KMID : 0806120190490040423
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´ëÇÑ°£È£ÇÐȸÁö 2019 Volume.49 No. 4 p.423 ~ p.436
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Person-Centered Relational Care Experienced by Critical Care Nurses: An Interpretative Phenomenological Analysis Study
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Jang Myoung-Sun
Kim Sung-Jae
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Abstract
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Purpose: The aim of the study was to explore nurses¡¯ experience of person-centered relational care in the context of critical care.
Methods: Key interview questions were developed based on the human-to-human relationship model suggested by Travelbee. Data were collected through in-depth interviews with a purposive sample of 11 nurses having more than 2 years of working experience in intensive care units. An interpretative phenomenological analysis was conducted to analyze the data.
Results: Four super-ordinate and nine sub-ordinate themes were identified. Emerged super-ordinate themes were as follows: (1) encountering a live person via patient monitoring systems; (2) deep empathic connection; (3) humanistic and compassionate care, and (4) accompanying the journey to the end. Study findings revealed that nurses in intensive care units experienced ¡®balancing emotions¡¯ and ¡®authenticity¡¯ in caring when entering human-to-human relationships with dying patients. The phenomenon of person-centered relational care in intensive care units was found to subsume intrinsic attributes of empathy, compassion, and trust, similar to the central concepts of Travelbee¡¯s theory.
Conclusion: The interpretative findings in this study provide deeper understanding of Travelbee¡¯s human-to-human relationship model. The technological environment in intensive care units did not hinder experienced nurses from forming human-to-human relationships. These themes need to be emphasized in critical care nursing education as well as in nursing management. The results of this study will contribute to understanding nurse-patient caring relationships in depth, and help improve the quality of nursing care in intensive care units.
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KEYWORD
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Critical Care, Empathy, Intensive Care Units, Nurse-Patient Relations, Qualitative Research
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