KMID : 0384920090180020141
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Korean Journal of Occupational Health Nursing 2009 Volume.18 No. 2 p.141 ~ p.152
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The Paradigm Model of VIP Ward Nurses¡¯ Decision Making
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Park Hyun-Jeoung
Kim Duck-Hee Kim Chun-Mi
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Abstract
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Purpose: The purpose of this research was to describe the decision making of nurses in a VIP ward.
Method: The methodology of collecting and analyzing the data was based on the grounded theory of Strauss and Corbin (1998). The data were collected through an in-depth interview, which were audio-taped and transcribed. The data were collected from 10 nurses from July to November 2007.
Results: The core category on VIP ward nurses¡¯ decision making was named as ¡°adjusting with flexibility and deepened insight.¡± The causal condition was established by ¡®the patients who wanted to be treated specially.¡¯ The contextual conditions included ¡®caring patients from various departments,¡¯ ¡®differences depending on the nurses¡¯ clinical experience,¡¯ and ¡®client-centered atmosphere in the VIP ward.¡¯ The intervening conditions included ¡®problem solving styles of nurses¡¯, ¡®attitudes of patients and family members¡¯, ¡®nurse-doctor relationships¡¯, and ¡®accessibility to information.¡¯ It was confirmed that nurses changed their action-interaction strategies depending on the intervening conditions, thus resulted in the nurses¡¯ role conflict and the need to expand their consciousness.
Conclusion: The result of this study indicates that nurse¡¯s decision making depends on their experiences and the nature of social context in which nursing occurs.
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KEYWORD
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Nurse, Decision making, Qualitative research
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