항암병동 간호사들의 돌봄 체험에 관한 현상학적 연구
Hermeneutic Phenomenological Study on Caring Experience of Nurses Working in a Chemotherapy Ward in Korea
0
조회
0
다운로드
10
인용
0
참고문헌
키워드
초록
Purpose: The purpose of the study was to understand and describe nurses’ experiences of caring for cancer patients receiving chemotherapy in chemotherapy wards. Methods: Data were collected during 2015 by individual in-depth interviews with 10 nurses working in a chemotherapy ward. Transcribed data were analyzed using the hermeneutic phenomenological method by van Manen. Results: Six essential themes emerged from the analysis. ‘Struggle for safe administration of anticancer drugs,’ represents the double effort for patients’ safety while receiving anti-cancer drugs. ‘Compassion toward patients suffering from chemotherapy,’ describes sympathy and empathy for patients and the transference of the pain caused by excessive empathy. ‘Frustration of caring for no further improvement of patients,’ describes ambivalence and helplessness due to ineffective chemotherapy. ‘Disappointment of being the target of criticism,’ illustrates the emotional injury caused by projection of anger and denigrated value of caring. ‘Motive power of caring: patients, family and colleagues,’ represents the supportive relationship for caring. ‘Take-off for better care,’ describes development as patients’ advocator through introspection and self-management. Conclusion: The results of this study indicate that a more supportive ward environment needs to be created to support and empower oncology nurses in order to provide the best care for cancer patients.
Abstract
Purpose: The purpose of the study was to understand and describe nurses’ experiences of caring for cancer patients receiving chemotherapy in chemotherapy wards. Methods: Data were collected during 2015 by individual in-depth interviews with 10 nurses working in a chemotherapy ward. Transcribed data were analyzed using the hermeneutic phenomenological method by van Manen. Results: Six essential themes emerged from the analysis. ‘Struggle for safe administration of anticancer drugs,’ represents the double effort for patients’ safety while receiving anti-cancer drugs. ‘Compassion toward patients suffering from chemotherapy,’ describes sympathy and empathy for patients and the transference of the pain caused by excessive empathy. ‘Frustration of caring for no further improvement of patients,’ describes ambivalence and helplessness due to ineffective chemotherapy. ‘Disappointment of being the target of criticism,’ illustrates the emotional injury caused by projection of anger and denigrated value of caring. ‘Motive power of caring: patients, family and colleagues,’ represents the supportive relationship for caring. ‘Take-off for better care,’ describes development as patients’ advocator through introspection and self-management. Conclusion: The results of this study indicate that a more supportive ward environment needs to be created to support and empower oncology nurses in order to provide the best care for cancer patients.
참고문헌 (30)
- Cancer facts & figures 2016 in the Republic of Korea, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2016)
- Hallek M, "Addition of rituximab to fludarabine and cyclophosphamide in patients with chronic lymphocytic leukaemia: a randomised, open-label, phase 3 trial", Lancet, 376, pp.1164~1174 (2010)
- "February 1, expanded health insurance coverage of treatment drugs of pancreatic cancer, leukemia etc"[URL]
- "Chemotherapy"[URL]
- 서지영, "항암화학요법을 받는 암 환자의 디스트레스와 삶의 질", Asian Oncology Nursing, 15(1), pp.18~27 (2015), 대한종양간호학회
- Sabo BM, "Adverse psychosocial consequences: compassion fatigue, burnout and vicarious traumatization: are nurses who provide palliative and hematological cancer care vulnerable?", Indian J Palliat Care, 14, pp.23~29 (2008)
- Sinclair HA, "Does vicarious traumatisation affect oncology nurses? A literature review", Eur J Oncol Nurs, 11, pp.348~356 (2007)
- McHugh MD, "Nurses’ widespread job dissatisfaction, burnout, and frustration with health benefits signal problems for patient care", Health Aff, 30, pp.202~210 (2011)
- Leiter MP, "Nurse turnover: the mediating role of burnout", J Nurs Manag, 17, pp.331~339 (2009)
- 박은영, "종양간호사의 암 환자 상담경험", Asian Oncology Nursing, 8(2), pp.128~137 (2008), 대한종양간호학회
- 이영숙, "종양병동 간호사의 소진 체험", Asian Oncology Nursing, 12(1), pp.100~109 (2012), 대한종양간호학회
- 태영숙, "종양전문간호사의 직무경험", Asian Oncology Nursing, 14(4), pp.236~248 (2014), 대한종양간호학회
- 김혜란, "신규간호사의 암 병동 적응 경험에 관한 현상학적 연구", Asian Oncology Nursing, 14(2), pp.127~138 (2014), 대한종양간호학회
- Van Manen M, "Researching lived experience: human science for an action sensitive pedagogy" (1990), State University of New York Press
- "Care"[URL]
- Sandelowski M, "The problem of rigor in qualitative research", ANS Adv Nurs Sci, 8, pp.27~37 (1986)
- 김보경, "일 대학병원 간호사의 항암제 안전관리 지식과 수행 및 노출경험", Global Health and Nursing (글로벌 건강과 간호), 6(1), pp.11~19 (2016), 간호과학연구소
- Jang YH, "The miracle of being and to be" (2009), Samtoh
- Cho SJ, "Obangdduk girl’s happy days" (2010), Chaegeulo yeoneun sesang
- Sasaki M, "Assessment of DNA damage in Japanese nurses handling antineoplastic drugs by the comet assay", J Occup Health, 50, pp.7~12 (2008)
- Dunniece U, "Nurses’ experiences of being present with a patient receiving a diagnosis of cancer", J Adv Nurs, 32, pp.611~618 (2000)
- Saltmarsh K, "The paradoxical image of chemotherapy: a phenomenological description of nurses’ experiences of administering chemotherapy", Eur J Cancer Care, 17, pp.500~508 (2008)
- Skovholt TM, "Career counseling for longevity:self-care and burnout prevention strategies for counselor resilience", J Career Dev, 27, pp.167~176 (2001)
- 강미정, "종합병원 간호사가 경험한 폭력 유형과 대처방식", 임상간호연구, 21(1), pp.92~104 (2015), 병원간호사회
- 정선애, "혈액투석실 간호사의 언어폭력 경험, 직무스트레스, 소진이 이직의도에 미치는 영향", 간호행정학회지, 22(2), pp.189~198 (2016), 간호행정학회[DOI]
- 성미라, "재가 치매 노인환자를 돌보는 가족원의 극복 경험", Journal of Korean Academy of Nursing, 43(3), pp.389~398 (2013), 한국간호과학회
- 주명순, "보호자 없는 병원에서의 간호사 근무경험", 보건경제와 정책연구, 21(4), pp.133~157 (2015), 한국보건경제정책학회
- 조호진, "암병동 간호사의 공감능력, 자아탄력성, 자기관리가 공감피로에 미치는 영향", 간호행정학회지, 20(4), pp.373~382 (2014), 간호행정학회[DOI]
- 이지윤, "신규간호사의 사회심리적 건강과 자기 돌봄이 실무 적응 어려움에 미치는 영향", 간호행정학회지, 21(5), pp.459~468 (2015), 간호행정학회[DOI]
- Hernandez G, "The heART of self-C.A.R.I.N.G.: a journey to becoming an optimal healing presence to ourselves and our patients", Creat Nurs, 15, pp.129~133 (2009)