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The Journal of Korean Academic Society of Nursing Education 2011;17(2):257-266.
Published online August 31, 2011.
Nursing Experience of Caring for Extremely Low Birth Weight Infants
Kim, Hack-Sun;Choi, Kyung-Sook;Kim, Jung-Sook;Lee, Joo-Hyun;
1Department of Nursing, Chung-Ang University
2Department of Nursing, Chung-Ang University
3Neonatal Intensive Care Unit, Samsung Medical Center
4Research Institute of Nursing Science, Chung-Ang University
초극소미숙아 돌봄을 통한 간호경험
최경숙, 김학선, 김정숙, 이주현
1중앙대학교 의과대학 간호학과
2중앙대학교 의과대학 간호학과
3삼성서울병원 신생아중환자실
4중앙대학교 의과대학 간호과학연구소
Abstract
Purpose
The aim of this study was to elucidate the themes involved in a nursing experience of caring for extremely low birth weight infants (ELBWIs) in a neonatal intensive care unit (NICU). Methods: Interviews with 6 nurses in various positions and observations in a level III NICU were conducted. The transcribed interview contents and observational notes were reviewed to analyze the data and conceptualize major themes. Results: Three major themes were identified: the fears expressed by the nurses regarding taking care of ELBWIs, reasons for persistent fears, and overcoming fears and gaining intuition. Nurses were afraid of the following factors: the physical fragility of the infants; the possibility of developing disabilities in the future; and the rapid changes in infants' physical condition. These fears were reduced when nurses had developed intuition and confidence in taking care of ELBWIs through various situational experiences. Conclusion: NICU nurses may benefit from obtaining more opportunities to participate in various learning experiences with simulated nursing situations in a variety of patient groups. Applying knowledge and skills into various nursing situations in an integrative way may contribute to enhancing nurses' confidence in nursing practice.
Key Words: Ethnography, Nurses, Nursing, Extremely low birth weight infant
 
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