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Experience of Adaptation to Work In Comprehensive Nursing Service Units of Nurses

간호·간병통합서비스병동 간호사의 업무 적응 경험

  • Suhyun Park ;
  • Seohyun Won ;
  • Bosun Kim ;
  • Jinhyang Yang ;
  • Seonhye Heo (Dept of Nursing, Gimhae College)
  • 박수현 (인제대학교 간호학과) ;
  • 원서현 (인제대학교 간호학과) ;
  • 김보선 (인제대학교 간호학과) ;
  • 양진향 (인제대학교 간호학과) ;
  • 허선혜 (김해대학교 간호학과)
  • Received : 2024.03.13
  • Accepted : 2024.04.20
  • Published : 2024.05.31

Abstract

Purpose : This study was conducted to examine the Experience of Adaption to Work in Comprehensive Nursing Service Units of Nurses. Methods : Empirical data were collected from 8 nurses through in-depth interviews. Eight participants who had more than 6 months of clinical experience in the general ward and had more than 6 months of work experience in Comprehensive Nursing Service Units were selected as participants. The main question was what does it mean to work in Comprehensive Nursing Service Units? All interviews were recorded and transcribed, and then analyzed using Giorgi's interview. Results: As a result of the analysis, five topics were derived. 'Facing a changed work environment', 'A sense of unexpected heterogeneity in work', 'Evaluation of immediate reality.', 'Finding strategies and promoting balance', 'Growing up as a professional nurse.' Conclusion: Based on these findings, There is a need to build a system that can adapt to work and continue to develop programs for capacity building in Comprehensive Nursing Service Units of Nurses.

본 연구는 간호·간병통합서비스병동 간호사의 업무 적응 경험을 심층적으로 파악하기 위해 현상학적 방법으로 시행되었다. 본 연구의 자료수집 기간은 2023년 11월~2024년 1월까지였으며, 일반 병동과 간호·간병통합서비스병동에서 각각 6개월 이상의 업무 경험이 있는 간호사를 대상으로 심층 면담이 이루어졌다. 심층 면담 시 녹음한 파일은 모두 전사 후 Giorgi의 현상학적 방법으로 분석하였다. 분석결과, 5개의 구성요소와 14개의 하위 구성요소가 도출되었으며 구성요소는 '변화된 업무 환경을 마주침', '예상하지 못했던 업무의 이질감', '당면한 현실을 평가함', '전략을 찾아 균형을 도모함', '전문직 간호사로 성장함'으로 나타났다. 이러한 연구결과를 바탕으로 간호·간병통합서비스병동 간호사가 업무에 적응할 수 있는 시스템을 구축하고 역량 강화를 위한 프로그램을 지속적으로 개발할 필요가 있다.

