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의정갈등 1년, 변화된 의료환경에서 간호사의 환자간호경험: 포커스그룹인터뷰 KCI 등재

Nurses' Patient Care Experiences in a Changing Healthcare Environment Following One Year of Healthcare Policy Conflict - A Focus Group Interview

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  • URLhttps://db.koreascholar.com/Article/Detail/447335
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대한질적연구학회지 (Korean Association for Qualitative Research)
대한질적연구학회 (Korean Association for Qualitative Research)
초록

Purpose: Following to the government's announcement of the "Essential healthcare policy package" and its plan to increase medical school admissions by 2,000 beginning in 2025 to address workforce shortages, a healthcare policy conflict occurred, causing significant disruptions in medical services. This study aimed to identify the nurses’ care experiences in the changed healthcare environment, particularly one year after the healthcare policy conflict. Methods: This study used a qualitative approach with content analysis. Data were collected through focus group interviews with 19 nurses from tertiary general hospitals who could provide detailed accounts of their patient care experiences in the changed healthcare environment following the healthcare policy conflict. The main question was, "What changes have occurred in the nursing field since the healthcare policy conflict?" The specific objective was to examine the challenges nurses faced in providing patient care during the healthcare policy conflict and to identify their effects on nursing practice. Results: Five main themes and 17 subthemes were identified. The themes were: (1) changing in the nursing practice environment due to healthcare policy conflict, (2) challenges in the healthcare setting caused by the absence of medical residents, (3) adaptation of the healthcare environment to change, (4) changes resulting from the expansion of tasks and deployment of medical support nursing workforce, and (5) the present and future of the healthcare setting one year after the healthcare policy conflict. Conclusion: This study found that the absence of residents during healthcare policy conflict increased inurses’ medical support tasks and challenges, including communication issues. Over time, the healthcare setting adapted, with faster prescription processes, higher patient satisfaction, and improved quality of care due to the involvement of the medical support nursing workforce. Nursing duties expanded beyond their traditional scope to address care gaps resulting from healthcare policy conflict. Additionally, medical support tasks such as prescriptions and procedures, previously performed in legal gray areas, were shown to be feasible within a formal legal framework. Defining the roles of newly assigned medical support nursing workforce and providing support is necessary. Based on these findings, future research should examine nursing workforce management, task allocation after residents’ return, and nurses’ experiences in both general and specialized units.

목차
서 론
    1. 연구의 필요성
    2. 연구목적
연 구 방 법
    1. 연구설계
    2. 연구자의 준비
    3. 연구참여자
    4. 자료수집
    5. 윤리적 고려
    6. 자료분석
    7. 연구의 엄격성
연 구 결 과
    1. 의정갈등 이후 변화된 간호현장
    2. 전공의 부재가 가져온 의료현장의 어려움
    3. 변화에 적응하고 있는 의료현장
    4. 진료지원 간호인력의 업무 및 배치 확대에 따른 변화
    5. 의정갈등 1년 이후 변화된 의료현장의 현재와 미래
논 의
결 론 및 제 언
REFERENCES
저자
  • 강은희(서울아산병원 간호부 간호사) | Kang Eun Hee (RN, Department of Nursing, Asan Medical Center, Seoul, Korea)
  • 김윤형(서울아산병원 간호부 간호사) | Kim Yunhyung (RN, Department of Nursing, Asan Medical Center, Seoul, Korea)
  • 김정혜(울산대학교 임상전문간호학 조교수) | Kim Jeong Hye (Assistant Professor, Department of Clinical Nursing, University of Ulsan, Seoul, Korea) Corresponding author