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중환자실 간호사의 임종간호 관련 전문직 복합적 슬픔: 진화론적 개념분석
Professional Complicated Grief Related to Terminal Care among Intensive Care Unit Nurses: An Evolutionary Concept Analysis
- 언어KOR
- URLhttps://db.koreascholar.com/Article/Detail/452360
pp.1-24
Purpose: This study aimed to analyze professional grief and related concepts in terminal care among intensive care unit nurses and propose a tentative conceptualization of professional complicated grief. Methods: Rodgers' evolutionary concept analysis was applied. International and Korean databases were searched for studies published from January 1995 to January 2026. Twenty-two studies were included and classified as core intensive care unit evidence, related critical care evidence, or broader contextual evidence. Results: Professional grief, nurses’ grief, and occupational grief were identified as overlapping terms, whereas professional bereavement, complicated grief, prolonged grief disorder, and pandemic grief were related concepts. Antecedents included repeated patient deaths, terminal and after-death care, caring relationships, insufficient organizational support, and professional role expectations. Five attributes were identified: persistence and reactivation, cumulativeness, multidimensional complexity, grounding in professional caring relationships, and restricted emotional expression and disenfranchisement. Consequences included psychological distress, burnout, adverse work-related outcomes, avoidance or emotional distancing, meaning reconstruction and professional growth, and organizational recognition and support needs. Here, complicated denotes the interwoven temporal, cumulative, multidimensional, relational, and organizational characteristics of grief rather than psychiatric severity or functional impairment. Conclusion: Professional complicated grief is a tentative nursing concept requiring qualitative validation and expert review before measurement and intervention development.
1. 연구의 필요성
2. 연구목적
Ⅱ. 연구방법
1. 연구설계
2. 연구자 준비
3. 개념분석 절차
4. 연구의 엄격성 확보
5. 윤리적 고려
Ⅲ. 연구결과
1. 분석대상 문헌의 일반적 특성과 근거 수준
2. 개념의 시간적·맥락적 진화
3. 대리·중첩 용어와 관련 개념 및 분석개념의명명
4. 선행요인
5. 속성
6. 결과
7. 경험적 준거
8. 전문직 복합적 슬픔의 잠정적 정의와 개념적구조
Ⅳ. 논 의
참고문헌
Appendix 1. List of Studies Included in theConcept Analysis
