코로나19 격리병상 간호사의 근무 경험
The Work Experience of Nurses in COVID-19 Isolation Wards
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목적: 본 연구는 코로나19 격리병상 간호사의 근무 경험을 심층적으로 탐색하기 위해 시행되었다. 방법: 2023년 11월 3일부터 11월 23일까지 격리병상에서 근무하는 11명의 간호사와 1:1 심층 인터뷰를 통해 자료를 수집하였다. 자료는 Braun과 Clarke의 귀납적 주제 분석을 사용하여 분석하였다. 결과: 연구결과 3개의 범주, 7개의 주제, 그리고 16개의 하위 주제가 도출되었다. 범주는 ‘준비되지 않은 코로나19 격리병상의 현실’, ‘끝나지 않는 변화와 조율의 과정’, 그리고 ‘일상으로의 회복 과정에서 겪는 혼란스러움’이었다. 격리병상 근무 간호사들의 공통적인 경험은 ‘변화로 인한 혼란’이었다. 초기에는 낯선 환경과 업무 체계의 부재로 인한 혼란, 이후에는 코로나19 대응 방향의 변화에 따른 혼란, 마지막에는 일상으로 돌아가는 과정에서의 혼란을 경험하면서 지속적으로 불확실성을 직면하였다. 결론: 미래의 신종감염병 및 팬데믹에 대비하여 격리병상 간호사의 근무 경험을 개선하기 위한 전략을 마련하는 것이 필요하다. 감염관리 업무와 환자의 간호요구도를 고려하여 간호 인력을 배치하고, 격리병상 내 의사소통 문제를 해결하기 위하여 다양한 측면을 고려해야 한다. 감염관리와 신종감염병 대비에 대한 정기적인 교육이 시행되어야 하며, 격리병상 업무에 대한 업무 매뉴얼이 마련되어야 한다. 또한, 재난 대응 인력을 위한 심리적 지원 시스템 홍보와 신체적 어려움을 완화하기 위한 정책을 개발하는 것이 필요하다.
Abstract
Purpose: This study was conducted to deeply explore the work experiences of nurses in COVID-19 isolation wards. Methods: Data were collected through one-on-one in-depth interviews with 11 nurses working in COVID-19 isolation wards from November 3 to November 23, 2023. The data were analyzed using Braun and Clarke's inductive thematic analysis. Results: The study identified three categories, seven themes, and 16 sub-themes. The categories were: ‘the reality of unprepared COVID-19 isolation wards’, ‘the ongoing process of change and coordination’, and ‘experiencing confusion in the process of returning to normal’. A common experience among nurses was ‘confusion due to changes’. Initially, there was confusion caused by the unfamiliar environment and lack of a work manual. Subsequently, confusion arose due to changes in the direction of the COVID-19 response. Finally, they experienced confusion in the process of returning to normal life, continually facing uncertainty. Conclusion: Strategies are needed to improve the work environment of nurses in isolation wards for future infectious diseases and pandemics. Allocating nursing staff considering infection control tasks and patient care demands, and addressing communication problems in isolation wards is necessary. Routine education on infection control and preparation for emerging infectious diseases should be implemented, and an operational manual for duties in isolation ward should be prepared. Additionally, promoting psychological support systems for disaster response personnel and developing policies to alleviate physical difficulties are needed.
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