What Makes a Good Nurse Peer Reviewed Journal
Revisiting The Pregnant of A Skillful Nurse
Go-Un Kim , Eunyoung Jung , Mikyeong Cho , Soo Y. Han , Mira Jang , Mikyung Lee , Sumi Lee , Yujin Suh , Hye Y. Yun , Sue Kim , Mi So Shim*
Higher of Nursing, Mo Im Kim Nursing Research Institute, Yonsei Academy, Seoul, South korea
Article Data
Article History:
Received Date: 07/11/2018
Revision Received Date: 15/12/2018
Acceptance Date: 20/01/2019
Electronic publication engagement: 28/02/2019
Collection year: 2019
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© 2019 Kim et al.
open-access license: This is an open access article distributed nether the terms of the Artistic Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/four.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Groundwork:
The wellness care paradigm is being challenged to put greater emphasis on promoting a good for you lifestyle and provide patient-customized care in a apace changing Korean order. Within such changes, information technology is worthwhile to identify how the meaning of a good nurse may exist changing.
Objective:
This written report explores the significant of a expert nurse from the perspective of nurses themselves.
Methods:
In-depth interviews were conducted with 10 nurses who worked at senior full general hospitals or governmental agencies using purposeful sampling. Private interviews were done until data saturation was reached. The central question was "What does a skillful nurse mean to you?" Later on the interview, content analysis was done.
Results:
Half dozen main themes and 16 subthemes were identified. The main themes showed that a expert nurse was someone who 'leans in toward the patient', 'provides professional care', 'keeps the cornerstone of one's mind with a positive attitude', 'maintains a adept relationship with colleagues', 'matures with her/his nursing philosophy and conviction', 'contributes to society'.
Conclusion:
This study provides basic data for exploring nurses' self-image equally a professional. Specifically, social role and macro level responsibilities were identified with nurses' internal aspects such equally a positive attitude, and nursing philosophy. The necessity of socio-ecology support for nurses was also emphasized. In addition, the results of this written report tin be used at the policy level to provide a better rest for development of skillful nursing.
Keywords: Good nurse, Significant, Nursing, Ethics, Qualitative research, Content assay, Patient centred therapeutic function.
one. INTRODUCTION
Korea entered an aged social club with a population of 14 percent of senior citizens in 2017 and is planning to enter the world's super-aged country past increasing to 32.3 percent by 2050 [ane]. The health care surroundings in this speedily changing Korean society is emphasizing the promotion of preventive and customized healthcare, and improved communication and emotional connection between patients and healthcare providers is becoming increasingly important [2]. In response to these contempo changes, the Korean government is expanding comprehensive services to provide high quality medical care to patients and create a safety health care environment [3]. In addition, as bug of brusk supply in primary care have emerged, demands for nurses to fulfill diverse roles such as preventive intendance and chronic affliction direction have increased in this setting [four, 5]. Nurses' work is specialized and advanced in accordance with changing health care environments, and independent nursing activities are expanding [6]. In Korea, nevertheless, in that location is no unmarried police related to nursing, and medical constabulary specifies nursing activities, medical assistance, and public wellness activities equally nursing [seven]. Therefore, we want to find out what the role of a Korean nurse is at this point.
Table ane. Participants' profile.
| Nurse Career Duration | Work Experience | Current Position | |
|---|---|---|---|
| 1 | 14 years | Senior Full general Hospital Nurse | Nurse manager |
| ii | 12 years | Senior General Hospital Nurse | Nurse manager |
| iii | xi years | Senior Full general Infirmary Nurse | Staff nurse |
| four | 10 years | Senior General Infirmary Nurse | Staff nurse |
| 5 | x years | Senior Full general Hospital Nurse | Government agency staff |
| six | 8 years | Senior General Infirmary Nurse | Staff nurse |
| 7 | viii years | Senior General Infirmary Nurse | Staff nurse |
| eight | 8 years | Senior General Infirmary Nurse KOICA Volunteer | Doctoral nursing student |
| 9 | 7 years | Military Hospital Nurse | Drome clinic nurse |
| 10 | 1 years | Senior General Hospital Nurse | Staff nurse |
A nurse is a practitioner who creates a caring relationship by giving patients holistic care [8]. The roles of nurses in all healthcare settings such as hospitals and communities take changed considerably. Nurses were involved in nursing care, intervention and evaluation, emotional support, spiritual intendance, comfort, safety, medication, examination, surgery, emergency, rehabilitation, and delivery [nine] and were required to human action as a therapeutic office. As the health care environment changes, the part of nurses is becoming more specialized and subdivided, every bit shown by its importance in various settings such every bit highly specialized units within the hospital (east.g., bone marrow transplant unit, ambulatory chemotherapy units, various areas of intensive care, etc.) too as greater roles in the customs, schools, the armed services, and international health. In this way, information technology is necessary to place how the significant of nurses is irresolute in the health care environs where the role of the nurse is increasing.
