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The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Communication Types in Nurses Caring for Patients on Hemodialysis

혈액투석실 간호사 의사소통 유형 분석

  • Kim, Ri Whaol (Department of Nursing, Kangwon National University) ;
  • Nam, Eun Sook (Department of Nursing, Kangwon National University)
  • Received : 2021.02.15
  • Accepted : 2021.05.07
  • Published : 2021.05.31
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Abstract

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.

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.

Keywords

References

  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