The study of Nursing intervention skills for patients' violence and aggressive behavior in psychiatric hospitals

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  • 精神科病院における患者の暴力と攻撃行動に対する看護介入技術に関する研究
  • セイシンカ ビョウイン ニ オケル カンジャ ノ ボウリョク ト コウゲキ コウドウ ニ タイスル カンゴ カイニュウ ギジュツ ニ カンスル ケンキュウ

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Abstract

Nurses in psychiatric nursing have encountered numerous emergency situations and clinical experience in interventions in patients' violence and aggressive behavior. Such experience as an important part of psychiatric practice has not been described or analyzed as intervention skills. In this study, I surveyed the clinical experience of nurses in the psychiatric department who had coped with patients' violence and aggression, and evaluated their approaches for coping with violence. I had a semi-structured interview with 20 nurses in the psychiatric hospital and analyzed the contents of their intervention skills qualitatively and descriptively. As a result, 144 codes, 79 subcategories, and 28 categories were extracted. These skills could be classified into 3 categories: (1) skills providing fundamental care, (2) intervention skills in emergency/acute stage situation, and (3) skills for coping with violence and aggression. The results of this study suggest that individual intervention skills are not special ones used in emergency situations, but are high-level intervention skills comprising an extension of daily psychiatric nursing practice.

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