The development of nursing competency to provide nursing care for schizophrenia patients with violence behavior at Wungyang Hospital, Nakhonpanom Province

Abstract

This research is a development research to develop the competency of nursing team in the care of schizophrenia patients with violent behavior. Practicing patient care in Wang Yang Hospital All 29 patients in Nakhon Phanom and schizophrenic patients with violent behavior. Admitted to Wang Yang Hospital during the period from July 1, 2017 to July 31, 2017. Data were analyzed according to statistical methods. By using the program. Statistics include: Frequency, percentage, mean, standard deviation and Paired simples t-test. The research found that 1. The general characteristics of the target group were 72.41%, mean age 28.07 years (SD = 5.20). Most of them graduated with bachelor degree or equivalent 65.52% and single status was 68.97%. To be nurse 68.97%. Had an average working age of 5.43 years (SD = 4.79), less than 5 years experience 62.07%. 2. Cognitive side Severe behavior in schizophrenic patients. And personnel management found that the mean score before the training was 16.66 (SD = 2.14) and the mean score after training was 22.10 (SD = 2.45). Training showed that the average knowledge score after training increased significantly. 3. The attitudes toward nursing staffs’ perception of self-esteem towards others and their performance in a better way, self-revelation and self-awareness. Have a sense of trust in each other. Can tell the feelings. Let others know change your attitude and be ready to change your behavior. Improve performance. 4. In skill areas showed that the nursing team had skills in managing the patients with violent behavior. By employing strategies to prevent and mannage violent behavior based on severity of violence. Using skills to care for patients with severe behavioral levels as follows. 4.1. Nursing teams use prevention strategies in patients with severe behavioral disorders. Helps patients to choose the right coping. Protect violent behavior. 4.2. Nursing teams use management strategies and interventions in patients with severe second- degree behavior using most therapeutic communication skills. For patients with severe behavioral disorders, Level 3 uses the most injections, followed by the use of communication skills for therapy and bonding. 5. Patients with schizophrenia who were assessed for severity of violent behavior for 7 persons, Level 1 had 3 persons, Level 2 had 2 persons, and Level 3 had 2 persons. Safe for the patient, property any other person. Research indicates that. How to care severe schizophrenia patient. By making group that show nurses do not fear, Onfident help schizophrenia patients. There is trust, Management patient. Safety everybody : Patient and Provider