Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Return-to-Work Experiences among Nurses after Receiving Cancer Treatment

암 치료를 받은 간호사의 직장복귀 경험

  • Kim, Mi-Hye (Division of Nursing, Hanyang University Seoul Hospital) ;
  • Kim, Jeong-Seon (Department of Nursing, Choonhae College of Health Sciences) ;
  • Kim, Han-Na (Department of Nursing, Suwon Women's University)
  • Received : 2016.05.09
  • Accepted : 2016.06.02
  • Published : 2016.06.30
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Abstract

The purpose this study was to explore the return-to-work experience of nurses after receiving cancer treatment. The participants of this research were 6 registered nurses who were working when they were diagnosed with cancer. Data were collected by individual in-depth interviews from January 5 to January 29, 2016 and analyzed using phenomenological methodology by Colaizzi(1978). The study results revealed that the return-to-work experiences of nurses after receiving cancer treatment may be categorized as 'Enduring hardly', 'Living a balance in my turning point', 'Reborn' and may be identified with 9 theme clusters and 27 themes. Their experience of returning to work as a nurse after cancer treatment consisted of expressing difficulty in handling both work and treatment. Despite that, they came to live a more mature life after their disease and came to affirm their existence through their work. Thus, an improved working environment to manage both work and treatment and continual support and assistance from society is deemed necessary.

본 연구의 목적은 암 진단을 받아 치료를 받은 간호사가 경험하는 직장 복귀 경험에 대한 의미와 본질을 탐색하고자 암 치료를 받은 간호사 6명을 대상으로 2016년 1월 5일부터 1월 29일까지 자료를 수집하여 Colaizzi의 현상학적 연구방법을 적용한 질적 연구이다. 연구결과 암 진단을 받아 치료를 받은 간호사의 직장 복귀의 경험은 27개의 주제와 9개의 주제모음, 3개의 범주로 도출되었다. 최종 도출된 주제모음과 범주는 '힘들게 버텨나감'의 범주에서 '암 치료에 대한 불편함', '불안과 불확실성이 공존하는 생황', '암으로 인한 관계의 문제'의 3개의 주제모음이 도출되었으며, '삶의 전환점에서 중심잡고 살아가기'의 범주에서는 '성숙한 삶의 원동력이 됨', '강해짐', '내려놓음', '나의 필요에 민감해지기'의 4개의 주제모음이 도출되었다. 마지막으로 '새롭게 태어남'의 범주에서는 '암치료 경험이 간호의 도구가 됨', '직장에 대한 새로운 정의를 내림'의 2개의 주제모임이 도출되었다. 암 진단을 받아 치료 후 직장에 복귀한 간호사의 경험은 일과 치료의 병행에 대한 어려움을 호소하면서도 질병경험을 통해 더욱 성숙한 삶을 살아가고 있었으며, 일을 통하여 자신의 존재감을 경험하였다. 따라서 일과 치료의 병행을 위한 업무 환경의 개선과 지속적인 사회적 지지와 지원이 필요할 것으로 사료된다.

