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A Grounded Theory-Based Approach to Practice Adaptation Process of Hemodialysis Unit Nurses

혈액투석실 간호사의 실무적응과정에 대한 근거이론적 접근

  • Received : 2012.11.19
  • Accepted : 2013.01.12
  • Published : 2013.01.31

Abstract

Purpose: The purpose of this study was to generate a grounded substantive theory for the practice adaptation process of hemodialysis unit nurses. Methods: Participants in this study were 10 nurses working in one of two hemodialysis units. Data were collected through tape recorded in-depth interviews done between December, 2011 and February, 2012. Data were analyzed using grounded theory methodology. Results: From the participants' statements, 43 concepts, 18 subcategories and 10 categories were extracted through the open cording process. The 10 categories were: "Burden", "Role conflict", "Fearful", "Conflict of emotion", "Lack systematic job training", "Lack support system", "Compassion", "Rapport created", "Sense of duty", and "Growth". The core category was discovered to be 'recognized growth'. Phenomenon was identified as 'burnout' and this series of processes was categorized as having three stages: 'conflict', 'acceptance', 'growth'. Conclusion: The results of this study provide useful information about the needs of Hemodialysis Unit Nurses during the practice adaptation process based on their stages and types of practice adaptation. Finally, this study contributes data for the development of intervention programs that support the Hemodialysis Unit Nurses' practice adaptation.

Keywords

References

  1. Abolfazl, R., Fazlollah, A., & Mahmoud, G. (2008). The effects of continuous care model on depression, anxiety, and stress in patients on hemodialysis. Nephrology Nursing Journal, 35(1), 39-43.
  2. Chun, I. S. (2005). A study for the development of nursing competency scale and in-service education needs for hemodialysis nurses according to their career stage. Unpublished master's thesis, Ewha Womans University, Seoul, Korea.
  3. Chun, I. S. (2010). "Nursing hemodialysis patients" the development of web-based education program. Unpublished doctoral dissertation thesis, Ewha Womans University, Seoul.
  4. Hwang, S. Y., Lee, E. J., Na, D. M., Lee, G. S., Sun, G. S., & Lee, C. S. (2002). The clinical experience of newly qualified nurses. Journal of Korean Academy of Nursing Administration, 8, 261-271.
  5. Joung, K. H. (2003). A phenomenological perspective and discovery of meaning in nurse's experience in clinics. Journal of Korean Academy of Nursing Administration, 9, 599-613.
  6. Korean Society of Nephrology. (2011). 2010 Insan memorial dialysis registry. Retrieved February 20, 2012, from http://www.ksn.or.kr/journal/2011/index.html
  7. Korean Nephrology Nurses' Association. (2011). 2010 Register status. Retrieved February 20, 2012, from http://www.knna.or.kr/ knna/knna_member/regist_01.php
  8. Kimmel, P. (2001). Psychosocial factors in dialysis patients. Kidney International, 59, 1599-1613. http://dx.doi.org/10.1046/j.1523-1755.2001.0590041599.x
  9. Kim, D. H. (2002). Understanding experience of nurses dealing with difficult patients. Journal of Korean Psychiatric Mental Health Nursing, 11(1), 63-77.
  10. Kim, S. J. (2005). The phenomenological study on an ethical dilemma of hemodialysis nurse. Unpublished master's thesis, Ewha Womans University, Seoul, Korea.
  11. Moulton, A. (2008). Chronic kidney disease: The diagnosis of a "unique" chronic disease. CANNT Journal, 18(1), 34-38.
  12. Muringai, T., Noble, H., Mcgowan, A., & Chamney, M. (2008). Dialysis access and the impact on body image: Role of the nephrology nurse. British Journal of Nursing, 17, 362-366. https://doi.org/10.12968/bjon.2008.17.6.28900
  13. Na, M. H. (2005). Role conflict and job satisfaction in hemodialysis nurse's. Unpublished master's thesis, Ewha Womans University, Seoul, Korea.
  14. Park, B. H. (2005). A study on the organizational characteristics, types of nursing organizational culture, organizational performance in hemodialysis room. Unpublished master's thesis, Ewha Womans University, Seoul, Korea.
  15. Park, H. S., Kim, K. N., Kang, E. H., Lee, J. M., & Park, S. M. (2011). Lived adaptation experience of new ICU nurses who are working in a newly established university hospital. Journal of Korean Academy Fundamental Nursing, 18, 226-236.
  16. Rheu, H. R., & Kim, Y. R. (2005). Social supports and quality of life of hemodialysis patients. The Korean Public Health Association, 31(2), 184-189.
  17. Strauss, A., & Corbin, J. (1998). Basic of qualitative research: Techniques and procedures for developing grounded theory (2nd ed.). Thousand Oaks, CA: Sage.
  18. Suh, M. J., Son, H. M., Kang, H. S., Kwon, S. B., Kim, J. H., Park, Y. S., et al. (2002). The nurses' experience of clinical practice. Journal of Korean Academy Adult Nursing, 14, 564-572.
  19. Valerie, L., Alice, G., & Marilyn, J. (2007). The design of a hemodialysis nursing orientation program. CANNT Journal, 17(2), 44-47.

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