• Child Health Nursing Research
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• 제19권4호
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• pp.252-261
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• 2013

목적 본 연구의 목적은 신생아중환자실에서 근무하는 간호사의 임종 환아 돌봄 경험을 이해하고 개인의 생생한 경험의 전체적인 의미 구조를 기술하기 위함이다. 방법 본 연구는 현상학적 방법론을 적용한 질적 연구이다. 본 연구의 참여자는 서울시 S대학병원의 신생아중환자실에서 근무하면서 임종 환아 돌봄 경험이 있는 간호사로서 눈덩이 표집 방법을 통해 모집되었으며 자료가 충분히 포화되었다고 판단되는 시점까지로 정하여 총 8인이 선정되었다. 본 연구의 자료는 2012년 12월부터 2013년 2월까지 참여자와의 개인 심층 면담을 통하여 수집되었으며 수집된 자료는 Colaizzi의 현상학적 연구 방법을 근거로 분석되었다. 결과 신생아중환자실 간호사의 임종 환아 돌봄 경험의 구조는 '사투하는 환아의 생명존중과 안위존중의 갈림길', '환아의 죽음에 대한 정서적 고통', '환아의 죽음에 대처하며 적응하기', '임종 환아 돌봄에 대한 새로운 기대'의 4개의 주제모음으로 확인되었다. 결론 본 질적 연구를 통하여 신생아중환자실 간호사의 임종 환아 돌봄 경험을 좀 더 깊이 있게 살펴보고 이해할 수 있었다. 본 연구 결과를 토대로 신생아중환자실에 근무하면서 환아의 임종을 경험하는 간호사들이 느끼는 정서적인 갈등과 어려움을 다루고 지지해 줄 수 있는 전문적인 지지 프로그램의 개발과 임종 환아 돌봄에 대한 교육의 활성화와 더불어 임종 환아의 부모와 의료인을 위한 시간과 공간이 제도적으로 마련되었으면 한다.

• 한국보육지원학회지
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• 제6권1호
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• pp.177-199
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• 2010

본 연구는 어린이집 영아반 보육실습에서 예비보육교사들이 어떠한 체험을 하는지, 그 체험의 의미가 무엇인지를 드러내어, 예비보육교사들의 영아반 보육실습에 대한 이해를 제공하는데 연구목적이 있다. 연구방법은 서울의 A대학 유아교육과 3학년 학생 4명의 보육실습 체험을 8개월간 수집한 내러티브 연구이다. 예비보육교사들의 영아반 보육실습의 체험은 개인마다 다양하였으며 실습을 통하여 교사가 되어가는 것의 가치와 영아에 대한 이해, 영아보육에 대한 이해를 나타내고 있다. 영아반보육실습의 의미는 예비보육교사가 보육실습에서 자기존재를 확인하고 교사로서 자신을 돌아보는 자기성찰의 태도를 통하여 자기정체성을 형성해 나가는 과정이고, 가르치는 일에 행복함을 체험하는 과정이었다. 또한 영아보육교사의 역할은 영아들의 삶에 진정으로 마음을 다하여 함께 하는 돌봄의 자세임을 알아가고 있다.

• 한국간호교육학회지
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• 제17권2호
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• pp.257-266
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• 2011

Purpose: The aim of this study was to elucidate the themes involved in a nursing experience of caring for extremely low birth weight infants (ELBWIs) in a neonatal intensive care unit (NICU). Methods: Interviews with 6 nurses in various positions and observations in a level III NICU were conducted. The transcribed interview contents and observational notes were reviewed to analyze the data and conceptualize major themes. Results: Three major themes were identified: the fears expressed by the nurses regarding taking care of ELBWIs, reasons for persistent fears, and overcoming fears and gaining intuition. Nurses were afraid of the following factors: the physical fragility of the infants; the possibility of developing disabilities in the future; and the rapid changes in infants' physical condition. These fears were reduced when nurses had developed intuition and confidence in taking care of ELBWIs through various situational experiences. Conclusion: NICU nurses may benefit from obtaining more opportunities to participate in various learning experiences with simulated nursing situations in a variety of patient groups. Applying knowledge and skills into various nursing situations in an integrative way may contribute to enhancing nurses' confidence in nursing practice.

