DOI QR코드

DOI QR Code

혈액투석실 간호사 의사소통 유형 분석

Communication Types in Nurses Caring for Patients on Hemodialysis

  • Kim, Ri Whaol (Department of Nursing, Kangwon National University) ;
  • Nam, Eun Sook (Department of Nursing, Kangwon National University)
  • 투고 : 2021.02.15
  • 심사 : 2021.05.07
  • 발행 : 2021.05.31

초록

본 연구는 혈액투석 간호사를 대상으로 환자와 이루어지는 의사소통의 행위를 확인하고 그 유형을 Q방법론을 기반으로 분석하기 위해 수행되었다. 서울과 경기안양에 위치하고 있는 2개 병원 혈액투석실에서 근무하는 간호사 10명으로 혈액투석 간호사의 Q모집단을 구성하여 심층면담을 시행하였으며, 문헌 자료와 심층면담 결과를 기반으로 의사소통 유형연구를 대표할 수 있는 진술문을 추출하였고 그 결과를 간호학을 전공한 교수 1인의 의견을 수렴하여 Q표본 50개를 선정하였다. 선정된 Q표본을 기반으로 1차, 2차 및 3차 병원으로 구성된 서울시내 소재 5개 병원 혈액투석실에서 근무하는 간호사 30명을 P표본으로 선정하여 Q분류를 시행하였다. 이렇게 해서 도출된 Q분류결과를 pc-QUANL 프로그램을 이용해 분석을 진행했으며 그 결과를 바탕으로 혈액투석간호사의 대표적인 의사소통 행위유형을 도출하였다. 본 연구의 결과로 혈액투석실 근무간호사의 의사소통 행위유형은 유형 I '적극적 경청형', 유형 II '수용적 경청형', 유형 III '설명적 충고형', 유형 IV '방어적 초이성형'의 4가지로 분류되었다. 본 연구의 결과는 혈액투석간호사의 치료적인 의사소통 교육을 위한 기초자료로 활용될 수 있을 것으로 기대된다.

The purpose of this study was to identify and analyze the communication behavior styles of hemodialysis nurses based on the structured Q-methodology. The Q-population was formulated based on literature reviews and in-depth interviews with 10 hemodialysis nurses who were working in hospitals in Seoul and Anyang-si, Gyeonggi Province. A total of 50 Q-samples, which were believed to best represent the communication behavior styles of hemodialysis nurses, were selected from the Q-population by the author and a professor majoring in nursing. 30 P-samples were selected from hemodialysis nurses who were working in primary, secondary, and tertiary hospitals in Seoul. Q-sorting was performed by P-samples and data was analyzed through the pc-QUANL program. The results suggested that there are four types of communication behavior styles of hemodialysis nurses, namely: "type I: listening and speaking courteously with an active mind", "type II: listening and speaking courteously with a receptive mind", "type III: advising with an explanation" and "type IV: super-reasonable with a defensive mind". It is expected that the analytical results described here may provide basic information that can be used to develop educational material for hemodialysis nurses.