Previous studies suggested the meaning of a good nurse according to the perspective of patients subject to intendance, nursing students, and nurses who provide intendance. From the patients' perspective in one report, a good nurse meant 1 who has expertise in caring for patients and is quick to deal with patients' needs. Besides, they believed a practiced nurse cares for the patient with understanding and provides emotional support [x]. Nursing students have considered the role to be 1 of emotionally supporting patients and flexibly providing interventions amid other healthcare providers, while working quickly with expertise to restore patient health [11]. From the nurses' perspective, a good nurse meant one who provides satisfactory support by performing patient centered care with comprehensive, professional, and autonomous nursing through a therapeutic human relationship with patients [12]. The word 'good' is subjective so we applied the qualitative research method to understand what nurses remember of good nurse.
Qualitative content analysis is a research method that explores phenomena centered on a subject area. This is an constructive fashion to depict the meaning and experience of a good nurse. The current study aimed to explore and depict what it ways to be a good nurse past applying qualitative content analysis. The inquiry question was, "What is the meaning of a skillful nurse?".
2. MATERIALS AND METHODS
This qualitative study used in-depth interviews to explore and describe the meaning of a good nurse from the perspective of nurses.
2.1. Participants and Sampling
Nurses who had at least one twelvemonth of experience were invited to participate in the study by purposive sampling. The sample comprised ten nurses working in general hospitals or health-related national organizations in Korea. Participants had from i to 14 years of piece of work experience as nurses. They were working as nurse managers, staff nurses, airport clinical nurse, government bureau staff, and ane was currently a doctoral student (Table 1 ).
Researchers selectively recruited participants using a personal network. Participants were selected as people who had a good agreement of the subject of the interview and who were able to organize and explain their experiences well. The study's aim was explained and those like-minded to participate voluntarily signed a consent grade. The interviewees were well informed nearly the role of nurses and were evaluated for proficiency in their work and carried out their tasks responsibly and expertly.
ii.2. Procedure
Ane-on-one in-depth interviews were conducted in October 2017. Participants participated in 1-2 interviews, each lasting 60-lxx minutes. The interviews were held in a tranquillity place that was comfortable for participants, such as a meeting room or a quiet cafe.
During data collection, participants were given detailed explanations of the research purpose, methods, and the participants' rights and how personal information would exist protected, including confidentiality and anonymity. Study participants were informed that even if they agreed to participate in the study on their ain, they could stop participating and refuse to go along at whatever fourth dimension during the study, and there was no disadvantage in doing so. Consent to audio-taping the interview was as well obtained. The researchers informed participants that the interviewer would transcribe the interview recordings and that all data would be kept in a cabinet with double-locking devices for security and would be discarded 3 years afterward the inquiry was completed, co-ordinate to regulations.
The interview began with an open question such as, "What does a good nurse mean to you?" followed by questions such as, "What kind of qualities does a adept nurse take?", "What do y'all retrieve are the requirements for being a good nurse?", "What do you think about the role model of a skillful nurse?", "What do y'all retrieve is the obstacle to condign a expert nurse?", and "How exercise you think you are becoming a good nurse?". During the interview, the researchers maintained a listening attitude so that participants could speak freely and naturally. In addition, researchers ask questions using the terms expressed by the participants and encouraged participants to speak voluntarily. Information sampling collection ended when in that location was no longer a new topic and the data was saturated.
Interviews and analyses of this study were conducted in Korean through several discussions with the inquiry squad. The themes and statements fatigued up in the grade of writing the paper were described in English language. The research team conducted more than than 10 reviews and discussions to ostend whether the meaning of the Korean language was properly expressed in the procedure of changing the Korean into English.
2.3. Analysis
The data were analyzed through conventional content analysis, as proposed by Hsieh and Shanon [thirteen]. This method analyzes the meaning of information inductively to gain agreement and noesis of a miracle without existing theoretical and philosophical background:
- The researchers read the transcripts repeatedly to grasp the overall meaning. In the data, we chose words, sentences, and paragraphs representing the key ideas or concepts expressed by participants.
