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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Nurses' Experience of Middle East Respiratory Syndrome Patients Care

메르스 환자 간호에 대한 간호사의 경험

  • Received : 2017.06.28
  • Accepted : 2017.10.13
  • Published : 2017.10.31
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Abstract

This study was conducted to investigate the practical experience of nurses in MERS patients care. Nine nurses in one general hospital in S city underwent in-depth interviews from August 2015 to March 2016. The collected data were analyzed according to the procedure of the phenomenological method of Colaizzi. The following five categories were derived: '1. Anxiety and burden due to the risk of transmission of new infectious diseases', '2. Social isolation because of being the nurse in charge of MERS patients', '3. Faced with problems due to an unprepared treatment environment', '4. Overcome the burdensome MERS patient care process', '5. Reflect on the steps for preparing against new infectious diseases'. These results suggest that it is important to draw positive experiences as well as the negative effects of nurses who are involved in treatment of various infectious diseases, including MERS. Based on this, it can be used as a basis for reducing negative psychological and social impacts and improving positive adaptation. Additionally, it is necessary for healthcare workers including nurses to establish the necessary workforces, departments and guidelines for nursing new infectious disease patients.

본 연구의 목적은 메르스 환자 간호에 대한 간호사의 실제적인 경험을 파악하기 위함이다. 본 연구에 참여한 대상자는 S시 1개 상급종합병원에서 메르스 환자 간호에 참여한 간호사 9명이며, 자료 수집을 위해 심층 면담이 수행되었다. 자료수집 기간은 2015년 8월부터 2016년 3월까지였다. 수집된 자료는 Colaizzi의 현상학적 방법에 따라 절차에 맞게 분석하였다. 도출된 5개의 범주는 다음과 같다. '1. 신종 감염병 전염 위험성에 따른 불안과 부담', '2. 메르스 환자 간호사라는 이유로 느끼는 사회적 고립', '3. 준비되지 않은 치료환경 문제에 부딪힘', '4. 힘겨운 메르스 환자 간호과정을 이겨냄', '5. 신종 감염병 대책 마련에 대해 성찰함'이었다. 이와 같은 결과는 메르스 환자를 포함한 다양한 감염병 환자를 담당하는 간호사의 부정적 영향 뿐 아니라, 긍정적인 경험을 도출했다는데 의의가 있다. 이를 바탕으로 심리사회적 부정적 영향을 감소시키고, 긍정적인 적응을 향상시키는데 근거로 활용될 수 있을 것이며, 간호사를 포함한 보건의료 종사자가 신종 감염병 환자를 간호하기 위한 인력, 부서 및 실무지침 마련이 필요하다고 생각된다.