Keywords

References

  1. National Health Insurance Service. (2023). Guideline of pilot project on comprehensive nursing care service. Cited January 30, 2023. Available from: https://www.nhis.or.kr/_custom/nhis/_common/board/index/725.do?mode=view&articleNo=10831766 
  2. National Health Insurance Service. (2024). Current Status of Operational Institutions for Integrated Nursing Care Service. Available fromhttps://www.data.go.kr/data/15104803/fileData.do 
  3. J.H. Jang, et al. "Report on the status of integrated nursing and nursing services in 2019," 2021.
  4. Y.O. Kang, M.S. Kim, and K.S. Jang, "Influences of Perceived Patient-centered Care and Nursing Service Satisfaction on Hospital Revisit Intent among Inpatients who Received Comprehensive Nursing Service," Journal of Korean Gerontological Nursing (JKGN), Vol. 22, No. 1, pp. 45-55, Februery 2020. https://doi.org/10.17079/jkgn.2020.22.1.45. 
  5. B.G. Park, et al. "Analysis of the Impact of the Integrated Nursing and Nursing Service Project in 2016 and the System Development Plan," 2016. 
  6. H.J. Choi, A.L. Han, Y.M. Park, J.H. Lee, and Y.S. Tae, "Hospitalization Experience of Patients Admitted to Nursing Care Integrated Service Wards in Small and Medium-size General Hospitals," The Journal of Korean Nursing Administration Academic Society (JKANA), Vol. 24, No. 5, pp. 396-409, Nov 2018. http://dx.doi.org/10.11111/jkana.2018.24.5.396. 
  7. P. Kang, and J. Won, "Nurses Experience with Inpatients in Comprehensive Nursing Care Service: A Phenomenological Approach," The Journal of Korean Nursing Administration Academic Society (JKANA), Vol. 27, No. 3, pp. 149-158, June 2021. http://doi.org/10.11111/jkana.2021.27.3.149.
  8. E.Y. Kim, and Y. Lee, "Nurses' Experience in Comprehensive Nursing Care Service Wards: Qualitative Meta-Synthesis Study." Korean society for Wellness, Vol. 16, No. 3, pp. 91-98, August 2021. http://doi.org/10.21097/ksw.2021.08.16.3.91. 
  9. K. Park, M. Yu, and J. Kim, "Experience of Nurses Participating in Comprehensive Nursing Care," The Journal of Korean Nursing Administration Academic Society (JKANA), Vol. 23, No. 1, pp. 76-89, Jan 2017. http://doi.org/10.11111/jkana.2017.23.1.76. 
  10. J.H. Kim, S.J. Kim, E.T. Park, S.Y. Jeong, and E.H. Lee, "Policy Issues and New Direction for Comprehensive Nursing Service in the National Health Insurance," The Journal of Korean Nursing Administration Academic Society (JKANA), Vol. 23, No. 2, pp. 312-322, June 2017. https://doi.org/10.11111/jkana.2017.23.3.312 
  11. J.G. Hong, et al, "Survey on the status of hospital nursing personnel," Hospital Nurses Association, 2024, pp.113-141 
  12. M.H. Park, and K.O. Chang, "Influence of Role Conflict and Nursing Professionalism on Nurses' Job Satisfaction at Integrated Nursing Care Service Wards," Journal of the Korea Academia-Industrial cooperation Society (KAIS), Vol. 24, No. 4, pp. 295-305, Apr 2023. https://doi.org/10.5762/KAIS.2023.24.4.295. 
  13. J.R. Choi, and Y. E, "The Mediating Effect of Role Conflict in the Relationship between Self-Leadership and Turnover Intention of Nurses in the Integrated Nursing Care Service Ward," The Journal of Learner-Centered Curriculum and Instruction (JLCCI), Vol. 23, No. 6, pp. 581-595, Mar 2023. https://doi.org/10.22251/jlcci.2023.23.6.581. 
  14. D.H. Lee, Y.J. Lee, H.J. Lee, and S.Y. Jung, "Influence of Teamwork, Role Conflict, and Delegation Preparedness on Job Satisfaction among Nurses Working in Integrated Nursing Care Wards," The Journal of Korean Nursing Administration Academic Society (JKANA), Vol. 29, No. 4, pp. 478-489, Sep 2023. https://doi.org/10.11111/jkana.2023.29.4.478. 
  15. Y.L. Lee, Y.M. Lee, and S.E. Jang, "Factors Influencing Professional Quality of Life in Intensive Care Unit Nurses of University Hospitals," Journal of Korean Critical Care Nursing (JKCCN), Vol. 16, No. 1, Feb 2023. https://doi.org/10.34250/jkccn.2023.16.1.44. 
  16. M. Joo, and S. Jang, "Nursing Experience in a Hospital without Guardians," The Korean Journal of Health Economics and Policy, Vol. 21, No. 4, pp. 133-157, Dec 2015. 
  17. E.Y. Yeom, "Awareness of Nursing Professionalism among Nurses Working in Comprehensive Nursing Service Units," Journal of Qualitative Research, Vol. 20, No. 1, May 2019, pp. 15-25. http://doi.org/10.22284/qr.2019.20.1.15. 
  18. C.H. Kim, and S.H. Lee, "The Emotional Labor Status and Improvement Plans of Nurses Working in the Integrated Nursing Service Ward: Applying Focus Group Interviews," Journal of East-West Nursing Research, Vol. 27, No. 2, 2021, pp. 104-113. https://doi.org/10.14370/jewnr.2021.27.2.104. 
  19. Giorgi, A. (2009). The descriptive phenomenological method in psychology: a modified Husserlian approach. Pittsburgh, PA: Duquesne University Press 
  20. S.H. Yoon, "A Study on New Graduate Nurses' Clinical Experience of Adaptation," The Journal of Korean Nursing Administration Academic Society, Vol. 8, No. 1, 2002, pp. 55-72. 
  21. Lincoln, Y. S., & Guba, E. G. (1985). Establishing trustworthiness. In Y. S. Lincoln & E. G. Guba(Ed), Naturalistic Inquiry (pp. 289-327). Thousand Oaks, CA: Sage Publications. 
  22. J.E. Lee, H.J. Park, H.J. Choe, G.H. Kang, J.H. Lee, M.J. Kim, and J.W. Hwang, "Experience with the Role Adaptation of Shift Working Nurses after Department Rotation," Journal of Qualitative Research, Vol. 23, No. 2, Nov 2022, pp. 71-82. https://doi.org/10.22284/qr.2022.23.2.71. 
  23. M. Kang, and K.S. Kang, "A Study on Nurses' Job Esteem, Job Satisfaction, and Field Adaptation in Small.Medium Sized Hospital," The Journal of Humanities and Social Sciences 21 (HSS21), Vol. 8, No. 2, Jan 2017, pp. 423-438. https://doi.org/10.22143/HSS21.8.2.23. 
  24. Y. Eo, M. Kim, and Y. Park, "Influencing factors of the turnover intention among clinical nurses - Focused on professionalization, burnout, and organizational commitment," Journal of Psychology and Behavior, Vol. 7, No. 1, 2015, pp. 1-13.(1), 1-13.