혈액암병동 간호사의 돌봄행위 양상

Abstract

Purpose: This study aimed to reach an in-depth understanding of the nursing behavior in hematologic cancer care from nurses’ perspectives, within the sociocultural context of a hematology ward. Methods: Participants consisted of 15 hematology nurses in a tertiary hospital in a metropolitan city in South Korea. Data were collected through participant observation and in-depth interviews. The researcher acted as a complete participant observer in fieldwork. Data were analyzed using Spradley’s ethnographic method, which includes four iterative stages: domain analysis, taxonomic analysis, componential analysis, and thematic analysis. Results: The main tailored nursing practices included emergency response, interaction coping, end-of-life nursing coping, and successful practice-oriented coping patterns. These nursing behaviors constituted the professional competencies and care strategies of hematology nurses. Conclusion: This study illustrates the characteristics of nursing behaviors in a hematology ward. The findings revealed that nurses experienced difficulties in responding to patients’ needs due to complex nursing tasks and end-of-life care. Beneficial behaviors among hematology nurses included peer support and ongoing self-development. These findings highlight the need for supporting hematology nurses through peer collaboration and continuous professional development to enhance their capacity to manage complex tasks and end-of-life care.