KMID : 0614820160220050437
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Journal of Korean Academy of Nursing Administration 2016 Volume.22 No. 5 p.437 ~ p.447
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Grounded Theoretical Analysis on the Hospital Accreditation Experience of Head Nurses in General Hospitals
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Moon Ji-Hyun
Joo Ga-Eul Lee Jin-Hwa
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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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KEYWORD
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Accreditation of hospital, Experience, Grounded theory, Head nurse
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