Journal of Digital Policy (디지털정책학회지)

The Society of Digital Policy and Management (한국디지털정책학회)
권호 표지
DOI QR코드

DOI QR Code

Night Duty Experience on the Personal Life of Fixed Night Shift Nurses

야간전담 간호사의 사적 생활에 미치는 밤번 근무 경험

  • Received : 2023.03.26
  • Accepted : 2023.06.20
  • Published : 2023.06.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to explore the night duty experience on the personal life of fixed night shift nurses working in various health care delivery systems. Data collection was conducted through three focus group interviews from September to October 2022, The subjects of the study were 13 nurses working fixed night shift. For analysis, all interviews were recorded and transcribed and analyzed using qualitative content analysis. In results, 5 themes, 11 categories and 24 subcategories were derived. The five themes were 'it's a voluntary choice', 'efforts to adapt to the shift', 'awareness about fixed night shift', and 'hope to improve the system'. The study aims to help understand fixed night shift work and systems by showing various night-duty experiences on the personal life of the nurses and to provide basic data for preparing measures to improve the system.

본 연구의 목적은 다양한 의료전달체계에서 근무하고 있는 야간전담 간호사의 사적 생활에 미치는 밤번 근무 경험을 탐색하는 것이다. 자료수집은 2022년 9월부터 10월까지 3개의 포커스 그룹 인터뷰로 이루어졌으며, 연구대상자는 야간전담 간호업무를 수행하고 있는 간호사 13명이었다. 분석을 위해 모든 면담은 녹음하고 필사하였으며, 질적 내용분석을 이용해 분석하였다. 연구 결과 4개의 주제, 11개의 범주 그리고 24개의 하위범주가 도출되었다. 4개 주제는 '자유의지로 선택 ', '근무 적응을 위한 노력', '야간전담 근무 수행 관련 지각', 그리고 '제도 개선을 희망'으로 나타났다. 본 연구는 야간전담 간호사의 사적 생활에 미치는 다양한 밤번 근무 경험을 보여줌으로써 야간전담 간호업무와 제도에 대한 이해를 돕고, 야간전담 제도의 개선방안 마련에 기초자료를 제공하기 위함이다.

