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

摘要本研究旨在探讨公共卫生护士与精神科护士的访视护理经验，并探讨社区精神病患的护理技巧与道德准则。采用访谈指南对5名公共卫生护士和15名精神科护士进行了访谈，探讨了访护活动与社区精神卫生保健系统的关系。他们被鼓励描述精神疾病社区护理的情节，探访护士的过程，病人对帮助的需求以及探访护士的角色。结果发现探视护理的4个要素：建立关系：保持专业亲密，分享时间、空间和关心；为高风险客户提供安全保障。探讨了精神科家庭护理的三种护理技巧：培养来访者的自我照顾能力；在社区中建立他们的生活方式，扩展客户的社交技能。特别是，建立信任关系、保护案主的人权和发展案主的自我照顾能力是社区精神病学护理的组成部分。

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.