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Original Article

A Grounded Theory-Based Approach to Practice Adaptation Process of Hemodialysis Unit Nurses

Journal of Korean Academy of Nursing Administration 2013;19(1):128-137.
Published online: January 31, 2013

1Department of Nursing, Choonhae College, Korea.

2College of Nursing, Pusan University, Korea.

Correspondence: Kim Young Hae. College of Nursing, Pusan University, 49 Busandaehak-ro, Mulgeum-eup, Yangsan-si, Gyeongsangnam-do, 626-870, Korea. Tel: 82-51-510-8301, Fax: 82-51-510-8303, ungaekim@pusan.ac.kr
• Received: November 19, 2012   • Revised: December 28, 2012   • Accepted: January 12, 2013

Copyright © 2013 Korean Academy of Nursing Administration

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  • Purpose
    The purpose of this study was to generate a grounded substantive theory for the practice adaptation process of hemodialysis unit nurses.
  • Methods
    Participants in this study were 10 nurses working in one of two hemodialysis units. Data were collected through tape recorded in-depth interviews done between December, 2011 and February, 2012. Data were analyzed using grounded theory methodology.
  • Results
    From the participants' statements, 43 concepts, 18 subcategories and 10 categories were extracted through the open cording process. The 10 categories were: "Burden", "Role conflict", "Fearful", "Conflict of emotion", "Lack systematic job training", "Lack support system", "Compassion", "Rapport created", "Sense of duty", and "Growth." The core category was discovered to be 'recognized growth'. Phenomenon was identified as 'burnout' and this series of processes was categorized as having three stages: 'conflict', 'acceptance', 'growth'.
  • Conclusion
    The results of this study provide useful information about the needs of Hemodialysis Unit Nurses during the practice adaptation process based on their stages and types of practice adaptation. Finally, this study contributes data for the development of intervention programs that support the Hemodialysis Unit Nurses' practice adaptation.

This work was supported by a 2-year Research Grant from Pusan National University.

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Figure 1
Paradigm model.
jkana-19-128-g001.jpg
Figure 2
Conditional matrix.
jkana-19-128-g002.jpg
Table 1
Categorization of Concept
jkana-19-128-i001.jpg

Figure & Data

References

    Citations

    Citations to this article as recorded by  
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    A Grounded Theory-Based Approach to Practice Adaptation Process of Hemodialysis Unit Nurses
    Image Image
    Figure 1 Paradigm model.
    Figure 2 Conditional matrix.
    A Grounded Theory-Based Approach to Practice Adaptation Process of Hemodialysis Unit Nurses

    Categorization of Concept

    Table 1 Categorization of Concept

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