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혼종모형을 이용한 신규간호사의 현실충격에 대한 개념분석

A Concept Analysis on Reality Shock in Newly Graduated Nurses Using the Hybrid Model

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Purpose: The purpose of this study was to define and clarify the concept of reality shock in new graduated nurses. Methods: The hybrid model was used to develop the concept of reality shock. The model included a field study. The participants were 9 newly graduated nurses with a nursing career spanning less than a year. Results: The reality shock in newly graduated nurses was identified to have three dimensions and seven attributes. Specifically: 1) the dimension of performance included two attributes (conflict between theory and practice, and being overwhelmed by the workload), 2) the dimension of relationship included three attributes (loss of support, embarrassment from interference, and relational withdrawal), 3) the dimension of expectations included two attributes(value confusions and incongruity in personal life). Conclusion: Newly graduated nurses’ reality shock was defined as a state of incongruence in their entire life that the new nurses experienced owing to value confusions that occurred due to the conflicts between theory and practice in an unfamiliar work environment, getting overwhelmed by the workload, and withdrawing establishing relationships with others due to the loss of support and excessive interference. These findings could help develop intervention strategies to decrease reality shock in newly graduated nurses.

Abstract

Purpose: The purpose of this study was to define and clarify the concept of reality shock in new graduated nurses. Methods: The hybrid model was used to develop the concept of reality shock. The model included a field study. The participants were 9 newly graduated nurses with a nursing career spanning less than a year. Results: The reality shock in newly graduated nurses was identified to have three dimensions and seven attributes. Specifically: 1) the dimension of performance included two attributes (conflict between theory and practice, and being overwhelmed by the workload), 2) the dimension of relationship included three attributes (loss of support, embarrassment from interference, and relational withdrawal), 3) the dimension of expectations included two attributes(value confusions and incongruity in personal life). Conclusion: Newly graduated nurses’ reality shock was defined as a state of incongruence in their entire life that the new nurses experienced owing to value confusions that occurred due to the conflicts between theory and practice in an unfamiliar work environment, getting overwhelmed by the workload, and withdrawing establishing relationships with others due to the loss of support and excessive interference. These findings could help develop intervention strategies to decrease reality shock in newly graduated nurses.

참고문헌 (30)

  1. Aiken, L. H., "Importance of work environments on hospital outcomes in nine countries", International Journal for Quality in Health Care, 23(4), pp.357~364 (2011)[DOI]
  2. Chinn, P. L., "Theory and nursing : A systematic approach" (1995), Mosby
  3. Judy E. Boychuk Duchscher, "Transition shock: the initial stage of role adaptation for newly graduated Registered Nurses", Journal of Advanced Nursing, 65(5), pp.1103~1113 (2009), Wiley[DOI]
  4. Feldman, D. C., "Entry shock, culture shock; Socializing the new breed of global managers", Human Resource Management, 31(4), pp.345~362 (1992)
  5. Hwang, S. Y., "The clinical experiences of newly-qualified nurses", Journal of Korean Academy of Nursing Administration, 8(2), pp.261~271 (2002)
  6. Kang, Y. B., "The effects analysis of the hospital organizational characteristics on organizational commitment and achievement", master, pp.2010
  7. 김현진, "유아교사와 초등교사의 현실충격(Reality Shock)과 교사효능감(Teacher Efficacy)에 관한 연구", 열린유아교육연구, 17(2), pp.151~173 (2012), 한국열린유아교육학회
  8. Kim, K. S., "A comparative cultural differences and management styles of Korea, USA, and Japan", master, pp.1994
  9. 김선애, "신규간호사의 이직 경험", 한국보건간호학회지, 28(3), pp.644~657 (2014), 한국보건간호학회
  10. Survey on the current nurse deployment, "Korean Hospital Nurses Association.", Korean Hospital Nurses Association, ~ (2016)
  11. Kramer, M., "Reality shock : Why nurses leave nursing" (1974), Mosby
  12. Marlene Kramer, "Impact of Healthy Work Environments on New Graduate Nurses’ Environmental Reality Shock", Western Journal of Nursing Research, 35(3), pp.348~383 (2013), SAGE Publications[DOI]
  13. Mary Mooney, "Facing registration: The expectations and the unexpected", Nurse Education Today, 27(8), pp.840~847 (2007), Elsevier BV[DOI]
  14. Jennifer M. Newton, "The transitional journey through the graduate year: A focus group study", International Journal of Nursing Studies, 44(7), pp.1231~1237 (2007), Elsevier BV[DOI]
  15. Maria O'Shea, "The lived experiences of newly qualified nurses on clinical placement during the first six months following registration in the Republic of Ireland", Journal of Clinical Nursing, 16(8), pp.1534~1542 (2007), Wiley[DOI]
  16. Oberg, K., "Cultural shock adjustment to new cultural environments", Practical Anthropology, 7(4), pp.177~182 (1960)
  17. "OECD Health statistics 2015" (2016)[URL]
  18. 박광옥, "임상 신규간호사의 상급 초보자에서 적임자로 되어가는 경험", 한국간호교육학회지, 19(4), pp.594~605 (2013), 한국간호교육학회[DOI]
  19. Park, J. H., "The lived experience of newly employed nurses : Phenomenological study", Qualitative Research, 9(2), pp.99~110 (2008)
  20. Schmalenberg, C. E., "Dreams and reality : Where do they meet", Journal of Nursing Administration, 6(5), pp.35~43 (1976)
  21. Schwartz-Barcott, D., "Concept Development in Nursing: Foundations, Techniques, and Applications", pp.129~159 (2000), W.B. Saunders Co
  22. 신경미, "신규간호사의 현실충격과 영향요인", 간호행정학회지, 20(3), pp.292~301 (2014), 간호행정학회[DOI]
  23. "The national institute of the Korean language" (2015)[URL]
  24. Strauss, A., "Basics of qualitative research: Techniques and procedures for developing grounded theory" (1990), Sage Publication
  25. 서연옥, "신규간호사의 삶의 경험", 간호행정학회지, 19(2), pp.227~238 (2013), 간호행정학회[DOI]
  26. Veenman, S., "Perceived problems of beginning teachers", Review of Educational Research, 54, pp.143~178 (1984)
  27. Walker, L. O., "Strategies for theory construction in nursing" (2010), Prentice Hall
  28. Webber, R. A., "Career problems of young managers", California Management Review, 18, pp.11~33 (1976)
  29. 이명선, "개념분석 전략에 관한 문헌고찰 연구", Journal of Korean Academy of Nursing, 36(4), pp.493~502 (2006), 한국간호과학회
  30. Yoon, S. H., "A study on new graduate nurses’ clinical experience of adaptation", Journal of Korean Academy of Nursing Administration, 8(1), pp.55~72 (2002)

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