Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
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Grounded Theoretical Analysis on the Hospital Accreditation Experience of Head Nurses in General Hospitals

종합병원 수간호사의 의료기관평가 경험에 대한 근거이론적 접근

  • Moon, Ji-Hyun (Red Cross Nursing College, Chung-Ang University) ;
  • Joo, Ga Eul (Department of Nursing Science, The University of Suwon) ;
  • Lee, Jinhwa (Department of Nursing, University of Ulsan)
  • Received : 2016.05.25
  • Accepted : 2016.10.06
  • Published : 2016.12.31
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Abstract

Purpose: The purpose of this study was to conduct a grounded theoretical analysis on the hospital accreditation experience of head nurses in order to understand their behavior on the adaption of this new system. Methods: The participants were 8 head nurses with more than 3 years of experience. The data were collected through in-depth interviews using audiotape recording analyzed by the constant comparative method described in Strauss and Corbin's methodology. Results: There were 113 concepts, 26 subcategories and 12 categories identified through the open coding process. In the axial coding, the following paradigm model was proposed: 1) the causal conditions were 'hardware problem' and 'software problem', 2) the contextual conditions were 'vertical relationship', 'individual preference', and 'family support', 3) the intervening conditions were 'passive conditions' and 'active conditions', 4) the action/interaction strategies were 'leading role' and 'dependent role', 5) the consequences were 'positive acceptance' and 'negative acceptance', 6) the central phenomenon was 'difficult situation' and 7) the core category was 'leading in harmony'. Conclusion: The new system led head nurses having difficulties as the middleman between the hospital administration and general nurses, but they made a continuous effort to overcome and adapt to it through a number of strategies.

Keywords

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