Purpose: Purpose of this research was to identify nursing activities and the time required in the psychiatric ward to provide basic knowledge for development of cost of psychiatric nursing. Methods: In this research 'a list of psychiatric nursing activities' was used to identify the issues. A list of psychiatric nursing activities was developed by a professional psychiatric nursing panel, and 138 nursing activities in 15 domains were identified. Results: The result of this research showed that the average number of work hours per duty was 515.1 minutes and the average number of minutes per patient per nurse while on duty was 35.7 minutes. Also the results showed that the nurses used the majority of their time in 'Nursing care and information management' (528.0 minutes/day, 33.6%), followed by 'communication and coordination' (209.2 minutes, 13.3%), 'safety care' (185.3 minutes, 11.8%), and 'medication' (120.9 minutes, 13.3%). Conclusion: The result of this research indicate that the number of nursing staff is insufficient for the performance of necessary therapeutic activities. Nursing practices such as counseling, activity therapy, and psychiatric treatment and specific therapy need to be developed and nursing care fees need to be included in psychiatric nursing fields.
Purpose:The purpose of the study was to understand essential meanings of suffering experienced by suicide attempters. Methods: Data were collected in 2009 through individual narrative interviews from 7 suicide attempters. Texts from literary works and movies containing suicide were also included as data. Data were analyzed using the hermeneutic phenomenology of van Manen. Results: Thirteen themes were identified in four dimensions. In the dimension of 'lived body', 'unbearably sweet temptation to death', 'body surrendered by emotional damage', 'chaos in life and death', 'squashed body by the heavy weight of life', and 'loss of meaning in life' were identified. 'The black hole, one is not able to get out' represents the experience in the dimension of 'lived space', 'The moment on the edge of a profound abyss' and 'the worst present and hopeless future' represent 'lived time'. In the dimension of 'lived human relation', 'I who am alone in the world', 'fear of being abandoned', 'unbreakable relationship trap', 'I who am not recognized' and 'guilty feeling' were included. Conclusion: Results of the study should be helpful in developing personalized suicide prevention programs by showing the various types of suffering deeply ingrained into the personal history of suicide attempters.
HCNPs have the role identity as a highly qualified professional who delivers services from hospital to home, actualizes the essence of nursing in practice, empowers the patients and their caregivers to have self-efficacy to recover, and offers the most appropriate nursing care.
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