- The codes were grouped into subcategories, and the concluding categories were classified into a hierarchical construction. Moreover, during categorization, the data were analyzed using the field notes compiled at the interview.
- The researchers determined concepts and categories not included, by comparison the classified results and repeated the process of modifying them until consensus was reached. The enquiry team discussed the analysis procedure several times and reached a concluding conclusion.
2.four. Rigor of Inquiry
In this study, the following steps were taken to ensure the rigor of qualitative research based on credibility, transferability, dependability, and conformability, as proposed by Lincoln & Guba [14].
2.4.ane. Credibility
To ensure credibility, the researchers began interviews with an open up question and conducted the residue of the interview with a neutral and uncritical mental attitude. Researchers too listened to participants and tried to avoid prejudice. The recorded contents were immediately transcribed on the day of the interview to eliminate any ambiguity. If necessary, additional questions were asked to analyze the details. The results of the analysis were compared with the original statements and frequently checked and discussed with our researchers to further establish credibility.
two.4.2. Transferability
To establish transferability, the researchers selected nurses with applied experience in diverse health care environments as participants who could give a rich business relationship based on their feel of nursing. 1 or ii interviews were conducted with each participant until saturation was noted. In addition, the results of the study were presented to two experienced nurses who did not participate in the study to confirm the significance of the results in light of their feel.
2.4.3. Dependability
To ensure dependability, the data were analyzed co-ordinate to content analysis methods proposed past Hsieh and Shannon [13], verified with other researchers, and further verified to confirm the validity of the participants. The research procedures were unified among researchers, who recorded step past step procedures and followed them thoroughly.
two.four.iv. Conformability
To ensure conformability, the researchers cited the words of the participants so that the reader tin can check the assay results. During the interview, the researchers asked participants to restate any unclear statements and clarified them.
2.v. Trustworthiness
This written report has developed the task progressed through the form time of qualitative research methodology in a doctoral course at Y university. Nosotros thought it was meaningful to share the last results identified during the class.The professor and her colleagues had a discussion and confirmation procedure to ensure progress in accordance with the ethical principles throughout the course of the study. The researchers also considered the Helsinki Declaration, and then as to balance the study's risks and benefits, as should exist considered in human studies. Although the researchers were not approved by the institutional review board earlier the interview began, we explained its purpose and gathered written informed consent. Interviews were recorded with interviewee consent to prevent omission of information, and field notes were taken to note contextual details. We also tried to ensure accuracy and validity of interview contents past clarifying unclear statements and aligning them with the core contents.
3. RESULTS
From reading the interview transcripts line by line, we compiled categories and themes relating to what it means to be a good nurse. A full of 265 significant statements were derived from the original data. Through repeated reading and exclusion of repetitive statements or those less relevant to the topic, we reduced the 265 statements to 103 over several meetings. We re confirmed the relevance of the original information and generated 35 codes, which we then structured into 6 categories and 16 subcategories to reflect a more abstract and inclusive pregnant (Table two ).
3.i. Leans in Toward the Patient
iii.1.1. Having Warm Emotions and Love for the Patient
This is related to the frame of mind and behavior of the nurse when responding to a patient. Participants considered the nurse equally a caregiver total of warmth and sensitivity, aiming to promote patient well being. To this end, nurses made an attempt to respect the patient as an individual and to have a sense of altruism.
The role of a nurse is irreplaceable. Whether there is rain or wind, the nurse is always at the patient'southward side, and in one case it starts to snow, the nurse does non motion and is always there. A nurse is like springtime with the hope of new life and I do think that's a good nurse: One who is like a tree, giving shade to people in a tough spot. (P1)
Table 2. Meaning of a good nurse.