• 근관절건강학회지
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• 제27권2호
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• pp.177-188
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• 2020

Purpose: This study aimed to shed light on the experiences of women caregivers' in nursing homes who provide care for older men; it focuses on sexual behavior and provides baseline data that can help improve quality of care. Methods: Colaizzi's phenomenological method was used for data analysis. Participants included 10 caregivers working at a nursing home. Face-to-face in-depth interviews were conducted for data collection between January and February, 2020. Results: Five theme clusters were identified based on women caregivers' experiences of sexual behavior when caring for older men: "The weight of charge and exhausted stamina", "Unwillingness to face awkwardness", "Unacceptable sexual desire by older men", "An incurable wounded heart", and "Hardship in its entirety becomes my share of responsibility". The analysis further yielded ten themes. The participants stated that was hard to accept the older men's sexual behavior through relationships with the older men. Conclusion: These results should be considered in planning caring interventions for older men with respect to sexual behavior in nursing homes. The findings support the need for educational strategies and programs to improve the ability of nursing home caregivers to adequately care for older men, with consideration for their sexual behavior and for developing relevant policy supports.

• 한국콘텐츠학회논문지
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• 제21권11호
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• pp.657-679
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• 2021

본 연구는 불안정부모애착을 형성한 중년을 대상으로 독거노년부모에 대한 정서적 돌봄의 경험과 그 본질의 탐색을 통해 이들에 대한 이해와 상담학적 자료제공에 기여하고자 하였다. 이를 위해 45세 이상 60세 미만의 중년 12명(남 3명, 여 9명)을 심층면접한 후 Colaizzi의 현상학적 연구방법으로 분석하였다. 연구결과, 불안정 부모애착을 경험한 중년이 독거노년부모의 정서적 필요를 돌보는 경험에 대하여 60개의 구성된 의미, 18개의 주제, 4개의 주제군이 도출되었다. 주제군으로는 '정서적 소진을 불러온 부정적 경험', '정서적 돌봄에서의 정서적 원동력', '부모돌봄에서의 조력자의 역할', '정서적 돌봄에서의 경제적·신체적 내용'이 있었다. 본 연구는 불안정부모애착을 맺은 중년이 독거부모를 정서적으로 돌보는 경험의 현상을 밝혀 불안정애착 중년에 대한 이해를 넓혔고 상담 적용에 기여할 자료를 마련하였다는 의의를 갖는다.

• Journal of Hospice and Palliative Care
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• 제27권1호
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• pp.31-44
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• 2024

Purpose: The purpose of this qualitative study was to employ Colaizzi's phenomenological research method to elucidate and understand the essence of practical experiences among consultative hospice palliative care nurses working in hospice institutions. Methods: The participants in the study were 15 consultative hospice palliative care nurses with over 1 year of work experience in institutions located in S City, I City, and K Province in South Korea. Data were collected from 23 in-depth interviews and analyzed using Colaizzi's phenomenological qualitative method. Results: The practical experiences of consultative hospice palliative nurses were categorized into five categories, 10 theme clusters, and 25 themes. The five categories included "being aware of patients' situations at the time of transition to hospice palliative care," "empathizing with patients and their families by putting oneself in the other's shoes," "providing patient and family-centered end-of-life care," "experiencing difficulties in practical tasks," and "striving to improve hospice service quality." Conclusion: This study is significant in that it provides practical data for understanding the experiences of consultative hospice palliative care nurses caring for terminally ill patients. This could enhance our understanding of care solutions that effectively tackle the challenges consultative hospice palliative care nurses encounter while fulfilling their roles.

