느린 간호의 개념 분석
A Concept Analysis of Slow Nursing
0
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
환자 특히 노인환자들은 자신의 특성과 속도에 적합한 간호를 필요로 하는 데 비해, 우리나라 현실에서는 ‘빠른 간호’가 강조되는 실정이다. 이에 본 연구는 한국에서의 ‘느린 간호’의 속성을 파악하고자 한다. Walker & Avant의 방법을 사용하여 문헌고찰을 통해 ‘느린 간호’에 대한 개념분석을 실시하였다. 2000~2019년 Pubmed, Riss, NDSL, DBPIA, Google scholar에서 ‘느린’, ‘느림‘, ‘느린 간호’, ‘느린 처방’을 핵심단어로 하여 문헌을 찾고 개념분석을 실시한 결과, ‘느린 간호’의 속성으로 ‘대상자의 속도 존중’, ‘주의 깊음’, ‘과정 중 안위’, ‘참여’, 그리고 ‘삶의 의미 숙고’가 나타났다. 이러한 ‘느린 간호’의 속성을 중심으로 모델사례를 도출하였다. ‘느린 간호’의 선행 요인은 환자의 기능 저하, 심리적 처짐, 무관심, 치료에 대한 두려움, 삶의 의지 부족으로 나타났으며, 느린 간호로 인해 나타나는 결과로는 잠재 능력 발견, 자신감 회복, 건강증진, 의료진과의 의사소통 향상, 신뢰감 및 자아통합감이 도출되었다. 향후 ‘느린 간호’의 속성을 이용한 측정도구를 개발하여 대상자 간호와 연구에 이바지하기를 기대한다.
Abstract
Patients, particularly elderly patients, need nursing appropriate to their characteristics and pace, whereas ‘fast nursing’ is actually emphasized in Korea. Hence, this study attempts to identify the characteristics of ‘slow nursing’ in Korea. Walker & Avant’s approach to concept analysis was performed through a literature review on the concept of ‘slow nursing.’ A literature search and concept analysis, using the keywords of ‘slow,’ ‘slow nursing’ and ‘slow prescription’ in Pubmed, Riss, NDSL, DBPIA, and Google Scholar from 2000 to 2019, yielded the following attributes of ‘slow nursing’: ‘respect for the speed of the subject,’ ‘carefulness,’ ‘comfort in the process,’ ‘participation’ and ‘consideration of the meaning of life.’ Model cases were derived based on these attributes. Predisposing factors involved in ‘slow nursing’ include patient malfunction, psychological deflection, indifference, fear of treatment, and lack of willingness to live. The outcomes were a discovery of patients’ potential capacities, recovery of confidence, health promotion, improved communication with medical staff, confidence, and self-integrity. It is expected that the development of measurement tools using the attributes of ‘slow nursing’ would contribute to patient nursing and research in the future.
참고문헌 (25)
- T. Bachmann., "Slow nursing", AJN, 111(3), pp.12~ (2013)[DOI]
- Ann Gallagher, "Slow ethics for nursing practice", Nursing Ethics, 19(6), pp.711~713 (2012), SAGE Publications[DOI]
- K. H. Chung., "The life style and welfare needs of the elderly", Paper presented at the Forum of Health and welfare (2005)
- E. J. Yun, "Gerontological nursing" (2018), Sumunsa
- Carole Rushton, "Reconciling concepts of time and person‐centred care of the older person with cognitive impairment in the acute care setting", Nursing Philosophy, 17(4), pp.282~289 (2016), Wiley[DOI]
- Daniela Lillekroken, "Slow Nursing–The Concept Inventing Process", International Journal of Human Caring, 18(4), pp.40~44 (2014), Springer Publishing Company[DOI]
- Daniela Lillekroken, "The meaning of slow nursing in dementia care", Dementia, 16(7), pp.930~947 (2017), SAGE Publications[DOI]
- Daniela Lillekroken, "Enabling resources in people with dementia: a qualitative study about nurses’ strategies that may support a sense of coherence in people with dementia", Journal of Clinical Nursing, 24(21-22), pp.3129~3137 (2015), Wiley[DOI]
- Bernhard Wunderlich, "Theory and Measurements of the Glass‐Transformation Interval of Polystyrene", Journal of Applied Physics, 35(1), pp.95~102 (1964), AIP Publishing[DOI]
- L. O. Walker, "Strategies for theory construction in nursing" (2005), Pearson Education
- E. S. Chae., "Healthy and slow life choices, Slow Food" (2012), Urban Affairs.
- H. J. Yang, "Slow food movement", Food Science and Industry, 44(4), pp.68~72 (2011)
- 윤민우, "톨킨의 자연: 느림의 경제", 중세르네상스영문학, 21(1), pp.127~157 (2013), 한국고전중세르네상스영문학회[DOI]
- M. S. Choi., "Choi Il-nam's study of death consciousness in the old-age novel-A study on contemporary fiction", Modern Novel Research, 4, pp.391~416 (2014)
- Mi. Finkelstein, "Slow medicine hope and healing for chronic illness, William" (2015), Morrow Paperbacks Feather Trail Press
- D. McCullough, "My mother your mother" (2009), Harper Perennial
- V. Sweet, "Slow medicine" (2017), Liverhead Book
- F. Nightingale, "Nightingale: Notes on nursing:What it is, and what it is not" (2009), Feather Trail Press
- Charles G. Kerrigan, "Slow Medicine: The Barrier on the Bridge", Journal of Gerontological Nursing, 43(5), pp.49~50 (2017), SLACK, Inc.[DOI]
- Stacey M. Carroll, "Silent, Slow Lifeworld: The Communication Experience of Nonvocal Ventilated Patients", Qualitative Health Research, 17(9), pp.1165~1177 (2016), SAGE Publications[DOI]
- Vibeke Lohne, "Fostering dignity in the care of nursing home residents through slow caring", Nursing Ethics, 24(7), pp.778~788 (2017), SAGE Publications[DOI]
- Derek Sellman, "Does the Slow movement have anything to offer nursing education?", Nurse Education Today, 34(12), pp.1414~1416 (2014), Elsevier BV[DOI]