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주명순 ( Myungsoon Joo ),장숙랑 ( Soongnang Jang ) 한국보건경제정책학회(구 한국보건경제학회) 2015 보건경제와 정책연구 Vol.21 No.4
본 논문은 2016년 전면 확대 예정인 보호자 없는 병원 제도를 긍정적으로 정착 운영하기 위해, 보호자 없는 병동의 입원환자를 돌보는 간호사의 주관적 경험의 의미를 파악하고자 시도한 현상학적 연구이다. 연구 질문은 “보호자 없는 병동의 환자를 돌보는 간호사의 경험은 어떠한가?” 이다. 보호자 없는 병원을 시범운영 중인 A종합병원의 입원환자를 돌본 경험이 3개월 이상 되는 총 10명의 간호사가 참여하였다. Giorgi의 기술적 현상학적 방법에 따라 탐색하여 분석한 결과 14개의 하위주제와 5개의 핵심주제를 도출하였다. 5개의 핵심주제는 ‘기대감과 부담감으로 시작함’ ‘달라지고 늘어난 업무로 인해 정체성 혼동의 두려움을 겪음’ ‘환자의 의존이 증가하고 간호사의 자존감이 저하됨’ ‘전문성 확대로 인해 자신감이 생김’ ‘보호자 없는 병동에 대한 재인식’ 이었다. 간호사에 의한 간호간병서비스는 필요한 제도이므로 보완하여 지속할 필요가 있었다. 그러나 과중한 업무량으로 인한 간호사 소진의 해결 및 환자와 보호자의 올바른 인식변화 등 근본 목적에 따른 정책수립 및 해결책을 만들고, 근거마련을 위한 장기, 단기의 지속적인 연구와 홍보, 교육, 간호사 지원책 제공 등이 보완되어야 할 것이다. This phenomenological study used in-depth interviews to clarify nurses’ subjective experiences of caring for inpatients in wards without guardians. Methods: The participants were 10 nurses with more than 3 months of experience in caring for inpatients in wards without guardians in “A” General Hospital, which has been in pilot operation as a hospital without guardians for more than 1 year. Results: Five themes and 14 sub-themes were derived. The 5 themes were “Starting with anticipation and pressure,” “Fear of identity confusion from changed and increased work,” “The increasing dependence of patients and lowered self-esteem of nurses,” “Confidence from expansion of professionalism,” and “New understanding of a ward without guardians.” Conclusions: Professional nursing care service provided by nurses is a good system that should be supplemented and continued. Both short- and long-term studies as well as supplementation of marketing, education, and nursing support are needed to establish the foundation for resolving the cycle of exhaustion in nurses due to excessive workload, proper perception changes in patients and guardians, and the establishment of solutions based on an underlying objective.
두경부 마사지가 중환자실 환자의 수면과 불안에 미치는 효과
김미용,전선영,송윤희,최은진,김재희,김미성,주명순,김남선 병원간호사회 2006 임상간호연구 Vol.11 No.2
Purpose: This study was to apply head and neck massage to patients in intensive care unit and to inventigate the effect of that massage on sleep and state anxiety. Method: The subjects in this study were 27 patients who were admitted in medical intensive care unit. The study was performed from June thru September of 2005 on the One-group pretest-posttest design and the sleep, state anxiety of the subjects were measured before and after head and neck massage. For data analysis, paired t-test and Pearson correlation coefficient were utilized. Result: The first hypothesis that the subjects might have a better sleep after being exposed to head and neck massage was accepted. The second hypothesis that the subjects might feel less state anxiety afrer being exposed to head and neck massage was accepted. The third hypothesis that the sleep of the ICU patients maight be correlated to their anxiety was accepted, as there appeared correlation between their sleep and anxiety. Conclusion: Head and neck massage is identified as one of independent nursing interwentions to improve the sleep of ICU patients and ease their anxiety, and it is necessary to apply it to clinical practices.