• 제목/요약/키워드: Hospital nursing units

검색결과 432건 처리시간 0.017초

간호사의 병원 내 성희롱 피해 경험: 현상학적 연구 (Experience Sexual Harassment of Nurses: Phenomenological Study)

  • 구윤정;박은아
    • 문화기술의 융합
    • /
    • 제9권4호
    • /
    • pp.457-465
    • /
    • 2023
  • 본 연구는 간호사가 경험한 성희롱의 본질적 구조와 의미를 파악하여, 성희롱을 예방하고, 체계적인 중재방안을 마련하고자 수행되었다. Giorgi의 현상학적 연구방법과 심층면담에 의한 연구로서 자료수집은 2022년 8월 6일부터 2023년 3월 25일까지 종합병원 간호사 7명의 연구참여자로부터 수집하였다. 면담에 사용된 주질문은 "귀하에게 성희롱이란 무엇을 의미합니까?"이었다. 필사된 자료는 Giorgi의 질적 분석방법에 따라 전체의 인식, 의미단위의 구분, 의미단위의 심리학적 표현으로의 변형, 일반적 구조로의 통합의 단계를 거쳐 분석하였다. 그 결과 총 159개의 의미단위, 37개의 본질적 심리의미, 13개의 하위 구성요소, 5개의 구성요소가 도출되었다. 5개의 구성요소는 '성희롱의 최전방에 노출됨', '혼자 감당하며 고군분투함', '조직으로부터 내팽개쳐진 심정', '함께 헤쳐나갈 방법을 찾음', '변화하고 있음을 느낌'이 포함되어 있다. 이상의 결과를 토대로 간호사의 성희롱을 예방하고 이들을 위한 체계적인 중재방안 마련과 제도 개선에 유용한 기초자료를 제공할 것으로 기대된다.

만성통증 환자의 통증 조절 (Chronic pain control in patients with rheumatoid arthritis)

  • 은영
    • 근관절건강학회지
    • /
    • 제2권1호
    • /
    • pp.17-40
    • /
    • 1995
  • Rheumatoid arthritis is the one of the chronic diseases, one of its major symptoms is a chronic pain. Despite developing medical treatment and surgical techniques, it is suggested that to control the pain is the goal of the treatment. But pain is an inner experience and even those closest to the patient cannot truly observe its progress or share in its suffering. The National Academy of Sciences Institute of Medicine's report on Pain and Disability concluded that there is no objective measure of pain-(exactly) no pain thermometer-nor can there ever be one, because the experience of pain is inseparable from personal perception and social influence such as culture. To explore chronic pain experience is to understand the process and property of the patient's perception of pain through the response to pain, the coping with pain, and the adaptation to pain. Therefore a qualitative study was conducted in order to gain an understanding of pain experience of patients with RA in korea. I used naturalistic inquiry as a research methodology, which had 5 axioms, the first is that realities are multiple, constructed, and holistic, the second is that knower and known are interactive, inseparable, the third is only time and context bound working hypotheses(idiographic statements) are possible, the forth is all entities are in a state of mutual simultaneous shaping, so that it is impossible to distinguish causes from effects and the last is that inquiry is value-bound. Purposive sampling was conducted as a sampling. 20 subjects who experienced pain over 10 years, lived in middle-sized city and big city in Korea, and 17 women and 3 men. The subject's age was from 32 to 62 (average 48.8), all were married, living with their spouse and children, except two-one divorced and the other widow before they became ill. I collected data using In depth structured interview. I had interviews two or three times with each subject, and the interviews were conducted at each subject's home. Each interview lasted about two hours an average. A recording was taken with the consent of the subject. I used inductive data analysis-such as unitizing and categorizing. unitizing is a process of coding, whereby raw data are systematically transformed and aggregated into units. Categorizing is a process wherby previously unitized data are organized into categories that provide descriptive or inferential information about the context or setting from which the units were derived. This process is used constant comparative method. The pain controlling process is composed of behavior of pain control. The behaviors of pain control are rearranging of ADL, hiddening role conflict, balancing treatment, and changing social relation. Rearranging of ADL includes diet management, sleep management, and the adjustment of daily life activities. The subjects try to rearrange their daily activities by modified style of motions, rearranging time span & range of activities, using auxillary facilities, and getting help in order to keep on the pace of daily life. Hiddening role conflict means to reduce conflicts between sick role and their role as a family member. In this process, the subjects use two modes, one is to control the pain complaints, and the other is to internalize the value which is to stay home is good for caring her children and being a good mother. To control pain complaints is done by 'enduring', 'understanding' the other family members, or making them undersood in order to reduce pain. Balancing treatment is composed of two aspects. One is to keep the pain within the endurable level, the other is to keep in touch with medical personnel in order to get the information of treatment and emotional support. Changing social relation is made by information seeking and sharing, formation of mutual support relation, and finally simplification of social relationships. The subjects simplify their social relationships by refraining from relations with someone who makes them physically and psychologically strained. In particular the subjects are apt to avoid contact with in-laws, and the change of relation to in-laws results in lessening the family boundary. In the course of this process, they confront the crisis of family confict result in family dissolution. This crisis is related to the threat of self-existence. Findings from this study contribute to understanding the chronic pain experience. To advance this study, we should compare this result with other cases in different cultural contexts. I think to interpret these results, korean cultural background should be considered. Especially the different family concept, more broader family members and kinship network, and the traditional medical knowledge influences patients' behavior.

  • PDF