Needs assessment and development of care-protocol by Psychiatric and Mental Health Clinical Nurse Specialist for patients and families

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This study was to identify the care that Psychiatric and Mental Health Clinical Nurse Specialist (CNS) could expand their roles and to test effectiveness of care by CNS. At first we identified the intervention that other professionals expected CNS to implement through Delphi technique. Then three types of research on those interventions were implemented. One was randomized controlled study of behavioral management program for eighty-seven schizophrenic patients with auditory hallucination. In intervention group, patients could control their auditory hallucination compared with that of control group. The second research was quasi-experimental study for thirty blood cancer patients. Mental states of them were improved significantly. The third one was randomized controlled study for seventy cancer patients. Patients of intervention group were improved their depression and anxiety significantly compared with that of control group.