J Korean Acad Nurs Adm.  2013 Jan;19(1):128-137.

A Grounded Theory-Based Approach to Practice Adaptation Process of Hemodialysis Unit Nurses

• Park EJ
• Kim YH

Abstract

PURPOSE
The purpose of this study was to generate a grounded substantive theory for the practice adaptation process of hemodialysis unit nurses.
METHODS
Participants in this study were 10 nurses working in one of two hemodialysis units. Data were collected through tape recorded in-depth interviews done between December, 2011 and February, 2012. Data were analyzed using grounded theory methodology.
RESULTS
From the participants' statements, 43 concepts, 18 subcategories and 10 categories were extracted through the open cording process. The 10 categories were: "Burden", "Role conflict", "Fearful", "Conflict of emotion", "Lack systematic job training", "Lack support system", "Compassion", "Rapport created", "Sense of duty", and "Growth." The core category was discovered to be 'recognized growth'. Phenomenon was identified as 'burnout' and this series of processes was categorized as having three stages: 'conflict', 'acceptance', 'growth'.
CONCLUSION
The results of this study provide useful information about the needs of Hemodialysis Unit Nurses during the practice adaptation process based on their stages and types of practice adaptation. Finally, this study contributes data for the development of intervention programs that support the Hemodialysis Unit Nurses' practice adaptation.

Keyword

Hemodialysis unit; Nurse; Practice; Adaptation; Qualitative research

MeSH Terms

Qualitative Research
Renal Dialysis

Figure

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  Figure 1 Paradigm model.

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  Figure 2 Conditional matrix.

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