| Codes | Subcategories | Categories |
|---|---|---|
| Providing patient comfort | Having warm emotions and love for the patient | Leans in toward the patient |
| Maintaining a warm eye | ||
| Respecting patients | ||
| Establishing trust with patients | Establishing proficient rapport with the patient | |
| Trying to listen and sympathize with patients | ||
| Trying to dispel prejudice and become objective | Advocating for the patient | |
| Trying to find patients' discomfort and to stand for patients' considerations | ||
| Answering and explaining patients' questions | Providing data to the patient | Provides professional care |
| Constant report of nursing | Providing evidence-based care | |
| Providing nursing based on scientific evidence | ||
| Precisely knowing appropriate nursing interventions | ||
| Providing nursing intervention rapidly in prioritized order | Providing prompt, practiced, and authentic intendance | |
| Having a at-home mental attitude in an emergency | ||
| Considering diverse aspects of the patient | Providing patients holistic care | |
| Striving to amend health by improving patient's awareness | ||
| Recognizing the need for legal support for nurses | Providing solid care through socio-ecology support | |
| Requiring an environment that can provide high quality nursing intendance | ||
| Striving to overcome prejudice against nurses | ||
| Trying to control feelings | Self-management | Keeps the cornerstone of ane's listen with a positive attitude |
| Taking good care of i'southward own health | ||
| Maintaining a positive attitude | ||
| Taking the initiative and setting an case | Being responsible for maintaining a positive outlook | |
| To act with conscience | ||
| Solving problems with accurate communication | Having positive partnerships with other therapists | Maintains a good relationship with colleagues |
| Showing an open mental attitude | ||
| Developing positive partnerships | ||
| Accepting and trusting colleagues | Having comradeship | |
| Representing colleagues | ||
| Having professionalism | Establishing an identity as a nurse | Matures with her/his nursing philosophy and conviction |
| Having vision and goals | ||
| Approaching nursing philosophy as an art | Having one'due south own nursing philosophy | |
| Overcoming difficulties and succeeding | Growing through change | |
| Growing with the patient | ||
| Engaging in activities in various fields | Diverse roles and activities that nurses perform | Contributes to gild |
| Contributing to society |
 | Fig. (1). Revisiting the significant of a good nurse. |
iii.1.two. Establishing Expert Rapport with the Patient
A nurse caring for a patient for 24 hours hears a diverseness of stories, including the patient's personal and family unit problems. Participants tried not to ignore patients, just to listen as much every bit possible and to sympathize. In addition, they focused on inconvenience by talking to patients first. This communication process immune the patient to establish a trusting relationship in which he/she could trust and rely on the nurse.
I give them the message that I care about them. When I ask, "Is your family unit not coming today?" "How are you today? I heard that you had a hard time last night. Are you okay?" they go on talking about their difficulties. (P4)
3.1.three. Advocating for the Patient
Participants reflected on the role of representing those who could non speak their mind while carefully checking patients' pain. To this end, they emphasized that they should endeavor to eliminate prejudice confronting patients' weather condition and to be fair and objective.
Patients and caregivers cannot talk to doctors. I recollect it is of import to be a nurse who can speak up for them because they cannot say what they want. (P9)
3.2. Provides Professional person Care
3.2.i. Providing Information to the Patient
Patients have anxiety because they practice not know the details of their diseases and treatment processes. Participants accounted it important to reply these patients' questions accurately and provide them with sufficient explanations and information.
If the patient's medication changes, the nurse will explain what the side effects of the drug are and what the precautions are. When a new treatment is initiated, the nurse will explain what treatment plan has been set, how meals will be taken, and what the planned procedure is. I retrieve it is important to accept care of patients and exist someone who can 'scratch where they are itching'. (P6)
3.2.2. Providing Evidence-Based Intendance
It is important to know the patient's condition well and to provide the necessary, relevant nursing care. Having sufficient knowledge of the patient's status facilitates efficient nursing care based on scientific evidence. To this stop, participants emphasized the role of a nurse who practices continuous self-evolution, such equally enrolling in graduate school to improve expertise in 1'due south field.
I think nurses should know why they should perform nursing activities when they practise nursing. Patients do not like putting something in their bodies and feeling uncomfortable, even for therapeutic purposes. When the nurse gives a articulate explanation at the time, patients will cooperate, even if it is difficult. (P7)
iii.2.3. Providing Prompt, Skillful, and Accurate Care
Nurses should rapidly appraise situations, then acquit out various tasks, and handle emergency situations. Participants regarded a skillful nurse as i performing a given task accurately and competently by setting priorities in the situation. Participants emphasized that the nurse should do the work consistently while minimizing impatience and calmly addressing the situation.
There is a saying that "a good nurse is a good person." In my experience, I retrieve that someone who is skilled in working in an emergency situation is capable of working in any situation. At such a crucial moment, people who work in this mode are more persuasive and appreciated. Simply no matter how "kind" y'all are, it's meaningless if you cannot function in a decisive moment. If someone comes to the ward and requests a specific nurse, we should be "that nurse" (asked for by name). (P10)
3.two.4. Providing Patients Holistic Care
Participants emphasized that nurses should strive to ameliorate patients' quality of life by providing holistic care that machines cannot. To do this, participants worked hard not only to provide concrete care, but as well spiritual care pertaining to the individual's religion. They were also mindful of the pain and difficulties of the caregiver, who ultimately influenced the patient.
