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문지현 ( Moon Ji-Hyun ) - 중앙대학교 적십자간호대학
주가을 ( Joo Ga-Eul ) - 수원대학교 간호학과
이진화 ( Lee Jin-Hwa ) - 울산대학교 간호학과
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Abstract
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Purpose: The purpose of this study was to conduct a grounded theoretical analysis on the hospital accreditation experience of head nurses in order to understand their behavior on the adaption of this new system.
Methods: The participants were 8 head nurses with more than 3 years of experience. The data were collected through in-depth interviews using audiotape recording analyzed by the constant comparative method described in Strauss and Corbin's methodology.
Results: There were 113 concepts, 26 subcategories and 12 categories identified through the open coding process. In the axial coding, the following paradigm model was proposed: 1) the causal conditions were ‘hardware problem’ and ‘software problem’, 2) the contextual conditions were ‘vertical relationship’, ‘individual preference’, and ‘family support’, 3) the intervening conditions were ‘passive conditions’ and ‘active conditions', 4) the action/interaction strategies were ‘leading role’ and ‘dependent role’, 5) the consequences were ‘positive acceptance’ and ‘negative acceptance’, 6) the central phenomenon was ‘difficult situation’ and 7) the core category was ‘leading in harmony’.
Conclusion: The new system led head nurses having difficulties as the middleman between the hospital administration and general nurses, but they made a continuous effort to overcome and adapt to it through a number of strategies.
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KeyWords
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의료기관평가, 경험, 근거이론, 수간호사
Accreditation of hospital, Experience, Grounded theory, Head nurse
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원문 및 링크아웃 정보
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등재저널 정보
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