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논문KCI 등재

전담간호사의 역할갈등 적응과정에 대한 근거 이론적 접근

Adaptation Process of Role Conflict for Clinical Nurse Specialist

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참고문헌

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주제분류학제간연구

초록

Purpose: The purpose of this research is to disclose the particular experiences of Clinical Nurse Specialist (CNS) with role conflict in Korea. Methods: This research utilized grounded theory approach in order to study the experiences CNS with role conflict, to disclose the basic socio-psychological process of them and to develop a substantive theory with regards to these finding. The author had in-depth interviews and participant observations with them until they were saturated. Total 8 CNS participated in this study. Results: As a result, 72 concepts, 24 subcategories and 13 categories were generated and paradigm model was proposed as follows. The causal conditions were ‘role ambiguity,’ ‘high achievement motive.’ The central phenomenon was ‘being indecisive’for CNS. The contextual conditions that affected indecision were ‘new experiences’, ‘unexpected workload’. The intervening condition was ‘comparing others,’ ‘communicating,’ ‘pursuing knowledgement,’ ‘pending system.’ The action/interaction, which are strategic or routine responses of the participants was ‘aggressive coping,’ ‘passive coping.’ According to consequences, those who discovered ‘being indecisive’ with role conflict of CNS can select ‘distinct role,’ or ‘resignation.’ The core category of this study was the ‘establishing role.’ Conclusion: As a nursing administration, it is needed to improve CNS’ role and position by developing system, and as a nursing education, there will be prepared for CNS’ job education program.

Abstract

Purpose: The purpose of this research is to disclose the particular experiences of Clinical Nurse Specialist (CNS) with role conflict in Korea. Methods: This research utilized grounded theory approach in order to study the experiences CNS with role conflict, to disclose the basic socio-psychological process of them and to develop a substantive theory with regards to these finding. The author had in-depth interviews and participant observations with them until they were saturated. Total 8 CNS participated in this study. Results: As a result, 72 concepts, 24 subcategories and 13 categories were generated and paradigm model was proposed as follows. The causal conditions were ‘role ambiguity,’ ‘high achievement motive.’ The central phenomenon was ‘being indecisive’for CNS. The contextual conditions that affected indecision were ‘new experiences’, ‘unexpected workload’. The intervening condition was ‘comparing others,’ ‘communicating,’ ‘pursuing knowledgement,’ ‘pending system.’ The action/interaction, which are strategic or routine responses of the participants was ‘aggressive coping,’ ‘passive coping.’ According to consequences, those who discovered ‘being indecisive’ with role conflict of CNS can select ‘distinct role,’ or ‘resignation.’ The core category of this study was the ‘establishing role.’ Conclusion: As a nursing administration, it is needed to improve CNS’ role and position by developing system, and as a nursing education, there will be prepared for CNS’ job education program.

참고문헌 (15)

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  11. 박광옥, "일 종합전문병원의 전문간호사 업무 분석", 한국간호교육학회지, 13(2), pp.246~256 (2007), 한국간호교육학회
  12. Seo, J. R., "Wound ostomy continence nurse's role conflict and job satisfaction", 석사, pp.2011
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  15. Vazirani, S., "Effects of a multidisciplinary intervention on communication and collaboration among physician and nurses", American Journal of Critical Care, 14(1), pp.71~77 (2005)

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