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COVID-19 발생 시기 한국 간호사가 경험한 어려움과 대응 전략: 질적 연구에 대한 통합적 문헌고찰

An Integrated Review of Difficulties and Response Strategies Experienced by Korean Nurses during the COVID-19 Outbreak: Based on Qualitative Research

조단비|유자영
한국의료윤리학회 (The Korean Society For Medical Ethics)|2024.03|한국의료윤리학회지 (Korean Journal of Medical Ethics)|제27권 제1호|pp. 27-46|DOI https://doi.org/10.35301/ksme.2024.27.1.27

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참고문헌

키워드

COVID-19질적연구돌봄qualitative research간호사통합적 문헌고찰integrated review코비드-19patient carenurses
주제분류의학일반

초록

현재 COVID-19는 풍토병 단계(endemic)로 전환되었으나, 신종 감염병의 발생가능성은 여전히 남 아있다. 향후 유사한 재난상황이 발생할 경우, 의료진들은 다양한 심리사회적 문제에 직면할 것으로 예 상되며, 특히 환자에게 직접 돌봄을 제공하는 간호사 경험에 대한 분석이 이루어질 필요가 있다. 이에, 본 연구에서는 COVID-19 발생 기간 동안 국내 간호사가 환자를 돌보면서 경험한 어려움과 대응 및 경 험의 변화에 대해 종합적으로 분석하고 평가하였다. 이를 위해 COVID-19 발생 기간 동안 국내 간호사 의 환자 돌봄 경험에 관한 질적연구 9편을 Whittemore와 Knafl이 제시한 지침에 따라 통합적 문헌고 찰 방법으로 분석하였다. 문헌고찰 결과, 간호사들은 COVID-19 발생 기간 동안 신체적, 정신적, 사회 적 측면에서 다양한 어려움을 경험하였고, 이에 대해 개인방역이나 경각심을 갖는 등 개인 차원의 대응 을 통해 극복하고자 하였다. 또, 대부분의 참여자들이 시간이 경과함에 따라 전문직 가치 추구 및 적응 을 통해 새로운 의료환경으로 인한 어려움을 극복했다고 응답한 반면, 일부에서는 변하지 않는 현실에 대한 좌절과 소진을 경험한 것으로 나타났다. 따라서, 향후 재난상황에서 간호사에 대한 효과적인 지지 및 대응 역량 강화를 위해서는 간호사 소진에 대한 모니터링이 이루어질 필요가 있으며, 적정 간호인력 확보, 일관된 지침 제공 등 정부와 기관 차원에서의 적절한 대응이 필요할 것으로 보인다.

Abstract

Since the end of 2019, thousands of healthcare professionals worldwide have lost their lives due to COVID-19 infections. In South Korea too, healthcare professionals have experienced various physical and psychological difficulties stemming from COVID-19 infections. The purpose of this study was to comprehensively analyze the difficulties, responses, and changes in experience of Korean nurses during the recent COVID-19 pandemic. Using the integrated literature review method suggested by Whittemore and Knafl, qualitative research papers on the experiences of Korean nurses during the COVID-19 pandemic were analyzed. A total of nine documents were selected, and the experiences of nurses during the COVID-19 pandemic were classified in terms of the difficulties they encountered, their responses, and other relevant changes. The main finding of this study is that Korean nurses underwent severe physical and mental stress during the COVID-19 pandemic. This finding suggests that plans should be developed now, both by governments and medical institutions, to provide better support and protection to nurses in the event of future pandemics.

참고문헌 (54)

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