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간호.간병 통합서비스 병동 간호사의 역할 모호성 개념분석

Role Ambiguity of Comprehensive Nursing Care Unit Nurses: A Concept Analysis

보건행정학회지 2019년 29권 4호 p.502 ~ 512
이지선 ( Lee Jee-Sun ) - 국립암센터 간호본부

김윤아 ( Kim Yun-A ) - 이화여자대학교 의과대학 목동병원 내과병동
문세미 ( Moon Se-Mi ) - 인제대학교 일산백병원 투석실
정은영 ( Jeong Eun-Young ) - 국립암센터 대장암센터
박하영 ( Park Ha-Young ) - 서울대학교병원 내과 간호간병통합서비스병동

Abstract


Background: The purpose of this study was to identify role ambiguity of comprehensive nursing care unit nurses.

Methods: A concept analysis method by Walker and Avant was used to understand role ambiguity of comprehensive nursing care unit nurs”es.

Results: The antecedents of role ambiguity of nurses at comprehensive nursing units were shortage of nurses, unclear admission criteria, and demands for customized nursing care according to severity. Attributes include ambiguity in role delegation, patient placement ambiguity, and professional ambiguity among nursing staff. The consequences were diminished job satisfaction due to excessive workload, difficulty in resolving role ambiguity due to the lack of work analysis studies, and poor outcome of nursing indicators.

Conclusion: Improvement of nationwide awareness for comprehensive nursing care unit is required. Clear division at scope of practice for nursing staff in accordance of each medical institution’s characteristics is essential. Nurses at comprehensive nursing care unit should understand nature of role ambiguity that occurs as they work in large groups. Nurses should promote communications between nursing staff and they must have volition to improve status quo. An additional research of comprehensive nursing care on the causes of role ambiguity in the practice of nursing care for ward nurses is needed, and management measures should be sought at the organizational level.

키워드

Comprehensive nursing care; Nursing service; hospital; Role ambiguity; Nurses
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