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The process of connecting with patie...

Van Sant, Judith Ellen.

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The process of connecting with patients' emotional pain in the psychiatric setting.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	The process of connecting with patients' emotional pain in the psychiatric setting./
作者:	Van Sant, Judith Ellen.
面頁冊數:	239 p.
附註:	Source: Dissertation Abstracts International, Volume: 64-03, Section: B, page: 1186.
Contained By:	Dissertation Abstracts International64-03B.
標題:	Health Sciences, Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3083005
ISBN:	0496308165

The process of connecting with patients' emotional pain in the psychiatric setting.
Van Sant, Judith Ellen.

The process of connecting with patients' emotional pain in the psychiatric setting. - 239 p.

Source: Dissertation Abstracts International, Volume: 64-03, Section: B, page: 1186.

Thesis (D.N.Sc.)--Widener University School of Nursing, 2003.

Continual therapeutic use of self in the psychiatric setting is profoundly challenging. Psychiatric nurses are at risk for depletion from the interactions with patients' emotional pain. The purposes of this qualitative participant observation were to describe and understand the process that psychiatric nurses use to connect with patients' emotional pain without energy depletion or imbalance and the manner in which this process is learned.

ISBN: 0496308165Subjects--Topical Terms:

1017798
Health Sciences, Nursing.

The process of connecting with patients' emotional pain in the psychiatric setting.
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245 1 4 $a The process of connecting with patients' emotional pain in the psychiatric setting.
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500 $a Source: Dissertation Abstracts International, Volume: 64-03, Section: B, page: 1186.
500 $a Chair: Barbara Patterson.
502 $a Thesis (D.N.Sc.)--Widener University School of Nursing, 2003.
520 $a Continual therapeutic use of self in the psychiatric setting is profoundly challenging. Psychiatric nurses are at risk for depletion from the interactions with patients' emotional pain. The purposes of this qualitative participant observation were to describe and understand the process that psychiatric nurses use to connect with patients' emotional pain without energy depletion or imbalance and the manner in which this process is learned.
520 $a Purposive sampling from four inpatient behavioral health units of a community hospital in the mid-Atlantic United States provided 2 male and 10 female nurses, age 28 to 52 years, having worked in psychiatric nursing from 1.5 to 28 years. Through participant observation, unstructured interactions, and semi-structured interviews over 18 months, data saturation was achieved and the process of connecting revealed. Comparative data analysis inductively generated a model of connecting. Identified were positive nurse and patient factors that enhance connection and negative patient factors that inhibit connection. Nurses decide whether or not to connect. Process steps include identifying with the patient; getting to where the patient is; giving self; and getting out without patient' pain, carrying pain, absorbing pain, and/or having one's own pain triggered. Personal and professional satisfaction and growth are the outcomes. Self-awareness, self-protection, and self-release/refilling strategies determine the path to these outcomes and potential or actual damage to the nurse. Participants learned the process of connecting through familial and professional experiences, role modeling, mentoring, and processing.
520 $a These findings provide beginning evidence that functional detachment is a self-care strategy that can protect and enhance nurses' health during interpersonal connections. As a context bound condition of self-perceived feelings of self-protection against emotional pain and over-involvement with another (Carmack, 1991) or feeling independent from an event and the associated emotion, functional detachment encompasses a sense of self as separate or distinct. The model that emerged and learning methods described support theoretical analysis that functional detachment is self-differentiation in caring, can enable connection without detriment, and is operationalized by the process of connecting. Recommendations for future research are made.
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