응급실 간호사의 공감피로에 대한 인식
Perspectives of Compassion Fatigue among Emergency Nurses Using Q-methodology
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초록
본 연구는 Q방법론을적용하여 응급실간호사의 공감피로에 대한 인식을 파악하고 각 유형별 특성을 토대로공감피로관리 프로그램의 기초자료를 얻고자 수행하였다. P표본은상급종합병원 1곳과 종합병원 1곳에서 응급실 간호사 39명을 대상으로 편의표집 하였다. 이들은 공감피로에 관한 36개의 Q표본을각자 의견의 중요도에 따라 강제정상분포가 되도록 9점 척도상에 Q-분류하였으며 수집한 자료는 PCQUANL program에 의한Q요인분석을하였다. 연구결과, 응급실 간호사의 공감피로에 대한 인식은 3개의 유형으로 도츨되었고 이는전체변량의 50.2%를 설명하였으며 각 유형에 따른 설명력은 38.0%, 6.9%, 5.2% 로 나타났다. 응급실 간호사의공감피로에 대한 주관적 인식구조는 ‘시스템적 해결 중시형’, ‘긍정적 에너지형’, 그리고 ‘자기조절형’으로 확인하였다. 본 연구결과에 기초하여 공감피로 인식유형에 따른 응급실 간호사의 맞춤형 공감피로 중재프로그램 개발의 필요성과 전략을 논의하였다.
Abstract
This study was conducted by applying a Q-methodology, to identify the perspectives of compassion fatigue among emergency nurses. A sample of 39 participants was recruited to participate in the study and classified 36 selected Q-samples into a nine-point normal distribution grid. Analysis for collected data were used a PC-QUANL program. The findings of this study were as follows. The three types account for 50.2% of the total variance: 38.0%, 6.9%, and 5.2%, respectively. Type 1 was ‘system-based solving’, type 2 was ‘positive energy’, and type 3 was ‘self-controller’. These findings will be able to provide basic data to establish strategies for coping with the compassion fatigue of emergency nurses of each type. It can in turn contribute to developing policies which form a positive nursing organization culture and serves for human resources management enhancing the job satisfaction and accomplishment in the nursing profession.
참고문헌 (30)
- 권성복, "요양병원 간호사의 공감피로, 공감만족이 직무만족에 미치는 영향", 한국웰니스학회지, 14(2), pp.195~205 (2019), 한국웰니스학회[DOI]
- 김현주, "응급실 간호사의 외상사건 경험과 공감피로, 소진, 공감만족과의 관계", 석사, 간호학, pp.2011
- 김흥규, "Q방법론: 과학철학, 이론, 분석 그리고 적용" (2008), 커뮤니케이션북스
- 백평구, "Q모집단으로부터 Q표본 구성 과정에 대한 분석: 학술지 주관성 연구 게재 논문을 중심으로(1996∼2014)", 주관성 연구, (30), pp.103~130 (2015), 한국주관성연구학회
- 양영희, "A Literature Review of Compassion Fatigue in Nursing", 성인간호학회지, 24(1), pp.38~51 (2012), 한국성인간호학회
- 이구슬, "응급실 간호사의 공감피로 영향요인", 석사, pp.2016
- 이정실, "내적동기가 자기효능감, 조직몰입, 창의적 행동에 미치는 영향: 호텔기업을 중심으로", 관광레저연구, 29(3), pp.199~215 (2017), (사)한국관광레저학회
- 정미란, "응급실 간호사의 언어폭력에 대한 인식 유형", 주관성 연구, (46), pp.5~25 (2019), 한국주관성연구학회[DOI]
- Akhtar-Danesh, N., "Q-methodology in nursing research; A promising method for the study of subjectivity", Western Journal of Nursing, 30(6), pp.759~773 (2008)
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders. DSM-Ⅳ" (1994), American Pstchiatric Press
- Cheryl Tatano Beck, "Secondary Traumatic Stress in Nurses: A Systematic Review", Archives of Psychiatric Nursing, 25(1), pp.1~10 (2011), Elsevier BV[DOI]
- Jill Berger, "Compassion Fatigue in Pediatric Nurses", Journal of Pediatric Nursing, 30(6), pp.e11~e17 (2015), Elsevier BV[DOI]
- Boyle, D. A., "Countering compassion fatigue: a requisite nursing agenda", The Online Journal of Issues in Nursing, 16(1) (2011)
- Steven R. Brown, "Q Methodology and Qualitative Research", Qualitative Health Research, 6(4), pp.561~567 (2016), SAGE Publications[DOI]
- Coetzee, S. K., "Compassion fatigue within nursing practice: A concept analysis", Nursing and Health Sciences, 12(2), pp.235~243 (2010)
- Collins, S., "Too tired to care? The psychological effects of working with trauma", Journal of Psychiatric and Mental Health Nursing, 10, pp.17~27 (2003)
- Danielle L. K. C., "Compassion fatigue and its asociation with workplace empowerment in acute care settings", Master’s, pp.2014
- Elvira Dominguez-Gomez, "Prevalence of Secondary Traumatic Stress Among Emergency Nurses", Journal of Emergency Nursing, 35(3), pp.199~204 (2009), Elsevier BV[DOI]
- Dunkley, J., "Vicarious traumatization in telephone counsellors:Internal and external influences", British Journal of Guidance & Counselling, 34(4), pp.451~469 (2006)
- Figley, C. R., "Traumatization and comfort:Close relationships may be hazardous to your health", Keynote presentation, Families and close relationships: Individuals in social interaction. Conference held at Texas Tech University (1982)
- Figley, C. R., "Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized", pp.1~20 (1995), Brunner-Routledge
- Kathleen Flarity, "The Effectiveness of an Educational Program on Preventing and Treating Compassion Fatigue in Emergency Nurses", Advanced Emergency Nursing Journal, 35(3), pp.247~258 (2013), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Hillary Michelle Hecktman, "Stress in Pediatric Oncology Nurses", Journal of Pediatric Oncology Nursing, 29(6), pp.356~361 (2012), SAGE Publications[DOI]
- Crystal Hooper, "Compassion Satisfaction, Burnout, and Compassion Fatigue Among Emergency Nurses Compared With Nurses in Other Selected Inpatient Specialties", Journal of Emergency Nursing, 36(5), pp.420~427 (2010), Elsevier BV[DOI]
- Iliffe, G., "Exploring the counselor’s experience of working with perpetrators and survivors of domestic violence", Journal of Interpersonal Violence, 25(4), pp.393~412 (2000)
- Miller, K. I., "Communication and empathy as precursors to burnout among human service workers", Communication Monographs, 55(3), pp.250~265 (1988)
- Lindy E. Morrison, "Secondary traumatic stress in the emergency department", Journal of Advanced Nursing, 72(11), pp.2894~2906 (2016), Wiley[DOI]
- Radey, M., "The social psychology of compassion", Clinical Social Work Journal, 35(3), pp.207~214 (2007)
- Kate Sheppard, "Compassion fatigue among registered nurses: Connecting theory and research", Applied Nursing Research, 28(1), pp.57~59 (2015), Elsevier BV[DOI]