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Moon, Joo, and Lee: Grounded Theoretical Analysis on the Hospital Accreditation Experience of Head Nurses in General Hospitals
Original Article

Journal of Korean Academy of Nursing Administration 2016; 22(5): 437-447.

Published online: 31 December 2016

DOI: https://doi.org/10.11111/jkana.2016.22.5.437

Grounded Theoretical Analysis on the Hospital Accreditation Experience of Head Nurses in General Hospitals

Ji-Hyun Moon1, Ga Eul Joo2, Jinhwa Lee3

1Red Cross Nursing College, Chung-Ang University, Korea.

2Department of Nursing Science, The University of Suwon, Korea.

3Department of Nursing, University of Ulsan, Korea.

Corresponding author: Joo, Ga Eul. Department of Nursing Science, The University of Suwon, 17 Wauan-gil, Bongdam-eup, Hwaseong 18323, Korea. Tel: +82-31-229-8357, Fax: +82-31-229-8316, teddy@catholic.ac.kr

Received 25 May 2016       Revised 18 September 2016       Accepted 6 October 2016

Copyright © 2016 Korean Academy of Nursing Administration

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to conduct a grounded theoretical analysis on the hospital accreditation experience of head nurses in order to understand their behavior on the adaption of this new system.

Methods

The participants were 8 head nurses with more than 3 years of experience. The data were collected through in-depth interviews using audiotape recording analyzed by the constant comparative method described in Strauss and Corbin's methodology.

Results

There were 113 concepts, 26 subcategories and 12 categories identified through the open coding process. In the axial coding, the following paradigm model was proposed: 1) the causal conditions were ‘hardware problem’ and ‘software problem’, 2) the contextual conditions were ‘vertical relationship’, ‘individual preference’, and ‘family support’, 3) the intervening conditions were ‘passive conditions’ and ‘active conditions’, 4) the action/interaction strategies were ‘leading role’ and ‘dependent role’, 5) the consequences were ‘positive acceptance’ and ‘negative acceptance’, 6) the central phenomenon was ‘difficult situation’ and 7) the core category was ‘leading in harmony’.

Conclusion

The new system led head nurses having difficulties as the middleman between the hospital administration and general nurses, but they made a continuous effort to overcome and adapt to it through a number of strategies.

Keywords: Accreditation of hospital, Experience, Grounded theory, Head nurse

Figures and Tables

Figure 1

Paradigm model.

jkana-22-437-g001
Table 1

Categorization of Concept

jkana-22-437-i001

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