Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
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An Ethnography on Daily Lives of Nurses in Emergency Departments

응급실 간호사의 일상에 대한 문화기술지

  • Received : 2016.07.04
  • Accepted : 2016.11.06
  • Published : 2016.11.30
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Abstract

Purpose: This ethnographic study was conducted to explore and understand the meaning of the daily life of nurses in emergency departments. Objectives for this study were to identify and describe the true nature of emergency room nurses' daily experience and create a theoretical model based on the findings. Methods: Data were collected through in-depth interviews and participants observation. These data were recorded and transcribed verbatim with consent of the informants, 10 nurses who had cared for patients in emergency rooms. Data were collected between November 2013 and October 2014. Interviews continued until no new information could be identified from transcripts. Data were analyzed using the taxonomic analysis method developed by Spradley. Results: Based on the data acquired from interviews, nurses' cultural domains were classified as 'extensity of emergency room nurses', 'temporality of emergency room nurses', 'relationships among emergency room nurses' and 'becoming an emergency room nurses'. Conclusion: The daily culture of emergency room nurses could be summarized as 'busy daily life amidst confusion'. However, many nurses boosted their self-esteem by taking care of patients' collaboration with fellow nurses. In other words, nurses in emergency room forms a dynamic culture and pursue professionalism, rather than a simple chaotic daily life culture.

Keywords

References

  1. Whetzel E, Walker-Cillo G, Chan GK, Trivett J. Emergency nurse perceptions of individual and facility emergency preparedness. Journal of Emergency Nursing. 2013;39(1):46-52. http://dx.doi.org/10.1016/j.jen.2011.08.005
  2. Taylor BJ, Rush KL, Robinson CA. Nurses' experiences of caring for the older adult in the emergency department: A focused ethnography. International Emergency Nursing. 2015; 23(2):185-189. http://dx.doi.org/10.1016/j.ienj.2014.11.003
  3. Park YS, Yoon JW. A study on nursing care need and the patient's satisfaction level of the nursing care in the emergency department. Korean Journal of Emergency Medical Services. 2009;13(1):73-85.
  4. Han YH, Sohn IS, Park KO, Kang KH. The relationships between professionalism, job involvement, organizational commitment and turnover intention among clinical nurses. Journal of Korean Clinical Nursing Research. 2010;16(2):17-31.
  5. Long D, Hunter C, van der Geest S. When the field is a ward or a clinic: Hospital ethonography. Anthropology and Medicine. 2008;15(2):71-78. http://dx.doi.org/10.1080/13648470802121844
  6. Kington M, Short AE. What do consumers want to know in the emergency department? International Journal of Nursing Practice. 2010;16(4):406-411. http://dx.doi.org/10.1111/j.1440-172X.2010.01858.x
  7. Kim KB, Shin KR, Kim SS, Yoo EK, Kim NC, Park US, at al. Qualitative Research Methodology. Seoul: Hyunmoonsa; 2005. p. 1-457.
  8. Lee JU. Joys and sorrows of the emergency roomnurses [master's thesis]. Seoul: Kyung Hee University; 2012. p. 1-188.
  9. Lee YH. A study on phenomenological research of change job experiences of nurses in emergency room [master's thesis]. Seoul: Kyung Hee University; 2012. p. 1-58.
  10. Fry M. An ethnography: Understanding emergency nursing practice belief systems. International Emergency Nursing, 2012;20(3):120-125. http://dx.doi.org/10.1016/j.ienj.2011.09.002
  11. Lau JB, Magarey J, Wiechula R. Violence in the emergency department: An ethnographic study (Part I). International Emergency Nursing, 2012;20(2):69-75. http://dx.doi.org/10.1016/j.ienj.2011.07.006
  12. Lau JB, Magarey J, Wiechula R. Violence in the emergency department: An ethnographic study (Part II). International Emergency Nursing. 2012;20(3):126-132. http://dx.doi.org/10.1016/j.ienj.2011.08.001
  13. Leininger MM. Qualitative research methods in nursing. Orlando, FL: Grune & Stratton; 1985. p. 1-361.
  14. Spradley JP. The ethnographic interview. Park JH, translator. Seoul: Sigmapress; 2003. p. 1-296.
  15. Lincoln YS, Guba EG. Naturalistic inquiry. Newbury Park, CA: Sage Publications; 1985. p. 1-416.
  16. Cho MO. A Review on micro-ethography as a nursing research methods. Qualitative Research. 2009;10(2):130-141.
  17. Jang WS. Ethnography on the daily life of ICU nursing. Qualitative Research, 2002;3(1):77-93.
  18. Ahn JS, Kim YH, Kim M. Performance of preventive actions to be exposed to infection in emergency nurses and its influencing factors. Journal of Muscle and Joint Health. 2015;22(1):40-47. http://dx.doi.org/10.5953/JMJH.2015.22.1.40
  19. Fry M, Stainton C. An educational framework for triage nursing based on gatekeeping, timekeeping and decision-making processes. Accident and Emergency Nursing. 2005;13(4):214-219. https://doi.org/10.1016/j.aaen.2005.09.004
  20. Gordon J, Sheppard LA, Anaf S. The patient experience in the emergency department: A systematic synthesis of qualitative research. International Emergency Nursing. 2010;18(2):80-88. http://dx.doi.org/10.1016/j.ienj.2009.05.004
  21. Sbaih LC. Shaping the future: Reforming routine emergency nursing work. Accident and Emergency Nursing. 2001;9(4):266-273. https://doi.org/10.1054/aaen.2001.0292
  22. Nugus P, Forero R. Understanding interdepartmental and organizational work in the emergency department: An ethnographic approach. International Emergency Nursing. 2011;19 (2):69-74. http://dx.doi.org/10.1016/j.ienj.2010.03.001
  23. Lee YL, Ahn S. Impact of job stress on turnover intention among emergency room nurses. Journal of Muscle and Joint Health. 2015;22(1):30-39. http://dx.doi.org/10.5953/JMJH.2015.22.1.30
  24. Campo T, McNulty R, Sabatini M, Fitzpatrick J. Nurse practitioners performing procedures with confidence and independence in the emergency care setting. Advanced Emergency Nursing Journal. 2008;30(2):153-170. https://doi.org/10.1097/01.TME.0000319926.97473.8d
  25. Ahn SH, Lee EN, Song R, Park JH, Kim BJ, Sung MH, et al. Task analysis of emergency nurse practitioners: Frequency, importance, autonomy, and perceived competence to perform. Journal of Korean critical care nursing. 2015;8(1):25-40.

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