Keywords

References

  1. L. M. Barker & M. A. Nussbaum. (2011). Fatigue, performance and the work environment: a survey of registered nurses. Journal of Advanced Nursing, 67(6), 1370-1382. DOI : 10.1111/j.1365-2648.2010.05597.x
  2. I. B. Saksvil, B. Bjorvatn, H. Hetland, G. M. Sandal, S. Pallesen. (2011). Individual differences in tolerance to shift work - a systematic review. Sleep Medicine Reviews, 15, 221-235. DOI : 10.1016/j.smrv.2010.07.002
  3. J. H. Kim, M. S. Kim & Y. H. Kim. (2017). A Comparison of Standard Shift work Index between Night Shift Fixed Nurses and Rotating Shift Nurses. Journal of Korean Clinical Nursing Research, 23(1), 54-63. DOI : 10.22650/JKCNR.2017.23.1.54
  4. OECD. (2020). OECD health statistics (Online). http://www.oecd.org/els/health-systems/health-data.htm
  5. Y. S. Shin. (2022). Survey on Health and Medical Personnel. Korea Institute for Health and Social Affairs (Online). https://www.medicaltimes.com/Main/News/NewsView.html?ID=1148349&ref=daum
  6. M. A. Kim, K. O. Park. S. J. You, M. J. Kim & E. S. Kim. (2009). A survey of nursing activities in small and medium-size hospitals: Reasons for turnover. Journal of Korean Clinical Nursing Research, 15(1), 149-165. UCI : G704-000921.2009.15.1.009
  7. World Health Organization (WHO). International Council Nurses(ICN). (2020). State of the world's nursing 2020(Online). https://www.who.int/publications/i/item/9789240003279
  8. J. Barton. (1994). Choosing to work at night: A moderating influence on individual tolerance to shift work. The Journal of Applied Psychology, 79(3), 449-454. DOI : 10.1037/0021-9010.79.3.449
  9. J. H. Kim, E. J, Choi, S. J. You, M. J. Kim, E. S. Kim & J. H. JUN. (2019). Study on the Establishment of Fixed Night Shifts and Flexible Work Arrangements for Nurses. Journal of Korean Clinical Nursing Research, 25(2), 107-119. DOI : 10.22650/JKCNR.2019.25.2.107
  10. K. H. Jo & Y. J. Kim. (2012). Comparison of job satisfaction and nursing performance between nurses on fixed nights and nurses on three shifts, and nurses understanding of fixed night shift system. Journal of Korean Clinical Nursing Research, 18(1), 63-73. DOI : 10.22650/JKCNR.2012.18.1.63
  11. A. L. Johnson et al. (2014). Sleep deprivation and error in nurses who work the night shift. Journal of Nursing Administration, 44(1), 17-22. DOI : 10.1097/NNA.0000000000000021
  12. J. S. Sung. (2022). Relationships between sleep patterns, occupational fatigue and inter-shift recovery, and missed nursing care among fixed night shift nurses. Master's thesis. Chungang University, Seoul.
  13. B. N. Choi. (2018). The Working Conditions of Night Shift Nurses in General Wards and Issues Related to Nursing Policy. Master's thesis. Ewha Womans University, Seoul.
  14. M. A. Lee, H. J. Cho, S. H. Ahn & H. J. Kim. (2015). Perceptions on Fixed Night Shift System and Turnover Intention of General Hospital Nurses. Journal of Korean Nursing Administration Academic Society, 21-5, 519-529. DOI : 10.11111/jkana.2015.21.5.519
  15. R. A. Krueger & M. A. Casey. (2014). Focus Groups: A Practical Guide for Applied Research 4th Edition. California : SAGE Publications, Inc. ISBN 978-1-4833-6524-4
  16. B. Downe-Wamboldt. (1992). Content analysis: Method, application, and issues. Health Care for Women International, 13(3), 313-321. DOI: 10.1080/07399339209516006
  17. Y. S. Lincoln & E. G. Guba. (1985). Naturalistic inquiry. Beverly Hills, CA : Sage Publications.
  18. O. S. Shim & H. J. Lee. (2017). A Comparative Study on the Job Satisfaction, Nursing Professionalism and Nursing Work Environment of Nurses in Comprehensive Nursing Care Service Wards and Nurses in General Wards. Journal of Convergence for Information Technology, 7(6), pp. 25-33. DOI : 10.22156/CS4SMB.2017.7.6.025
  19. K. O. Park, J. W. An, N. K. Han. (2022). A Predictable Pattern Shift Schedule Model for Improving Nurses' Shift Work. Health and social welfare review, 42(1), 258-276. DOI : 10.15709/hswr.2022.42.1.258
  20. K. H. Jo, Y. J. Kim. (2014). The Experiences of Night Duty among Clinical Nurses Who are Considering Job Transfer. J Qual Res, 15(1), 1-12. DOI : 10.22284/qr.2014.15.1.1
  21. S. E. Choi, S. D. Kim. (2013). Relationships of Fatigue to Job Satisfaction and Turnover Intention among Clinical Nurses at Small & Medium-Sized Hospitals. Journal of the Korea Academia-Industrial cooperation Society, 14(9), 4218-4226. DOI : 10.5762/KAIS.2013.14.9.4218
  22. K. O. Park, Y. J. Lee, J. W. An. (2020). A study on the reduction of working hours through the analysis of nursing work for nurses who work shifts in general wards. Seoul : the Korean Health Medical Industrial Union
  23. M. Y. Kim, E. J. Kim, S. J. Choi. (2016). Nurses' Perception of Flexible Working and Its Operational Guideline. Journal of the Korea Academia-Industrial cooperation Society, 17(1), 664-675. DOI : 10.5762/KAIS.2016.17.1.664
  24. S. H, Cho, K. J. Hong, H. J. Yun, S. J. Jang, K. H. Choi, H. J. Park. (2020). Estimation of Expected Nursing Hours Based on Patients' Nursing Care Needs and a Comparison with Actual Nursing Hours in Comprehensive Nursing Care Wards. Journal of Korean Nursing Administration Academic Society, 26(4), 365-377. DOI : 10.11111/jkana.2020.26.4.365
  25. Boivin D. B. & Boudreau P. (2014). Impacts of shift work on sleep and circadian rhythms. Pathologie Biologie, 62(5), 292-301. DOI : 10.1016/j.patbio.2014.08.001
  26. E. S. Lee, K. O. KIM & H. J. Song. (2012). Comparison of Job Satisfaction and Nursing Performance between Nurses on Fixed Nights and Nurses on Three shifts, and Nurses Understanding of Fixed Night Shift System. Journal of Korean Clinical Nursing Research, 18(1), 63-73.
  27. Korea Ministry of Government Legislation. (2021). Labor Standards Act. https://www.law.go.kr
  28. B. Barthe, G. Tirilly, C. Gentil & C. Toupin. (2016). Job demands and resting and napping opportunities for nurses during night shifts: impact on sleepiness and self-evaluated quality of healthcare. Industrial Health, 54(2), 157-62. DOI : 10.2486/indhealth.2015-0002
  29. W. M. Fallis, D. E. McMillan & M. P. Edwards. (2011). Napping during night shift: Practices, preferences, and perceptions of critical care and emergency department nurses. Critical Care Nurse, 31(2), 1-11. DOI : 10.4037/ccn2011710
  30. I. S. Park, J. h. Kim, H. J. Hong, H. S. Kim, I. S. Han & S. Y. Lee. (2018). Comparing Satisfaction and Importance of Nursing Care Nursing Work Environment, Nurse's Intention to Work between Comprehensive Nursing Care Unit and General Nursing Care Unit. Journal of Korean Clinical Nursing Research, 24(1), 33-43. DOI : 10.22650/JKCNR.208.24.1.34
  31. S. H. Cho, J. Y. Lee, K. J. June, K. J. Hong, Y. M. Kim. (2016). Nurse Staffing Levels and Proportion of Hospitals and Clinics Meeting the Legal Standard. Journal of Korean Nursing Administration Academic Society, 22(3), 209-219. DOI : 10.11111/jkana.2016.22.3.209
  32. Ministry of Health and Welfare. (2021). Guidelines for Night Work of Nursing Personnel [Internet]. Sejong: MOHW(Online). http://www.mohw.go.kr/upload/viewer/skin/doc.html?fn=1617667649979_20210406090730.hwp&rs=/upload/viewer/result/202304/