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Original Article

Intensive Care Unit Nurse's Communication Experience

Korean Journal of Adult Nursing 2014;26(3):352-361.
Published online: June 30, 2014

1Dong-A University Medical Center, Busan

2Department of Nursing, Dong-A University, Busan, Korea

Corresponding author: Kang, Jiyeon Department of Nursing, Dong-A University, 32 Daesingongwon-ro, Seo-gu, Busan 602-714, Korea. Tel: +82-51-240-2871, Fax: +82-51-240-2920, E-mail: jykang@dau.ac.kr
This article is a revision of the first author's master's thesis from Dong-A University.
• Received: December 30, 2013   • Accepted: June 5, 2014

Copyright © 2014 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.

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  • Purpose
    The purpose of this study was to explore the communication experience of intensive care unit (ICU) nurses in the workplace.
  • Methods
    The present study utilized a qualitative approach using focus group interview method. A total of three focus groups of 15 ICU nurses from two university hospitals were formed. The conversations during the focus group interviews were recorded and analyzed through Colaizzi's phenomenological method.
  • Results
    As a result of analyzing participants' conversation, Five theme clusters were elicited, namely, “one-way communication”, “differences in the position of senior and junior nurses”, “communication crisis”, “beginning of understanding”, and “movement toward change” out of 15 themes and 138 significant sentences.
  • Conclusion
    ICU nurses report having experienced communication crisis because of the one-way communication of the ICU nursing environment and the hierarchical differences in junior and senior nurses' position. Systematic education and continuous training on communication skills need to be provided to improve interpersonal relationship among nurses and work environment in the ICUs.
Table 1.
Themes and Theme Clusters of Communication Experience in Intensive Care Unit Nurses
Themes Theme clusters
․ Rapid communication in emergency situations ․ One-way communication
․ Junior nurses' unconditional acceptance to the direction of seniors
․ Senior nurses' preference of immediate responses from juniors ․ Differences in the position between senior and junior nurses
․ Fainthearted junior nurses
․ Birds of a feather
․ Being hurt by verbal insults and disregard ․ Communication crisis
․ Lack of consideration on privacy
․ Blocking of mutual relationship
․ Where is the moderator?
․ Time solves everything ․ Beginning of understanding
․ Consolation and touching
․ Learning from others ․ Movement toward change
․ Trying to capture the preferences of senior nurses
․ Creating a breakthrough ․ Necessity of communication training
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    Intensive Care Unit Nurse's Communication Experience
    Korean J Adult Nurs. 2014;26(3):352-361.   Published online June 30, 2014
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    Korean J Adult Nurs. 2014;26(3):352-361.   Published online June 30, 2014
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    Intensive Care Unit Nurse's Communication Experience
    Intensive Care Unit Nurse's Communication Experience

    Themes and Theme Clusters of Communication Experience in Intensive Care Unit Nurses

    Themes Theme clusters
    ․ Rapid communication in emergency situations ․ One-way communication
    ․ Junior nurses' unconditional acceptance to the direction of seniors
    ․ Senior nurses' preference of immediate responses from juniors ․ Differences in the position between senior and junior nurses
    ․ Fainthearted junior nurses
    ․ Birds of a feather
    ․ Being hurt by verbal insults and disregard ․ Communication crisis
    ․ Lack of consideration on privacy
    ․ Blocking of mutual relationship
    ․ Where is the moderator?
    ․ Time solves everything ․ Beginning of understanding
    ․ Consolation and touching
    ․ Learning from others ․ Movement toward change
    ․ Trying to capture the preferences of senior nurses
    ․ Creating a breakthrough ․ Necessity of communication training
    Table 1. Themes and Theme Clusters of Communication Experience in Intensive Care Unit Nurses

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