻撃行動の場面に介入し,事態に首尾よく対処し収拾することのできた筆者自身の臨床経験を詳細に記述し,これを事例研究として分析・解釈しようと試みた。その結果,暴力や攻撃行動に介入している精神科看護師の認知の仕組みや行動として,「読みと見極め」および「身体準備性」の概念が抽出され,これらを蓄積するものとして「臨床経験のプール」が導き出された。また「臨床経験のプール」は,他の臨床家にも広く見い出すことができる照合・検索システムであることが示唆された。

Violent and aggressive behavior observed in clinical psychiatry is attracting attention. Psychiatric nurses place themselves in such a high-risk situation and provide care for the security and protection of patients. The objective of this study was to clarify perception of psychiatric nurses about emergency situations and acute state of patients, processes through which they cope with such situations, and the mechanism of their intervention. For this purpose, the author presented detailed accounts of his own clinical experience of successful intervention in scenes of violence, and attempted to analyze and interpret nurses' responses by referring to these examples. As a result, "reading and grasping of the situation" and "physical readiness" were extracted as the perceptive mechanism or behavior of psychiatric nurses intervening in violent or aggressive behavior, and they were suggested to be derived from "accumulated clinical experience". This is considered to be a check-and-search system widely observed in highly competent clinicians.

Journal

  • Bulletin of Faculty of Nursing, Hirosaki Gakuin University

    Bulletin of Faculty of Nursing, Hirosaki Gakuin University 2, 9-22, 2007

    Hirosaki Gakuin University

Codes

  • NII Article ID (NAID)
    110006427156
  • NII NACSIS-CAT ID (NCID)
    AA12149754
  • Text Lang
    JPN
  • Article Type
    departmental bulletin paper
  • Journal Type
    大学紀要
  • ISSN
    18808867
  • NDL Article ID
    9453382
  • NDL Source Classification
    ZS47(科学技術--医学--治療医学・看護学・漢方医学)
  • NDL Call No.
    Z74-F18
  • Data Source
    NDL  NII-ELS  IR 
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