COVID-19 대유행 상황에서 응급실 간호사의 근무 경험
The Work Experiences of Emergency Room Nurses during the COVID-19 Pandemic
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목적: 본 연구는 응급실 간호사의 코로나19 대유행 상황에서 근무 경험을 총체적으로 이해하고 탐색하기 위하여 시행되었다. 방법: 연구대상은 응급실에 근무하는 간호사 15명으로, 포커스그룹 면담 및 심층 면담을 통해 2020년 10월 10일부터 2020년 12월 15일까지 자료를 수집하였다. 수집된 자료는 Colaizzi의 현상학적 분석방법을 통해 분석하였다. 결과: 코로나19 대유행 상황에서 응급실 간호사의 근무 경험을 분석한 결과 8개의 주제모음, 4개의 범주가 도출되었다. 도출된 범주는 ‘두려움으로 움츠러듦’, ‘소용돌이 속의 간호’, ‘고군분투’, ‘더 큰 간호사로 성장함’ 이었다. 본 연구에서 응급실 간호사들은 코로나19의 대유행 상황에서 두려움과 혼란을 겪지만 어려움을 극복하고, 간호사로서 성장하는 긍정적인 경험을 하였다. 결론: 코로나19의 대유행 상황에서 실무현장에 있는 응급실 간호사를 감염으로부터 보호하고 전문직 삶의 질을 향상시키기 위해서는 적절한 교육과 충분한 의료자원이 제공되어야 한다. 또한 현장에서의 혼선을 감소시키고 보다 실효성 있는 감염병 관리 지침을 제작하기 위해서는 실무자의 의견을 반영하고 지침 전달체계를 개선할 필요성이 있다. 그리고 응급실 간호사의 근무여건을 개선하며, 적절한 보상과 함께 필요한 사회적, 정신적 지원을 제공하여야 할 것이다.
Abstract
Purpose: The purpose of this study was to explore emergency room nurse's work experiences during the COVID-19 pandemic. Methods: Data were collected from 15 registered nurses working in the emergency room between October, 10th and December 15th, 2020, through focus group interviews and in depth interviews. Collected data were analyzed using Colaizzi's phenomenological method. Results: The study derived four categories and eight themes. The four categories are ‘sense of cringing with fear’, ‘nursing in chaotic situation’, ‘lonely struggles’, and ‘career growth as a nurse’. Emergency room nurses experienced fear and confusion in the COVID-19 pandemic, but overcame the crisis and had positive experiences of professional growth as a nurse. Conclusion: To protect emergency room nurses from infectious disease and improve their professional quality of life during the COVID-19 pandemic appropriate education and healthcare resource should be provided. It is necessary to reflect clinical worker's opinions and improve the delivery system of guideline to reduce confusion in the field and develop practical infectious disease control guideline. Furthermore, better working conditions, appropriate rewards and social and mental support should be provided for nurses in emergency room.
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