간호·간병통합서비스병동 암 환자 및 보호자의 입원 경험: 탐색적 질적연구
Cancer Patients' and Caregivers' Experiences Admitted to Comprehensive Nursing Care Service Wards: An Exploratory Qualitative Research
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Purpose: The purpose of this study was to explore and assess the experiences of cancer patients and their caregivers who had been admitted to comprehensive nursing care service wards. Methods: Data were collected from 10 patients and 10 caregivers by in-depth interviews. The data were analyzed using content analysis of Downe-Wamboldt. Results: Three categories and seven subcategories were extracted. 1) Realizing institutional limitations of comprehensive nursing care service: ‘Wishing for precise operating systems based on patient severity,’ ‘Anticipating active caregiver participation in treatment process,’ ‘Requiring a countermeasure for safety accidents,’ 2) Professional nursing service which provides relief: ‘Patient-centered professional nursing service,’ ‘Inpatient service that provides relief for patients and caregivers,’ 3) Anticipating continuous use of the service: ‘Inpatient service which users are willing to reuse,’ ‘Wishing for expansion and reinforcement of the service.’ Conclusion: Cancer patients and their caregivers experienced institutional limitations while satisfied with professional nursing service and willing to reuse the service. To improve this situation, institutional support such as separate wards for severe patients, measures for active caregiver participation and prevention of safety accidents, and adequate staffing would be helpful for relatively severe level cancer patients and their caregivers.
Abstract
Purpose: The purpose of this study was to explore and assess the experiences of cancer patients and their caregivers who had been admitted to comprehensive nursing care service wards. Methods: Data were collected from 10 patients and 10 caregivers by in-depth interviews. The data were analyzed using content analysis of Downe-Wamboldt. Results: Three categories and seven subcategories were extracted. 1) Realizing institutional limitations of comprehensive nursing care service: ‘Wishing for precise operating systems based on patient severity,’ ‘Anticipating active caregiver participation in treatment process,’ ‘Requiring a countermeasure for safety accidents,’ 2) Professional nursing service which provides relief: ‘Patient-centered professional nursing service,’ ‘Inpatient service that provides relief for patients and caregivers,’ 3) Anticipating continuous use of the service: ‘Inpatient service which users are willing to reuse,’ ‘Wishing for expansion and reinforcement of the service.’ Conclusion: Cancer patients and their caregivers experienced institutional limitations while satisfied with professional nursing service and willing to reuse the service. To improve this situation, institutional support such as separate wards for severe patients, measures for active caregiver participation and prevention of safety accidents, and adequate staffing would be helpful for relatively severe level cancer patients and their caregivers.
참고문헌 (26)
- "Cancer statistics Web site"[URL]
- Kang HJ, "Care needs of advanced cancer patients in a longterm care hospital : patient-nurse comparison", Asian Oncol Nurs, 23, pp.196~206 (2023)[DOI]
- Dall’Ora C, "Nurse staffing levels and patient outcomes : a systematic review of longitudinal studies", Int J Nurs Stud, 134, pp.104311~ (2022)[DOI]
- Kim JH, "Policy issues and new direction for comprehensive nursing service in the national health insurance", J Korean Acad Nurs Adm, 23, pp.312~322 (2017)[DOI]
- "Policy direction of comprehensive nursing care Web site"[URL]
- Cho YS, "Analysis of factors affecting the inpatient satisfaction in integrated nursing care service wards using a healthcare service survey database", J Korean Crit Care Nurs, 17, pp.76~86 (2024)[DOI]
- "‘Integrated nursing service wards’ with very low proportion of patients with severe illness"[URL]
- "Big 5, inquired to quaternary hospitals... focus on the treatment of serious patients"[URL]
- Downe-Wamboldt B, "Content analysis : method, applications, and issues", Health Care Women Int, 13, pp.313~321 (1992)[DOI]
- Guba EG, "Fourth generation evaluation" (1989), Sage Publications
- Tong A, "Consolidated criteria for reporting qualitative research(COREQ) : a 32-item checklist for interviews and focus groups", Int J Qual Health Care, 19, pp.349~357 (2007)[DOI]
- Choi HJ, "Experience of patients admitted to nursing care integrated service wards in small and mediumsize general hospitals", J Korean Acad Nurs Adm, 24, pp.396~409 (2018)[DOI]
- Lee JY, "Shortening of Koreaan patient classification system-1 and classification of nursing care needs", J Korean Clin Nurs Res, 28, pp.198~209 (2022)[DOI]
- Thomas TH, "Priorities to improve cancer caregiving : report of a caregiver stakeholder workshop", Support Care Cancer, 29, pp.2423~2434 (2021)[DOI]
- Aldana GL, "Best practices for providing patientcentered tele-palliative care to cancer patients", Cancers(Basel), 15, pp.1809~ (2023)[DOI]
- Kulkarni SA, "The hospitalist movement 25 years later", Annu Rev Med, 75, pp.381~390 (2024)[DOI]
- Son YJ, "A concept analysis on patient-centered care in hospitalized older adults with multimorbidity", J Korean Crit Care Nurs, 12, pp.61~72 (2019)[DOI]
- Jung HJ, "Relationship between person-centered climate and patient satisfaction in cancer patients : the mediating effects of patient activation and nurse trust", Asian Oncol Nurs, 24, pp.21~31 (2024)[DOI]
- "Medical service experience survey"[URL]
- Bae KR, "Family caregivers’ experiences related to fear of cancer recurrence in caring for cancer survivors", Asian Oncol Nurs, 23, pp.64~74 (2023)[DOI]
- Yi YJ, "Analysis of nursing task in integrated nursing care ward by hospital type", J Korean Acad Nurs Adm, 28, pp.131~141 (2022)[DOI]
- Ko Y, "Calculating the optimal number of nurses based on nursing intensity by patient classification groups in general units in South Korea : A cross-sectional study", Nurs Open, 10, pp.3982~3991 (2023)[DOI]
- Park KO, "Experience of nurses participating in comprehensive nursing care", J Korean Acad Nurs Adm, 23, pp.76~89 (2017)[DOI]
- Seong JY, "Factors influencing probability and increase of patients’call bell use in integrated nursing care wards", J Korean Acad Nurs Adm, 28, pp.273~284 (2022)[DOI]
- Cho SH, "Development of staffing levels for nursing personnel to provide inpatients with integrated nursing care", J Korean Acad Nurs Adm, 23, pp.211~222 (2017)[DOI]
- "Percent of clinician time spent in direct patient care Web site"[URL]