간호사의 환자안전사고 유발경험에 대한 현상학적 연구 = A Phenomenological Study on Nurses` Experiences of Accidents in Patient Safety

국문 초록 (Abstract)

본 연구는 임상간호사의 환자안전사고 경험의 본질과 의미를 탐색함으로써 그들의 경험을 총체적으로 이해하기 위해 수행되었다. 방법: 자료수집은 2011년 10월 8일부터 2012년 1월 31일까지 진행되었으며, 7명의 임상간호사로부터 심층면담을 통해 이루어졌다. 자료분석은 Colaizzi의 현상학적 방법을 따랐다. 결과: 연구결과, 6개의 범주가 도출되었으며, 여기에는 ``환자상태 악화에 대한 두려움``, ``사건 보고에 대한 갈등``, ``사고원인을 열악한 근무여건 탓으로 돌림``, ``자신의 책임을 인정하고 죄책감을 느낌``, ``사고 후 지지적이지 못한 분위기에 실망함``, ``원칙에 보다 충실해짐`` 등이 포함되었다. 결론: 안전사고와 관련된 병원내 조직 문화는 여전히 폐쇄적이고 징벌적인 분위기이며 이로 인해 간호사는 마음의 상처를 크게 받지만 이러한 경험을 통해 간호전문인으로서의 직업관이 더욱 성숙해져 가는 것으로 보인다. 따라서 긍정적인 환자안전문화 조성을 위해서는 안전사고 예방도 중요하지만 부득이한 상황에서 안전사고가 발생한 경우에는 포괄적이면서도 지지적인 간호인적관리 프로그램의 개발과 조직문화 조성이 필요한 것으로 사료된다.

다국어 초록 (Multilingual Abstract)

The purpose of this study was to describe nurses` experiences of accidents in patient safety. Methods: Data were collected from October 8, 2011 to January 31, 2012 through in-depth interviews with seven nurses who had worked on wards or in the ICU in a university hospital. Data were analyzed by applying Colaizzi`s phenomenological methodology. Results: The following six categories were extracted: Fear of the patient`s condition caused by the accident, Conflict in the accident report, Blame on others and circumstances, Feeling guilty and sorry as the patient`s condition is improving, Being disappointed with the unfavorable atmosphere in dealing with the accident, After the accident, being sensitive in performing nursing duties and being faithful to the principles. Conclusion: The results indicate that the organizational culture in the hospital related to accidents in patient safety is still closed and punitive, and such an atmosphere causes nurses to feel seriously hurt, but through this experience nurses are likely to mature as nursing professionals. Programs on prevention of accidents in patient safety and a system to guard against these accidents should be established. Also the organizational safety culture should be improved.

참고문헌 (Reference)

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