• 가정과삶의질연구
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• 제31권2호
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• pp.1-24
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• 2013

The purpose of this study was to understand the lived experiences of grandmothers who provide child care services to their grandchildren and employed mothers who utilize child care by grandmothers, with regards to their relationships while exchanging the specific type of intergenerational support. The data for this study came from 42 in-depth, individual interviews with 21 pairs of employed mothers who had at least one child younger than elementary-school age and their mothers or mothers-in-law who had provided child care on a daily basis for their grandchildren. Our phenomenological analysis revealed that the grandmothers felt uncomfortable and overwhelmed when caring for their grandchildren and that they considered this activity to be different from caring for their own children by nature. However, the grandmothers wanted to help their adult children based on their feeling of "boo-mo-ma-eum" (meaning parental heart, i.e., love or care). The employed mothers perceived that they were substantially dependent on the grandmothers by receiving help with child care and housework. Reliance on grandmothers was inevitable and beneficial to these mothers. Dynamic intergenerational living arrangements enabled the dependent relationships. The grandmothers set specific boundaries pertaining to current and future child care so that they would not take on too much responsibility for child care. The mothers used various strategies that contributed to stable child care support from the grandmothers. Providing financial remuneration was an important strategy that had symbolic relational meanings, such as expressing gratitude, rather than financial meanings.

• 성인간호학회지
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• 제19권5호
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• pp.56-69
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• 2007

Purpose: This study aimed to explore the discourses and the patterns of problem solving behaviors among the nurse managers. The focus of the study was the difficult situations in caring with patients and their families. Methods: Field study was performed at a for-profit hospital from March, 2004 to March, 2007. The participants of the study were 5 head nurses and 2 nurses in charge. The data were collected with iterative interviews and participant-observations. For the analysis of the data, taxonomy and critical discourse analyzing were applied. Results: The nurse mangers who showed wholistic patterns of behavior took the role of a broker among the client system, professional nursing system, medical system, and other allied health system. The nurse managers whose approach was profession-centered took the role of protector of nursing system. The nurse manager who practiced nurse-oriented pattern of behavior tried not to have harm against other members of health system. The experiences of nurse managers were effected from the discourses of patriarchal and market mechanism. Conclusion: The situation that provoke conflict between clients and nurses become more common with the changes to the health care system and to society. Nurse managers take the role of these conflict problems. The successful solving of conflict in a nursing care setting promotes the quality of care and satisfaction of clients. Programs for enhancing nurse's problem solving competency should anchored be in their practices.

• 대한간호학회지
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• 제43권1호
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• pp.102-113
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• 2013

Purpose: This study was done to investigate the level of transcultural self-efficacy (TSE) and related factors and educational needs for cultural competence in nursing (CCN) of Korean hospital nurses. Methods: A self-assessment instrument was used to measure TSE and educational needs for CCN. Questionnaires were completed by 285 nurses working in four Korean hospitals. Descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression were used to analyze the data. Results: Mean TSE score for all items was 4.54 and score for mean CCN educational needs, 5.77. Nurses with master's degrees or higher had significantly higher levels of TSE than nurses with bachelor's degrees. TSE positively correlated with English language proficiency, degrees of interest in multi-culture, degree of experience in caring for multi-cultural clients, and educational needs for CCN. The regression model explained 28% of TSE. Factors affecting TSE were degree of interest in multi-culture, degree of experience in caring for multi-cultural clients, and educational needs for CCN. Conclusion: The results of the study indicate a need for nurse educators to support nurses to strengthen TSE and provide educational program for TSE to provide nurses with strategies for raising interests in cultural diversity and successful experiences of cultural congruent care.

• 지역사회간호학회지
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• 제29권2호
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• pp.231-243
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• 2018

Purpose: This study tries to explore experiences with a special rating dementia service among family caregivers of elderly people with dementia. Methods: The participants were 11 family caregivers of elderly people with dementia and had used a day-care service from the special rating dementia service for more than 3 months. Data were collected through individual in-depth interviews and analyzed using content analysis. Results: Three categories emerged: "reminiscence of an entangled life", "feeling relieved from a stifled life", and "hope for a better life through help and support" with 8 sub-categories and 23 codes. By using the special rating dementia service, the participants experienced relief from the burden of caring for their elderly family member with dementia and restored their social relations or family relationships. They experienced a positive transition in which their caring for elderly family members with dementia was integrated into their daily lives, and they expressed their desires for better policies. Conclusion: These findings imply the importance and necessity of the special rating dementia service. Practical and systematic family support programs are necessary and proactive publicity activities by the government and public agencies are suggested to ensure that family caregivers can easily use the special rating dementia system.