Keywords

References

  1. Centers for Disease Control and Prevention. About MERS [internet]. Atlanta (GA): Centers for Disease Control and Prevention[cited 2016, July 13]. available from: https://www.cdc.gov/coronavirus/mers/about/index.html.(accessed 2017, June 7)
  2. National Health Insurance Service. Health in Magazine Theme story 1 [internet]. Wonju: National Health Insurance Service [cited 2017, April], available from: http://hi.nhis.or.kr/magazin/120/html/sub_01.html. (accessed June 7, 2017)
  3. The Korean Society of Infectious Diseases, Korean Society for Healthcare-associated Infection Control and Prevention, "An unexpected outbreak of Middle East respiratory syndrome coronavirus infection in the Republic of Korea", Infection & Chemotherapy, vol. 47, no. 2, pp. 120-122, 2015. DOI: https://doi.org/10.3947/ic.2015.47.2.120
  4. K. H. Kim, T. E. Tandi, J. W. Choi, J. M. Moon, M. S. Kim, "Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak in South Korea, 2015: Epidemiology, characteristics and public health implication, CoV in health-care workers", Journal of Hospital Infection, vol. 95, no. 2, pp. 207-213, 2017. DOI: https://doi.org/10.1016/j.jhin.2016.10.008
  5. G. R. Banik, G. Khandaker, H. Rashid, "Middle East respiratory syndrome coronavirus "MERS-CoV": current knowledge gaps", Paediatric Respiratory Reviews, vol. 16, no. 3, pp. 197-202, 2015. DOI: https://doi.org/10.1016/j.prrv.2015.04.002
  6. A. Zumla, D. S. Hui, "Infection control and MERS-CoV in health-care workers", The Lancet, vol. 383, no. 9932, pp. 1869-1971, 2014. DOI: http://dx.doi.org/10.1016/S0140-6736(14)60852-7
  7. The Korea Times. Gwangju MERS suspected patient negative result 'return home' [internet]. Seoul: The Korea Times[cited 2017, May, 28]. available from: http://www.hankookilbo.com/v/7250f306501842a7a0b 0302464ecdb43 (accessed 2017, June 7)
  8. Korea Centers for Disease Control and Prevention. Daily report of MERS [internet]. Osong: Korea Centers for Disease Control and Prevention[cited 2016, December]. available from: http://www.mers.go.kr/mers/html/jsp/ main.jsp (accessed 2016, March, 15)
  9. K. J. June, E. Choi, "Infection control of hospital nurses: Cases of Middle East respiratory syndrome", Korean Journal of Occupational Health Nursing, vol. 25, no. 1, pp. 1-8, 2016. DOI: https://doi.org/10.5807/kjohn.2016.25.1.1
  10. H. Jung, J. Kim, S. Y. Jeong, "Factors affected with post-traumatic stress in nurses involved in direct care for Middle East respiratory syndrome patients", Health and Social Welfare Review, vol. 26, no. 4, pp. 488-507. DOI: http://dx.doi.org/10.15709/hswr.2016.36.4.488
  11. M. A. Abolfotouh, A. A. AlQarni, S. M. Al-Ghamdi, M. Salam, M. H. Al-Assiri, H. H. Balkhy, "An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi Arabia", BMC Infectious Diseases, vol. 17, no. 1, pp. 4. 2017. DOI: https://doi.org/10.1186/s12879-016-2096-8
  12. M. Alghobain, T. Aldrees, A. Alenezi, S. Alqaryan, D. Aldabeeb, N. Alotaibi, et al. "Perception and attitude of emergency room resident physicians toward Middle East respiratory syndrome outbreak", Emergency Medicine International, vol. 2017, no. 2017, pp. 4. 2017. DOI: https://doi.org/10.1155/2017/6978256
  13. J. S. Kim, J. S. Choi, "Factors influencing emergency nurses' burnout during an outbreak of Middle East respiratory syndrome coronavirus in Korea", Asian Nursing Research, vol. 10, no. 4, pp. 295-299, 2016. DOI: https://doi.org/10.1016/j.anr.2016.10.002
  14. R. G. .Maunder, W. J. Lancee, K. E. Balderson, J. P. Bennett, B. Borgundvaag, S. Evans, et al. "Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak", Emerging Infectious Diseases, vol. 12, no. 12, pp. 1924-1932, 2006. DOI: https://doi.org/10.3201/eid1212.060584
  15. P. E. Colaizzi, Psychological Research as the Phenomenological Views it, New York: Oxford University Press, 1978.
  16. Y. S. Lincoln & E. G. Guba, Naturalistic inquiry, pp. 75, Beverly Hills, CA: Sage. 1985.
  17. M. J. Yi, J. S. Lee, "Nurses' experiences of the death of patients in geriatric hospitals", Journal of Korean Academy of Nursing, vol. 45, no. 4, pp. 513-522, 2015. DOI: https://doi.org/10.4040/jkan.2015.45.4.513
  18. H. J. Kim, H. Y. Kim, "Experience of job stress among nurses working in long-term care hospital: A phenomenological approach", Korean Journal of Adult Nursing, vol. 28, no. 5, pp. 572-584, 2016. DOI: https://doi.org/10.7475/kjan.2016.28.5.572
  19. N. Suwantarat, A. Apisarnthanarak, "Risks to healthcare workers with emerging diseases: Lessons from MERS-CoV, Ebola, SARS, and avian flu", Current Opinion in Infectious Diseases, vol. 28, no. 4, pp. 349-361, 2015. DOI: https://doi.org/10.1097/qco.0000000000000183
  20. K. Kim, O. Lee, "Knowledge, attitudes and perceptions of nurses on personal protective equipment: Response to the Middle East respiratory syndrome coronavirus", Journal of Korean Academy of Fundamentals of Nursing, vol. 23, no. 4, pp. 402-410, 2016. DOI: https://doi.org/10.7739/jkafn.2016.23.4.402
  21. Korea Centers for Disease Control and Prevention. 2017 Guidelines for MERS response the 4-2th edition. Osong: Korea Centers for Disease Control and Prevention[cited 2017, February 28]. available from: http://cdc.go.kr/CDC/together/CdcKrTogether0302.jsp?menuIds=HOME001-MNU1154-MNU0005-MNU0088 (accessed 2017, June 13)
  22. F. J. Shih, S. Turale, Y. S. Lin, M. L. Gau, C. C. Kao, C. Y. Yang, et al. "Surviving a life-threatening crisis: Taiwan's nurse leaders' reflections and difficulties fighting the SARS epidemic", Journal of Clinical Nursing, vol. 18, no. 24, pp. 3391-3400, 2009. DOI: https://doi.org/10.1111/j.1365-2702.2008.02521.x
  23. Y. H. Oh, "The future requirements and supply of registered nurses in Korea", The Korean Journal of Health Economics and Policy, vol. 16, no. 3, pp. 139-161, 2010. DOI: https://doi.org/10.15709/hswr.2008.28.1.68
  24. L. M. Hall, J. Angus, L. O'Brien-Pallas, E. Peter, F. Wynn, G. Donner, "Media portrayal of nurses' perspectives and concerns in the SARS crisis in Toronto", Journal of Nursing Scholarship, vol. 35, no. 33, pp. 211-216, 2003. DOI: https://doi.org/10.1111/j.1547-5069.2003.00211.x
  25. H. Jung, A. Choi, G. Lee, J. Kim, S. Jeong, "Turnover intention of nurses that were cohort quarantined during the Middle East Respiratory Syndrome(MERS) outbreak", Journal of the Korea Academia-Industrial Cooperation Society, vol. 18, no. 3, pp. 175-184, 2017. DOI: http://dx.doi.org/10.5762/KAIS.2017.18.3.175
  26. H. H. Chiang, M. B. Chen, I. L. Sue, "Self-state of nurses in caring for SARS survivors", Nursing Ethics, vol. 14, no. 1, pp. 18-26, 2007. DOI: https://doi.org/10.1177/0969733007071353
  27. J. S. Choi, K. M. Kim, "Crisis prevention and management by infection control nurses during the Middle East respiratory coronavirus outbreak in Korea", American Journal of Infection Control, vol. 44, no. 4, pp. 480-481, 2016. DOI: https://doi.org/10.1016/j.ajic.2015.10.032
  28. S. H. Lee, Y. Y. Juang, Y. J. Su, H. L. Lee, Y. H. Lin, C. C. Chao, "Facing SARS: psychological impacts on SARS team nurses and psychiatric services in a Taiwan general hospital", General Hospital Psychiatry, vol. 27, no. 5, pp. 352-358, 2005. DOI: https://doi.org/10.1016/j.genhosppsych.2005.04.007