숙련성에 따른 중환자실 간호사들의 업무수행 유형

Characteristics of Nursing Performance based on the Expertise among ICU Nurses

  • 이명선 (서울대학교 간호대학, 서울대학교 간호과학연구소) ;
  • 오상은 (전남대학교 의과대학 간호학과, 전남대학교 간호과학연구소) ;
  • 엄미란 (을지의과대학교 간호학과) ;
  • 김현숙 (서울보건대학 간호학과) ;
  • 조결자 (경희대학교 간호과학부) ;
  • 최정숙 (원주대학 간호학과) ;
  • 이경숙 (원주대학 간호학과)
  • Yi, Myung-Sun (College of Nursing, Seoul National University, Research Institute of Nursing Science) ;
  • Oh, Sang-Eun (Department of Nursing, Chonnam National University Medical School, Chonnam Research Institute of Nursing Science) ;
  • Eom, Mi-Ran (Department of Nursing, Eulji University School of Medicine) ;
  • Kim, Hyun-Sook (Department of Nursing, Seoul Health College) ;
  • Cho, Kyoul-Ja (College of Nursing Science, Kyung Hee University) ;
  • Choi, Jung-Sook (Department of Nursing, Wonju National College) ;
  • Lee, Kyung-Sook (Department of Nursing, Wonju National College)
  • 발행 : 2002.06.30

초록

Purpose: The purpose of this research was to describe how nurses in intensive care units (ICU) work. Method: A total of 18 ICU nurses participated in the research. The data was collected through individual in-depth interviews and analyzed by grounded theory method using NUDIST 4.0 software program. Results: Three different patterns regarding nursing performance among ICU nurses were identified. These are 1) nursing performance of nurses who perform excellently, 2) nursing performance of nurses who do not perform well because of their lack of experience, and 3) nursing performance of nurses who do not perform well in spite of their good years of experience. These three different nursing performances were described in terms of seven different categories; 1) assessing and monitoring nursing problems, 2) clinical decision making, 3) interpersonal relationships, 4) holistic care, 5) technical skills, 6) problem solving, 7) working independently and creatively. This study also identified two intervening factors that influenced the advancement of their expertise. Conclusion: The results of this study might help nurse managers in developing continuing educational programs for inexperienced nurses or those nurses not performing well to become experts by a deeper understanding of the nature of nursing performance and the factors that influence nursing performance in ICU settings.

키워드