키워드

참고문헌

  1. The Korean Society of Nephrology, Korean ESRD registry report, Available from: http://www.ksn.or.kr (accessed Jan. 20, 2021)
  2. Korean Nephrology Nurses' Association, 2010 Register status [Internet], 2013 [cited 2013 May 31], Available from : http://www.knna.or.kr (accessed Jan. 20, 2021)
  3. R. W. Kim, Study on the Communication Behavior Styles of Hemodialysis Nurse, Master's thesis, Korea University, Seoul, Korea, pp.1-4, 2014.
  4. J. S. Berns, Hemodialysis overview, last updated: 2012. December 20. Available from: http://www.uptodate.com/contents/hemodialysis-beyond-the-basics?source=see_link#H1 (accessed Jan. 20, 2021)
  5. J. E. Bae, A Study on the Status of Hemodialysis Patient Education, Master's thesis, Ewha Womans University, Seoul, Korea, pp.1-2, 2005.
  6. M. J. Shin, "Experience of Hemodialysis in the Chronic Renal Failure Clients", Journal of Korean Academy of Fundamentals of Nursing, Vol.3, No.2, pp.235-246, 1996.
  7. J. S. Lee, K. S. Kim, M. Y. Kim, J. H. Byeon, S. M. Oh, B. J. Goo, "A Study on the Role of Dialysis Nurses Expected by Hemodialysis Patients and Dialysis Nurses", Journal of Korean Clinical Nursing Research, Vol.7, pp.43-62, 2004.
  8. M. S. Kim, M. J. Shin, M. K. Kim, J. H. Kim, S. M. Park, H. J. Woo, H. C. Jung, I. G. Ham, "A study on the Job Activity Analysis of the Hemodialysis Nurses", The Journal of Korean Nursing Administration Academic Society, Vol.6, No.3, pp.303-317, 2000.
  9. D. Y. Kim, The Effect of Communication Skills and Communication Styles of Nurses on Job Satisfaction, Master's thesis, Jeju National University, Jejudo, Korea, pp.18-31, 2010.
  10. J. Y. Bea, The Relationship Among the Level of Communication Competence, the Types of Communication, and the Level of Nursing Performance, Master's thesis, Kosin University, Busan, Korea, pp.20-47, 2009.
  11. S. J. Jeong, The Relationship of Communication Types, Interpersonal Relations and Depression for Nurses in Setting, Master's thesis, Chonnam National University, Gwangju, Korea, pp.14-36, 2007.
  12. H. S. Lee, Relationships among Communication Competence, Communication Types, Organizational Commitment of Nurses, Master's thesis, Dangook University, Geonggydo, Korea, pp.17-40, 2008.
  13. J. H. Won, The Professional self-concept organizational commitment organizational socialization of operating room nurses by communication styles, Master's thesis, Korea University, Seoul, Korea, pp.25-42, 2009.
  14. H. J. Park, Counseling Self-Efficacy and Empathic Ability of the Psychiatric Nurses, Master's thesis, Ewha Womans University, Seoul, Korea, pp.20-43, 2012.
  15. Y. H. Won, A Study of Focus Group on Experience of Communication between Intensive Care Unit Nurses, Master's thesis, Dong-A University, Busan, Korea, pp.14-33, 2012.
  16. J. H. Lee, Characteristics of each medical department in a general hospital, communication between nurses and doctors, Master's thesis, Seoul National University, Seoul, Korea, pp.109-115, 2002.
  17. E. K. Jung, Analysis of verbal communication for the nursing intervention efficiency of hemodialysis patient, Master's thesis, Hanyang University, Seoul, Korea, pp.23-42, 1992.
  18. K. W. Lee, B. H. Kim, "A Study of Hemodialysis Patients Satisfaction with Nursing Care", Hanyang Journal of Medicine, Vol.16 No.2, pp.185-195, 1998.
  19. S. J. Kim, The Phenomenological Study on A ethical dilemma of hemodialysis nurse, Master's thesis, Ewha Womans University, Seoul, Korea, pp.25-93, 2006.
  20. H. K. Kim, Q methodology: philosophy, theories, analysis, and application, p.499, Communication Books, 2008, pp.78-159
  21. S. Y. Jeong, "Satisfaction of Patients by Nurse's Communication Styles", Health Communication, vol.8, no.1, pp.35-44, 2013. DOI: https://doi.org/10.15715/kjhcom.2013.8.1.35
  22. H. S. Shin, A Study on the Relationship between Professionalism and Organizational Effectiveness of Clinic Nurses'-Focus on Job Performance, Organizational Commitment & Career Commitment, Master thesis, Hanyang University, Seoul, Korea, pp.274-275, 2009.
  23. B. S. Kim, A Study on the Socialization Process of Nurses in Hospital Setting, Ph.D dissertation, Chung-Ang University, Seoul, Korea, pp.31-91, 2001.
  24. I. S. Chun, A Study for the Development of Nursing Competency Scale and In-Service Education Needs for Hemodialysis Nurses according to their Career Stage, Master's thesis, Ewha Womans University, Seoul, Korea, pp.24-42, 2006.
  25. J. K. McGrath, K. M. Elertson, T. L. Morin, "Increasing patient safety in hemodialysis units by improving handoff communication", Nephrology Nursing Journal, Vol.47, No.5, pp.439-446, 2020. DOI: https://doi.org/10.37526/1526-744x.2020.47.5.439