Development of Nursing Skills and Ethical Guideline in Home-based Psychiatric Care for Mentally III.

本研究的目的是描述公共卫生护士和精神科护士探视护理的经验，并确定社区精神病患者的护理技能和伦理准则。采用访谈法对5名公共卫生护士和15名精神科护士进行访谈，对探视护理活动和社区精神卫生保健系统进行调查。他们被鼓励描述精神病患者社区护理的经历、探访护理的过程、患者对帮助的需求以及探访护士的角色。结果发现，探访护理由4个要素构成：建立人际关系：保持专业亲密度，分享时间、空间和关注；为高危病人提供安全保障。探讨居家精神护理的三项护理技巧：培养病人的自我照顾能力；建立病人的社区生活方式；拓展病人的社交技能。特别是，建立信任关系，保护来访者的人权，发展来访者的自我照顾能力，是社区精神护理的组成部分。

The purpose of this study is to describe the experience of visiting nursing by public health nurses and psychiatric nurses, and to identify the nursing skills and ethical guideline for mentally ill in community. On researching the activities of visiting nursing and the community mental health care systems, 5 public health nurses and 15 psychiatric nurses were interviewed using a interviewguide. They were encouraged to describe the episodes in community care for mentally ill, the process of visiting nursing, the patients' needs for help and the roles of visiting nurses. As a result, 4 elements composed of visiting nursing were found : establishing relationships : keeping professional closeness, sharing time, space and concern ; providing safety for high-risk clients. Three nursing skills for home-based psychiatric care were discussed : developing clients' self-care abilities ; establishing their life style in community and expanding clients' social skills. In particular, to establish the trust relationships, to protect the clients' human right and to develop the clients' self-care abilities were components of community psychiatric care.