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
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.
REFERENCES
1. Rahimi A, Ahmadi F, Gholyaf M. The effects of continuous care model on depression, anxiety, and stress in patients on hemodialysis. Nephrol Nurs J. 2008;35(1):39-43.
2. Chun IS. A study for the development of nursing competency scale and in-service education needs for hemodialysis nurses according to their career stage. 2005;Seoul, Korea, Ewha Womans University. Unpublished master's thesis.
3. Chun IS. "Nursing hemodialysis patients" the development of web-based education program. 2010;Seoul, Ewha Womans University. Unpublished doctoral dissertation thesis.
4. Hwang SY, Lee EJ, Na DM, Lee GS, Sun GS, Lee CS. The clinical experiences of newly qualified nurses. J Korean Acad Nurs Adm. 2002;8:261-271.
5. Joung KH. A phenomenological perspective and discovery of meaning in nurse's experience in clinics. J Korean Acad Nurs Adm. 2003;9:599-613.
9. Kim DH. Understanding experience of nurses dealing with difficult patients. J Korean Acad Psychiatr Ment Health Nurs. 2002;11(1):63-77.
10. Kim SJ. The phenomenological study on an ethical dilemma of hemodialysis nurse. 2005;Seoul, Korea, Ewha Womans University. Unpublished master's thesis.
11. Moulton A. Chronic kidney disease: The diagnosis of a "unique" chronic disease. CANNT J. 2008;18(1):34-38.
13. Kim SJ. The phenomenological study on an ethical dilemma of hemodialysis nurse. 2005;Seoul, Korea, Ewha Womans University. Unpublished master's thesis.
14. Park BH. A study on the organizational characteristics, types of nursing organizational culture, organizational performance in hemodialysis room. 2005;Seoul, Korea, Ewha Womans University. Unpublished master's thesis.
15. Park HS, Kim KN, Kang EH, Lee JM, Park SM. Lived adaptation experience of new ICU nurses who are working in a newly established university hospital. J Korean Acad Fundam Nurs. 2011;18:226-236.
16. Rheu HR, Kim YR. Social supports and quality of life of hemodialysis patients. Korean Public Health Res. 2005;31(2):184-189.
17. Strauss A, Corbin J. Basic of qualitative research: Techniques and procedures for developing grounded theory. 1998;2nd ed. Thousand Oaks, CA, Sage.
18. Suh MJ, Son HM, Kang HS, Kwon SB, Kim JH, Park YS, et al. The nurses' experience of clinical practice. J Korean Acad Adult Nurs. 2002;14:564-572.
19. Ludlow V, Gaudine A, Jacobs M. The design of a hemodialysis nursing orientation program. CANNT J. 2007;17(2):44-47.
Figure 1
Paradigm model.
Figure 2
Conditional matrix.
Table 1
Categorization of Concept
Figure & Data
References
Citations
Citations to this article as recorded by
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