간호 · 간병통합서비스를 적용한 병동 간호사의 환자간호 경험

• Published in: Kanho Haengjŏng Hakhoe chi = The journal of Korean Nursing Administration Academic Society Vol. 23; no. 1; pp. 76 - 89
• Main Authors: 박광옥(Park, Kwang-Ok), 유미(Yu, Mi), 김종경(Kim, Jong-Kyung)
• Format: Journal Article
• Language: Korean
• Published: 한국간호행정학회 2017; 간호행정학회
• Subjects: 간호학; Qualitative research; 일차간호; Health policy; Nurses; 의료정책; 간호사; 병원; 질적 연구; Hospital; Primary nursing
• ISSN: 1225-9330; 2288-4955
• DOI: 10.11111/jkana.2017.23.1.76

Purpose: This study was conducted to examine the experience of nurse in comprehensive nursing care. Methods: Experiential data collected from 9 nurses through in-depth interviews. Participants were selected from nurses working in the comprehensive nursing care unit at general hospital. The main question was "Can you describe your experience in the comprehensive nursing care unit?" All interviews were recorded and transcribed, then analyzed using Colaizzi's method. Results: Nine themes were derived from the analysis: 'Practice nursing care', 'Feel thankful of the client', 'Difficulty in nursing due to absence of patients' guardian', 'Tired of over-demanding patient and distrust of guardian', 'Confusion regarding one's identity as a nurse', 'Not enough to support system', 'Insufficient pre-training for nurse and client', 'Requirement of work establishment for nurse and nurse aid', 'Concerns about low rewards and high safety accidents'. Conclusion: As a comprehensive nursing service, the nurses provided total patient care, and patient satisfaction and expression of appreciation increased. However, disadvantages were identified, such as patients' excessive needs, communication difficulties, lack of support systems, low compensation, and a high number of safety accidents. Therefore, systematic comprehensive nursing will be achieved if these shortcomings are addressed.