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Park and Kim: A Grounded Theory-Based Approach to Practice Adaptation Process of Hemodialysis Unit Nurses
Original Article
Journal of Korean Academy of Nursing Administration

Journal of Korean Academy of Nursing Administration 2013; 19(1): 128-137.

Published online: 31 January 2013

DOI: https://doi.org/10.11111/jkana.2013.19.1.128

A Grounded Theory-Based Approach to Practice Adaptation Process of Hemodialysis Unit Nurses

Eui Jung Park1, Young Hae Kim2

1Department of Nursing, Choonhae College, Korea.

2College of Nursing, Pusan University, Korea.

Correspondence: Kim Young Hae. College of Nursing, Pusan University, 49 Busandaehak-ro, Mulgeum-eup, Yangsan-si, Gyeongsangnam-do, 626-870, Korea. Tel: 82-51-510-8301, Fax: 82-51-510-8303, ungaekim@pusan.ac.kr

Received 19 November 2012       Revised 28 December 2012       Accepted 12 January 2013

Copyright © 2013 Korean Academy of Nursing Administration

Abstract

Purpose

The purpose of this study was to generate a grounded substantive theory for the practice adaptation process of hemodialysis unit nurses.

Methods

Participants in this study were 10 nurses working in one of two hemodialysis units. Data were collected through tape recorded in-depth interviews done between December, 2011 and February, 2012. Data were analyzed using grounded theory methodology.

Results

From the participants' statements, 43 concepts, 18 subcategories and 10 categories were extracted through the open cording process. The 10 categories were: "Burden", "Role conflict", "Fearful", "Conflict of emotion", "Lack systematic job training", "Lack support system", "Compassion", "Rapport created", "Sense of duty", and "Growth." The core category was discovered to be 'recognized growth'. Phenomenon was identified as 'burnout' and this series of processes was categorized as having three stages: 'conflict', 'acceptance', 'growth'.

Conclusion

The results of this study provide useful information about the needs of Hemodialysis Unit Nurses during the practice adaptation process based on their stages and types of practice adaptation. Finally, this study contributes data for the development of intervention programs that support the Hemodialysis Unit Nurses' practice adaptation.

Keywords: Hemodialysis unit, Nurse, Practice, Adaptation, Qualitative research

Figures and Tables

Figure 1
Paradigm model.
jkana-19-128-g001
Figure 2
Conditional matrix.
jkana-19-128-g002
Table 1
Categorization of Concept
jkana-19-128-i001

Notes

This work was supported by a 2-year Research Grant from Pusan National University.

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