1Nurse, Jeong Daun Long Term Hospital, Changwon
2Assistant Professor, College of Nursing, Keimyung University, Daegu, Korea
Copyright © 2016 Korean Society of Adult Nursing
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.
General Characteristics of Participants
| Participants | Gender | Age | Marital status | Period of long-term care hospital work (year) | Period of hospital work (year) |
|---|---|---|---|---|---|
| A | Female | 48 | Married | 5 | 18 |
| B | Female | 34 | Single | 6 | 11 |
| C | Female | 37 | Married | 4 | 10 |
| D | Female | 37 | Married | 5 | 10 |
| E | Female | 36 | Single | 8 | 14 |
| F | Female | 34 | Married | 2 | 5 |
Themes, Theme Clusters and Categories of the Study
| Themes | Theme clusters | Categories |
|---|---|---|
| ․ Nurse shortage leads to various problems that work time per duty gets grow, and lack of break time makes nurses exhausted. | Burden caused by Insufficient nurses | Heavy workload and responsibility due to nurse shortage |
| ․ There are no solutions for nurse shortage issue in long term care hospital. | ||
| ․ Nurses have no choice in nurse shortage situation, and it makes them more exhausted. | ||
| ․ Care-giver and nurse's aides feel bad to have working directions from younger nurses. | Conflicts from unclear work borders between nurse and other care givers | |
| ․ Sometimes care-giver and nurse's aides don't proceed the orders they had. | ||
| ․ Mental and physical burden becomes so large that staff must carry out many duties, from those related to their expertise, to the trivial. | Trivial workloads for nurses who care old patients | Getting tired and exhausted by caring for cognitive disorder patients |
| ․ Miscommunication occurs between patients and their family members when the staff perform trivial duties. | ||
| ․ It is difficult to control dementia patients when they have cognitive disorder. | Difficulties in controlling symptoms of patients | |
| ․ It is difficult to control patients even with the use restraints and tranquilizers, that family members often will not agree to proceed with treatment. | ||
| ․ Patients' family does not follow protocols and rules of the hospital. | Stuffy upset made by patients’ family | Feel pressure due to conflict with patients’ family |
| ․ When patients’ family has a different opinion and does not agree with hospital's rules, they follow their rules. | ||
| ․ When unexpected accidents occurs, family members may become suspicious of the nurse. | ||
| ․ They feel guilty about the patients and family who complain about the care they receive from the nurses. | Difficulty in building trust with patients’ family | |
| ․ Nurses receive blame from patients, even it is due to their own appointed condition change. | ||
| ․ They are stressed from seeing the death of patients. | Feeling of helplessness in death | Sadness from patient's worse condition than recovery |
| ․ They feel sadness from seeing patient's painful last moments. | ||
| ․ There are no additional care for patients as a nurse to be taken other than attending to the patient. | Dilemma between death and life | |
| ․ They have a complexed mind when they do not have active care or treatment duties. | ||
| ․ Negative judgement and cognition for sanatorium exist. | Prejudice towards the long-term hospitals | Low awareness about the long-term hospital and their nurses |
| ․ It makes nurses very discouraged that nurses in long-term care hospital have less expertise. | ||
| ․ Nurses even avoid to work in long-term care hospital. | Do not getting respect as professional nurses | |
| ․ Nurses get lower self-esteem because the duties that are necessary in long-term care hospitals involve less expertise. | ||
| ․ Nurses help each other while performing difficult duties. | Willingness to help each other | The efforts and power of overcoming stress |
| ․ Nurses overcome crisis by understanding and helping each others. | ||
| ․ Nurses feel appreciated when patients’ family thanks to them with nice words. | Getting energy from patients and patient's family | |
| ․ Nurses feel energetic when patients are satisfied with their treatment and care. |
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