Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
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The Meanings of Hands among Clinical Nurses in a Tertiary Hospital

간호사가 생각하는 손의 의미

  • Received : 2019.09.09
  • Accepted : 2019.10.10
  • Published : 2019.10.31
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Abstract

Purpose : The purpose of this study was to explore and describe the meanings of hands among clinical nurses. Methods : A descriptive qualitative study design was used. Participants were 1,048 nurses working in a tertiary hospital in G city. From April to May 2018, an open-ended survey on how nurses felt about their hands and what their hands meant to them was conducted. The collected data were analyzed using MAXQDA 2018 version as well as content analysis. Results : A total of 1,048 pieces of data were analyzed, and 2,094 units of analysis were categorized based on their attributes, resulting in physical, emotional, and social domains. The data in the social domain were reported in a narrative format; thus, they were analyzed using content analysis. Three themes and eight sub-themes were elicited. The three themes included "meaning as an instrument," "meaning of infection control," and "meaning of caring." Conclusion : Nurses imbue essential meanings of caring on their hands even though they face negative skin symptoms. Furthermore, nurses understand the importance of hand hygiene on infection control. The findings of this study provide an in-depth look into nurses' perceptions of their hands.

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References

  1. Allegranzi, B., & Pittet, D. (2009). Role of hand hygiene in healthcare-associated infection prevention. The Journal of Hospital Infection, 73(4), 305-315. https://doi.org/10.1016/j.jhin.2009.04.019
  2. Bauer, A., Ronsch, H., Elsner, P., Dittmar, D., Bennett, C., Schuttelaar, M. A., . . . Williams, H. C. (2010). Interventions for preventing occupational irritant hand dermatitis. The Cochrane Database of Systematic Reviews, 16(6), CD004414.
  3. Cha, K. S., Ko, J. W., Han, S. H., & Jung, K. H. (2018). A Survey of nurses' hand hygiene knowledge, perception and hand hygiene performance rate. Journal of Korean Critical Care Nursing, 11(1), 101-109.
  4. Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277-1288. https://doi.org/10.1177/1049732305276687
  5. Kang, J., Cho, Y. S., Jeong, Y. J., Kim, S. G., Yun, S., & Shim, M. (2018). Development and validation of a measurement to assess person-centered critical care nursing. Journal of Korean Academy of Nursing, 48(3), 323-334. https://doi.org/10.4040/jkan.2018.48.3.323
  6. Kim, E. S., & Ko, Y. M. (2013). A case study on the symbolism of the hand associated with the semantic extension. Journal of Cultural Product & Design, 35(35), 145-157.
  7. Kim, H. D. (1985). Research methodology. Seoul: Bobmunsa.
  8. Kim, K. S., & Lee, K. S. (2019). Factors influencing hand dermatitis in Nurses. Journal of Korean Biological Nursing Science, 21(1), 37-45. https://doi.org/10.7586/jkbns.2019.21.1.37
  9. Kim, Y. S. (2000). Meaning and pragmatical usage of Korean hand gestures. Korean Semantics, 6(6), 27-47.
  10. Kweon, O. M., Park, E., Lee, D., Lee, J. H., Ha, E. J., Yong, D., . . . Lee, K. (2012). A three-year study of the effectiveness of hand-hygiene protocol implementation at a university hospital. Korean Journal of Nosocomial Infection Control, 17(2), 53-60.
  11. Jeong, J. (2015). Severity and quality of life for the nurse's hand dermatitis (Unpublished master's thesis). Pusan National University, Pusan, Korea.
  12. Jeong, S. Y., & Kim, O. (2013). Knowledge and beliefs about hand hygiene among hospital nurses. Korean Journal of Occupational Health Nursing, 22(3), 198-207. https://doi.org/10.5807/kjohn.2013.22.3.198
