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Experience of Clinical Adaptation among Nurses in Intensive Care Unit

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KMID : 1221920240170010001
È«Áø¿µ ( Hong Jin-Young ) - 

¼Õ¼ö°æ ( Sohn Sue-Kyung ) - 

Abstract

Purpose : This study aimed to explore and describe intensive care unit (ICU) nurses¡¯ experience of clinical adaptation.
Methods : The participants were 14 ICU nurses with more than two years of working experience in the ICU. Data were collected through in-depth individual interviews conducted between July and October 2021. Theoretical sampling was used to the point of theoretical saturation. Data were analyzed using the Strauss and Corbin method.

Results : A total of 79 concepts, 37 subcategories, and 16 categories were identified through open coding. Axial coding based on the paradigm model revealed that the central phenomenon was ¡°The harsh adversity faced in the nursing field where life and death are determined¡± and the core category was ¡°Enduring the adversity of caring for critically ill patients and achieving self-realization.¡± ICU nurses¡¯ clinical adaptation process was explained in five phases: ¡°confrontation period,¡± ¡°turbulent period,¡± ¡°seeking period,¡± ¡°struggling period,¡± and ¡°stabilized period.¡± The five phases that affect interventional conditions were ¡°Support from reliable people,¡± ¡°Recognition of administrative and financial support.¡±
Conclusion : This study provided novel insights for a comprehensive understanding of ICU nurses¡¯ clinical adaptation processes. Furthermore, the findings are expected to be used as basic data to develop multifaceted strategies to help ICU nurses¡¯ adaptation to critical care.
KeyWords

Intensive care unit, Nurses, Adaptation, Grounded theory
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