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

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.

Work Experience of Nurses in Charge of Adequacy Evaluation of Small and Medium Sized Hospitals

“…그나마 2019년 9월 제1차 중소병원 적정성평가 세부 시행계획에 대한 설명회가 시행되었으나 [9], 이러한 교육이 중소병원 적 정성평가를 담당하고 있는 담당자가 중소병원 적정성평 가에 대해 얼마나 이해하고 있으며, 업무를 제대로 수 행하는지에 대한 부분은 확인하기 어렵다. 의료기관평 가제도는 환자 안전과 의료서비스의 질을 높이는 역할 을 하지만, 기관 내 구성원은 업무의 부담감이 증가되 어 어려움을 겪고 있다 [11].…”