Journal of Korean Academy of Nursing

Research Paper

Nurses’ Experiences of the COVID-19 Crisis: Lee, Jung-Hoon , Song, Yeoungsuk; J Korean Acad Nurs 2021;51(6):689-702. Published online December 31, 2021; DOI: https://doi.org/10.4040/jkan.21160

Purpose
This study aimed to develop a situation-specific theory to explain nurses’ experiences of the COVID-19 crisis.
Methods
The participants were 16 hospital nurses who experienced the COVID-19 crisis. Data were collected through in-depth individual interviews from September 2, 2020 to January 20, 2021. Transcribed interview contents were analyzed using Corbin and Strauss’s grounded theory method.
Results
A total of 38 concepts and 13 categories were identified through an open coding process. The core category found was becoming a pioneering nurse who turns crises into opportunities. The causal conditions were the chaos of being exposed defenselessly to an unexpected pandemic, fear caused by a nursing care field reminiscent of a battlefield, and moral distress from failing to protect patients’ human dignity. The contextual conditions were feeling like the scapegoat of the hospital organization, increasing uncertainty due to the unpredictable state of COVID-19, and relative deprivation due to inappropriate treatment. The central phenomenon was suffering alone while experiencing the dedication of the COVID-19 hero image. The action/interactional strategy were efforts to find a breakthrough and getting the nurse’s mind right, and the intervening conditions were gratitude for those who care for broken hearts and getting used to myself with repetitive work. The Consequences were becoming an independent nurse and frustration with the unchanging reality.
Conclusion
This study provides the foundation for the nurse's situation-specific theory of the COVID-19 crisis by defining the crisis perceived by nurses who cared for COVID-19 patients and suggesting types of coping with the crisis.

Citations

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Letter to the Editor

How Should We Approach Nurse Suicide in Korea: With the Aspect of Prevention-InterventionPostvention Management: Kim, Hyoung Suk , Bae, Hyun Ji , Kang, Kyeong Hwa; J Korean Acad Nurs 2021;51(4):408-413. Published online August 31, 2021; DOI: https://doi.org/10.4040/jkan.21171

Abstract PDF

Recently, nurse suicide has emerged as one of the major issues. We tried to review the status of nurse suicide and its management in Korea through inspecting related web sites, news articles, and research. However, there were no sufficient reports or statistics along with the research throughout the country. Moreover, there were no organized nurse suicide management systems or programs including suicide prevention, suicide intervention, suicide postvention management. In other countries, there were various trials and successful experiences about nurse suicide programs, and those have been managed in organized and integrated ways. It gave us a lot of implications. To effectively prevent and manage the nurse suicide in Korea, nursing workforce, nursing managers, and nursing researchers should be concerned about nurse suicide. Furthermore, discussions and the research must be made actively. Based on such efforts, appropriate programs, organized manage systems, and policies must be devised at institution and national level.

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Korean Journal of Women Health Nursing.2021; 27(4): 268. CrossRef

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Original Articles

The Experiences of the Middle: Aged Women's Crisis: Kwuy Bun Kim, Jae Hee Yoo, Eun Ja Lee; Journal of Korean Academy of Nursing 2002;32(3):305-316. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.3.305

Abstract PDF

PURPOSE: This study examined the crisis experiencing by middle - aged women and tried to understand their lived experiences also explored the nature of their crisis. METHOD: The data was collected from 7 participants living in Incheon and Seoul from Sep. 2000 to Feb. 2001. The analysis of the data was made the phenomenological analytic method suggested by Giorgi. RESULT: The meanings of the lived experiences of the middle - aged women's crisis ; Impatience about decreased physical function : an attack of a disease, decreased strength, decreased quickness, decreased desire, increased concern of health, poor memory, easy fatigue, change of appearance, change of conjugal relations, sense of loss. Psychological, emotional disturbances : sense of emptiness, regret, sharpness, feeling gloomy, fear of dying, loneliness, feeling the want, loss of confidence. Attitude of active life : reinforcement of self experience, enrichment of understanding, search of self satisfaction, search of self development, development of support system, management of independent life. Envy feeling from relative comparison : feeling of comfort, unsatisfaction to the husband, yearning for youth. CONCLUSION: Therefore, the program should be developed for the program of physical, psychological, and emotional health and expansion of social role of the middle - aged women.

Citations

Citations to this article as recorded by

Subjectivity on Experience of Middle-aged Women Who Attend Self-help Group to Overcome Midlife Crisis: Q Methodology Approach
Hyun Jung Doo
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The Development of A Crisis Prediction Model for Early Adolescent: Young Sook Park; Journal of Korean Academy of Nursing 2003;33(7):895-904. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.7.895

Abstract PDF: Purpose
The purpose of this study is to identify the influencing factors in a crisis state while considering the relationship between them, to suggest the crisis model for early adolescent, and to test its fitness empirically.
Method
A hypothetical model of this study was consisted of 8 theoretical variables and 12 measurable variables with 15 constructed paths. The data from the 439 middle school students at crisis state were analyzed to test the hypothetical model by using covariance structure analysis.
Result
The final model which is modified from the hypothetical model improved to x²=46.79(df=34, p<0.71), GFI(0.98), AGFI(0.95), NNFI(0.99), NFI(0.98), RMR (0.02), Normed x²(1.38), Critical N(525.83). The crisis state was influenced directly by vulnerability of personality, precipitating events, stress, social support, coping strategy and also indirectly by social support. Crisis state was accountable for 65% of the variance by these factors.
Conclusion
This model can offer understanding for the comprehensive multivariate covariance relationship of the influencing factors regarding the crisis of early adolescent, and can offer a preventive perspective focused on growth potential. I propose that a repeated study of complementing coping strategy should be done and the various crisis prevention and intervention strategies should be developed based on the results of this study.

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