  13. Ji, Y. J., & Jeong, J. S. (2013). Comparison of antimicrobial effect of alcohol gel according to the amount and drying time in health personnel hand hygiene. Journal of Korean Academy of Nursing, 43(3), 305-311. https://doi.org/10.4040/jkan.2013.43.3.305
  14. Lee, S. W., Cheong, S. H., Byun, J. Y., Choi, Y. W., & Choi, H. Y. (2013). Occupational hand eczema among nursing staffs in Korea: Self-reported hand eczema and contact sensitization of hospital nursing staffs. The Journal of Dermatology, 40(3), 182-187. https://doi.org/10.1111/1346-8138.12036
  15. Lee, Y., & Shin, H. (2017). A feasibility study of hand hygiene status in Korea hospitals. Journal of Korea Institute of Healthcare Architecture, 23(3), 9-17. https://doi.org/10.15682/jkiha.2017.23.3.9
  16. Luk, N. M., Lee, H. C., Luk, C. K., Cheung, Y. Y., Chang, M. C., Chao, V. K., . . . Tang, L. S. (2011). Hand eczema among Hong Kong nurses: A self-report questionnaire survey conducted in a regional hospital. Contact Dermatitis, 65(6), 329-335. https://doi.org/10.1111/j.1600-0536.2011.01961.x
  17. Lusk, J. M., & Fater, K. (2013). A concept analysis of patient-centered care. Nursing Forum, 48(2), 89-98. https://doi.org/10.1111/nuf.12019
  18. Madan, I., Parsons, V., Cookson, B., English, J., Lavender, T., McCrone P., . . . Coggon, D. (2016). A behavioural change package to prevent hand dermatitis in nurses working in the national health service (the SCIN trial): Study protocol for a cluster randomised controlled trial. Trials, 17(1), 145. https://doi.org/10.1186/s13063-016-1255-y
  19. Mathur, P. (2011). Hand hygiene: Back to the basics of infection control. Indian Journal of Medical Research, 134(5), 611-620. https://doi.org/10.4103/0971-5916.90985
  20. Montague, E., Chen, P., Xu, J., Chewning, B., & Barrett, B. (2013). Nonverbal interpersonal interactions in clinical encounters and patient perceptions of empathy. Journal of Participatory Medicine, 14(5), e33.
  21. Morgan, S., & Yoder, L. H. (2012). A concept analysis of person-centered care. Journal of Holistic Nursing, 30(1), 6-15. https://doi.org/10.1177/0898010111412189
  22. Oh, H. S. (2015). Analysis of hand hygiene practices of health care personnels. Journal of the Korea Academia-Industrial Cooperation Society, 16(9), 6160-6168. https://doi.org/10.5762/KAIS.2015.16.9.6160
  23. Ozyazicioglu, N., Surenler, S., & Tanriverdi, G. (2010). Hand dermatitis among paediatric nurses. Journal of Clinical Nursing, 19(11-12), 1597-1603. https://doi.org/10.1111/j.1365-2702.2010.03194.x
  24. Sanchez, A. R. (2018). The prevalence of hand dermatitis in nurses: A narrative review highlighting the importance of prevention. Journal of Dermatology & Cosmetology, 2(1), 42-48.
  25. Smith, D. R., Adachi, Y., Mihashi, M., Kawano, S., & Ishitake, T. (2006). Hand dermatitis risk factors among clinical nurses in Japan. Clinical Nursing Research, 15(3), 197-208. https://doi.org/10.1177/1054773806287051
  26. Song, J. Y., & Jeong, I. S. (2015). The Hawthorne effect on the adherence to hand hygiene. Perspectives in Nursing Science, 12(1), 7-13. https://doi.org/10.16952/pns.2015.12.1.7
  27. Van der Meer, E. W., Boot, C. R., Jungbauer, F. H., Coenraads, P. J., Van der Gulden, J. W., & Anema, J. R. (2014). Implementation of recommendations for hand eczema through a multifaceted strategy. A process evaluation among health care workers. Acta Derm Venereol, 94(6), 651-657. https://doi.org/10.2340/00015555-1830
  28. Visser, M. J., Verberk, M. M., van Dijk, F. J., Bakker, J. G., Bos, J. D., & Kezic, S. (2014). Wet work and hand eczema in apprentice nurses; Part I of a prospective cohort study. Contact Dermatitis, 70(1), 44-55. https://doi.org/10.1111/cod.12131
  29. World Health Organization. (2009). WHO guidelines on hand hygiene in health care: First global patient safety challenge clean care is safer care. Retrieved October 10, 2019, from http://www.ncbi.nlm.nih.gov/books/NBK144013/