중소 정신전문병원 간호사의 밤근무 동안의 업무경험 탐색

• Published in: Seuteureseu yeon-gu (Online) Vol. 28; no. 3; pp. 133 - 141
• Main Authors: 김영아(Young-Ah Kim), 김희정(Hee-Jung Kim)
• Format: Journal Article
• Language: Korean
• Published: 대한스트레스학회 01-09-2020
• Subjects: 가정의학; Hospitals; 밤근무; 정신과; 간호사; 병원; Qualitative descriptive study; Night shift work; 질적서술적연구; Nurse; Psychiatric
• ISSN: 1225-665X; 2234-1668
• DOI: 10.17547/kjsr.2020.28.3.133

간호사들의 스트레스 요인 중 하나인 밤근무 경험을 탐색을 위해 중소 정신병원 간호사 10명을 대상으 로 질적 탐색하였다. 결과로 5개 영역(스트레스, 위기 대응, 자원, 지지, 소통)과 11개 범주(불안과 긴장, 폭력에의 노출, 업무 부담, 혼자 감내함, 2인 1조 근무원칙이 지켜지지 않음, 간호조무사가 밤근무를 대신 함, 응급상황 중 자원인력이 부족함, 보상 결여, 역량 강화를 위한 교육부족, 외상 후 지지부족, 협력 부족) 가 도출되었다. 이를 통해 밤근무 동안 2인 1조 근무 원칙 실현과 적정 간호인력 및 응급상황 속 자원인력 배치, 안전한 업무 환경과 합리적 간호업무 절차와 원칙 마련, 역량강화를 위한 교육 및 보수체계 현실화와 외상 후 지원, 타 부서와의 원활한 소통과 책임성 제고를 제언하였다. Background: This study aimed to explore the experience of nurses who work in small-medium sized psychiatric hospitals. Methods: This study used a qualitative descriptive design. Using content analysis, face to face interview data from 10 nurses working in two small-medium sized psychiatric hospitals were analyzed. Results: Data analysis has been extracted into five domains (i.e., stress, crisis response, resource, support, and communication) and 11 subcategories (i.e., anxiety and tension, exposure to violence, workload, endure by myself, working in pairs principle is not followed, the replacement of a nurse’s vacancy with an assistant, lack of resources in emergencies, lack of compensation, lack of education for empowerment, lack of post-traumatic support, and non-cooperation). Conclusions: Current research regarding night shift at private mental hospitals is insufficient. Prioritizing more nursing staff is required to improve the working environment. Nurses experienced anxiety, tension, exposure to violence, and excessive workload during the night shift, and endured these crises alone. In addition, an increasing number of nursing staff urgently felt the need to work in pairs and demanded more auxiliary staff for emergencies. Nurses also wanted sufficient compensation, education for empowerment, and post-traumatic support. Ultimately, cooperation with other departments is essential. KCI Citation Count: 0