Keywords

References

  1. K. W. Jung, Y. J. Won, H. J. Kong, C. M. Oh, D. H. Lee, J. S. Lee, "Cancer Statistics in Korea: Incidence, mortality, survival, and prevalence in 2011", Cancer Research and Treatment, Vol. 46, No. 2, pp. 109-123, 2014. DOI: http://dx.doi.org/10.4143/crt.2014.46.2.109
  2. O. M. C. Vargens, C. M. Bertero, "Living with breast cancer", Cancer Nursing, Vol. 30. pp. 471-478, 2007. DOI: http://dx.doi.org/10.1097/01.NCC.0000300157.83144.fb
  3. K. S. Oh, M. K. Sim, S. Y. Son, "Health problems and psychosocial adaptation of children with cancer". Journal of Korean Academy of Nursing, Vol. 33, No. 2, pp. 293-297, 2003. https://doi.org/10.4040/jkan.2003.33.2.293
  4. S. Y. Hwang, S. I. Kim, B. W. Park, "The supportive care needs of breast cancer patients", Journal of the Korean Surgical Society, Vol. 67, No. 4, pp. 265-273, 2004.
  5. Y. S. Son, K. Y. Chang, H. S. Woo, "Significance of occupation and value as a mediation for the improvement of quality of life for cancer patients", The Journal of Korean Society of Assistive Technology, Vol. 5, No. 1, pp. 31-43, 2013.
  6. J. H. Park, E. C. Park, J. H. Park, S. G. Kim, S. Y. Lee, "Job loss and re-employment of cancer patients in Korean employees: A nationwide retrospective cohort study", Journal of Clinical Oncology, Vol. 26, No. 8, pp. 1302-1309, 2008. DOI: http://dx.doi.org/10.1200/JCO.2007.14.2984
  7. J. H. Park, E. Y. Jun, M. Y. Kang, Y. S. Joung, G. S. Kim, "Symptom experience and quality of life in breast cancer survivors", Journal of Korean Academy of Nursing, Vol. 39, No. 5, pp. 613-621, 2009. DOI: http://dx.doi.org/10.4040/jkan.2009.39.5.613
  8. I. W. Pedro, "Quality of life for long-term survivors of cancer", Cancer Nursing, Vol. 24, pp. 1-11, 2001. DOI: http://dx.doi.org/10.1097/00002820-200102000-00001
  9. Z. Amir, D. Neary, K. Luker, "Cancer survivors' view of work 3 years post diagnosis: A UK perspective", European Journal of Oncology Nursing, Vol. 12, No. 3, pp. 190-197, 2008. DOI: http://dx.doi.org/10.1016/j.ejon.2008.01.006
  10. T. Takeuchi., Y. Yamazaki, "Relationship between work-family conflict and a sense of coherence among Japanese registered nurse", Japan Journal of Nursing Science, Vol. 7, pp. 158-168, 2010. DOI: http://dx.doi.org/10.1111/j.1742-7924.2010.00154.x
  11. M. R. Son, "Experience of return to work among officers with cancer", Hanyang University:Seoul doctoral thesis, 2014.
  12. P. F. Colaizzi, "Psychological research as the phenomenologist views it", New York, Oxford University Press, p.6, 1978.
  13. Y. S. Lincoln., E. G. Guba, "Effective evaluation(4th ed.)", San Francisco, Jossey-Bass Publication, University Press, 1985.
  14. M. Larsson, B. Hedelin, E. Athlin, "Needing a hand to hold: lived experiences during the trajectory of care for patients with head and neck cancer treated with radiotherapy", Cancer Nursing, Vol. 30, pp. 324-334, 2007. DOI: http://dx.doi.org/10.1097/01.NCC.0000281722.56996.07
  15. M. R. Son, J. S. Lee, "Illness experience of cancer patients in a military hospital", Journal of Military Nursing Research, Vol. 31, No. 1, pp. 76-93, 2013.
  16. J. H. Cho, K. Smith, E. K. Choi, I. R. Kim, Y. J. Chang, H. Y. Park, Y. M. Shim, "Public attitudes toward cancer and cancer patients: a national survey in Korea", Psycho-Oncology, Vol. 22, No. 2, pp. 605-613, 2013. DOI: http://dx.doi.org/10.1002/pon.3041
  17. Z. Amir, P. Wynn, F. Chan, D. Strauser, S. Whitaker, K. Luker, "Return to work after cancer in the UK: Attitudes and experiences of line managers", Journal of Occupational Rehabilitation, Vol. 20, No. 4, pp. 435-442, 2010. DOI: http://dx.doi.org/10.1007/s10926-009-9197-9
  18. T. Y. Kim, "A Phenomenological Study on Experience of Overcoming Anxiety among Female Thyroid Cancer Survivors", Kyungsung University:Busan, doctoral thesis, 2014.
  19. M. S. Park, K. S. Kim, "Cancer survivors' life experience", Journal Korean Oncology Nursing, Vol. 8, No. 2, pp. 93-104, 2008.
  20. E. H. Lee, Y. S. Song, M. S. Chun, K. S. Oh, W. H. Lee, Y. H. Lee, "Quality of life in cancer patients: Ground theory", Journal Korean Oncology Nursing, Vol. 4, pp. 71-81, 2004.
  21. T. Maeda, F. N. Onuoha,, T. Munakata, "The effect of postoperative symptom experience and personality and psychosocial factors on depression among postgastrectomy patient in Japan", Gastroenterologt Nursing, Vol. 29, pp. 437-444, 2006. DOI: http://dx.doi.org/10.1097/00001610-200611000-00002
  22. B. H. Vrkljan, B. H. P. J. Miller, "Meaning of occupational engagement in like-threatening illness; a qualitative pilot project", Canadian Journal of Occupational Therapy, Vol. 68, No. 4, pp. 237-246, 2001. DOI: http://dx.doi.org/10.1177/000841740106800407
  23. C. Tiedtke, A. Rijk, B. D. Casterle, M. R. Christians, P. Donceel, "Experiences and concerns about 'returning to work' for women breast cancer survivors: a literature review", Psycho-oncology, Vol. 19, No. 7, pp. 677-683, 2010. DOI: http://dx.doi.org/10.1002/pon.1633
  24. J. A. Parsons, J. M. Eakin, R. S. Bell, R. L. Franche, A. M. Davis, "So, are you back to work yet?" Re-conceptualizing 'work' and 'return to work' in the context of primary bone cancer", Social Science & Medicine, Vol. 67, No. 11, pp. 1826-1836, 2008. https://doi.org/10.1016/j.socscimed.2008.09.011
  25. Y. S. Bae, "Relationship Among Stress Perception of Occurrence Risk of Cancer and Cancer Preventive Health Behavior in Three-Shift Nurses", Gyeongsang National University:Busan doctoral thesis, 2015.