背景和目的：團體治療在精神科病房對病患治療扮演著重要的角色。由於病房床位數增加，病患特質多元化的變化，以及陸續新增護理人員，對由護理人員主導之「生活討論會」需再檢討及發展。本研究的主要目的為1.建立病房生活討論會之目的、作業標準流程及執行時的護理措施技巧。2.提昇護理人員主持生活討論會的知識及能力。3.建立培養護理人員的訓練計畫。方法：本研究採用行動研究方法，研究場所為某精神科急性病房，研究對象為病房護理長及全體護理人員與建教合作契約之臨床指導專家及在職研究生共同合作，藉由發現問題、反思討論、訂定目標、執行、評值及再修訂等進行研究。結果：經由本行動研究法所完成的病房生活討論會的標準流程，能提升護理人員護理措施技巧使其能更清楚順暢的運作病房生活討論會活動。結論：本研究過程及結果可作為相關護理人員臨床執業能力規劃執行之參考。

Background and Purpose: The group therapy plays an important role forpsychiatric patient in an acute ward. Due to the expansion of ward, changes of patients'characteristics, and an increasing number of new staff, a reconstruction of the therapeuticcommunitymeeting (TCM) becomes necessary. The purposes of this research included thefollowing: To set up the objectives, standardized procedure, and the nursing skills ofthe TCM To strengthen the knowledge and clinical skill regarding the TCM amongnurses To create a training program for nurses. Methods: The study adopted an actionresearch design in which the participants included the head-nurse, an advanced practicenurse, 10 staff-nurses, a joint-appointed clinical expert and a graduate student in nursing.The procedure involving in the study included problem finding, group discussion, settingup goals, conduct, evaluation, and modification. Results: The results showed that thestandardized procedure developed in this study may help increase nurses' knowledgeand clinical skills on TCM. Conclusion: The process and results of this studymay providethe nurses with a valuable reference for the purpose of improving capability of planningand conduct in nursing.