The Study on factors of coping behavior and related issuses of nurses confronting alcoholic patients

• Main Authors: Wen-Lin Hung, 洪文林
• Other Authors: 黃崇謙
• Format: Others
• Language: zh-TW
• Published: 2009
• Online Access: http://ndltd.ncl.edu.tw/handle/97056278272796692013

碩士 === 臺北醫學大學 === 醫務管理學研究所 === 97 === Research background Alcoholic addiction has long been a serious problem.Since the number of alcohol addicts has recently been increasing, their health challenges the nursing staff, with ailments such as alcoholism, the diseases related to the liver, intestines and nerves, consciousness problems accompanied with anxiety, depression, personality disorder, HIV-causing sexual behavior, medicinal abuse and violence. Studies indicate that the population of alcohol abusers increases while clinical nurses lack the relative training about alcoholic violence and emergency. Hence, in this study, we focus on the response and requirements for the nursing staff to take care of the addicted. We hope this study benefits the nursing community as well as administrative managers. Purpose of research To analyze and discuss the pressure and responses of the nurses who are taking care of alcohol addicts and the relationship between these two groups. Also, we hope we can come up with a method to enhance the nurses'' ability and confidence so that better nursing for the addicts will be achieved. Research method Our research is based on a controlled survey from a northernTaiwan psychiatric hospital. The timeline is from 2009 years May 10 to on June 30. The target population of the poll is nursing staff who work in the emergency room and psychiatric department that takes care of the alcohol addicted patients. Result of research 1. Response The reaction of the nursing staff to the job pressure is mainly problem-solving, while the others have negative responses. The staff that adopts the former way is based on their education, salary, and service years while the staff adopting the latter is on their education, marriage status and the age of the youngest child whom they live with. 2. Job-pressure when nursing facing alcohol-addicts The ability of the nursing staff to face alcohol addicts is relative to their working position, whether having young children, and whether having family with alcoholic habit. The nurses experiencing less pressure are the ones who have children of older age, family with drinking habit, or are at a high position. 3. Evaluation of demand The statistics show that the education level of security guards, the pre-job and on-job education of nurses, and the training to handle violence can enhance nurses'' ability and confidence when they are taking care of the patients. Obviously, the nurses'' age, education, marital status, work experience, and salary are relative to some attributes. More training is necessary for the nurses who are single, with a lower education level, younger and with a lower salary wage. To relieve the pressure of nurses, it will be helpful if a hospital has more security guards/nursing staff, special wards, and improved equipment. Conclusion and suggestion A hospital can provide perfect medical service to the alcohol addicts as long as it has enough medical staff such as doctors, nurses and security guards to provide safe and comfortable environment within the special wards. The departmental managers should arrange regular training of a relaxing skill, establish a supporting group for alcohol addiction and nursing staff, and form a systematic, fair and effective communication bridge to support the nurses. In this way, nursing staff can enhance self-experience, knowledge and information from others'' experience.