I recall nursing interventions considering the patient holistically is of import. Patients' illness is influenced by various factors. When I remember only in relation to the present disease, sometimes I do not find the central reason as to why the patient is uncomfortable. (P2)
I think I need some kind of activeness to meliorate the soldiers' awareness. When I commencement started a smoking cessation plan, I idea, "Why did they fume, fifty-fifty though I conducted this (smoking cessation programme)?" So, every time I sa w a soldier who smoked, I said "Do not smoke!" similar an obsessive person. But the success rate was not that high. So, I practiced the awareness improvement activity consistently for most iii years. At present the soldiers come and talk first: "I think I should quit smoking now." (P3)
iii.2.five. Providing Solid Care that is Interlinked to Socio-Environmental Back up
This relates to the need for an surroundings that is backed by social and legal support in keeping with the changing health care surroundings. In guild to build a good nurse, it is necessary to minimize prejudice amidst current nurses and to meliorate the medical environment, so as to enable quality nursing services provision.
Nurses study to become advanced practice nurses while standing to work at the infirmary, but when they finish, they are transferred to another department. Even though the advanced practice nurse organization was established, I wonder where all those nurses are, what they are doing. Because the role and position of the nurse is not clear at the legal level, the hospital seeks out cheaper staff than nurses. So, if the part of the nurse does not change in 10 or 20 years, the need for what nurses currently do will disappear. First of all, I retrieve that if the status and part of nurses are legally guaranteed, patient rubber and loftier quality medical services will naturally increase. (P4)
3.iii. Keeps the Cornerstone of One's Mind with a Positive Attitude
3.3.one. Self-Management
Nurses are more likely to hear negative stories while tending to sick and tired patients and their caregivers. This could, in plow, exhaust the nurses. Participants emphasized that nurses should try to control their own health and emotions, and sometimes take time to recharge and exist re-energized.
When I deal with patients, I always try to be the nurse with a smile and a practiced sense of humor. When yous treat patients with a vivid and lively expression, you aid them think, "I can get ameliorate if I get care from that person." The positive mental attitude of the nurse also affects the patient; so, it is important for nurses to self-manage. (P3)
3.3.two. Being Responsible for Maintaining a Positive Outlook
Participants regarded interim responsibly and consciously an important characteristic of a skilful nurse, fifty-fifty without anyone's validation and supervision. Nurses ofttimes perform duties independently; then, it is upward to their censor to judge whether an activeness is correct or wrong. Therefore, it was considered very important for nurses to perform their tasks responsibly and have initiative, with a articulate censor.
When patients enquire for something, the nurse simply answers, "Yes, I will practice information technology," merely when she is decorated, she forgets. But some nurses attempt to resolve problems without forgetting. No matter how simple a chore is, it is necessary for nurses to accept a sense of responsibility towards their work when related to a patient's wellness. (P5)
3.4. Maintains a Skilful Human relationship with Colleagues
3.4.i. Having Positive Partnerships with other Therapists
Participants emphasized that nurses grade friendly relationships with their colleagues. Nurses human activity as mediators between patients and caregivers, other medical staff, and hospital personnel. Participants stated that information technology is important for nurses at the eye of these relationships to communicate clearly with an open mental attitude at all times.
I remember it is of import to communicate correctly because nurses have considerable contact with other staff members such as doctors, pharmacists, laboratory staff, transfer personnel, as well as patients and caregivers. The nurse seems to have a bully deal of communication and relationships with other types of employees every bit they work to resolve and sort out a variety of issues. (P1)
iii.4.2. Having Comradeship
Participants stated that the senior nurse should be a model for inferior nurses in embarrassing situations, and should give them fourth dimension to grow while trusting them. They stated that when a nurse showed mutual consideration by mediating between colleagues when there is conflict, and then they appreciated and trusted him/her.
When I was in my fourth year, the primary of the department was e'er on the side of the nurses. I think I was able to proceeds a lot of strength and courage when witnessing this. I am not sure every bit to when the twelvemonth is depression, but I often make it the corner and become frustrated. At such times, my greatest force was that I had seniors, colleagues, and inferior nurses who appreciated and trusted me and helped me. If y'all look and requite it a adventure, the nurse will blossom. (P8)
3.v. Matures with Her/His Nursing Philosophy and Confidence
three.5.1. Establishing an Identity as a Nurse
In the nurses' piece of work, there are many tasks that others avoid and are reluctant to do. Participants tried to give meaning to their work and provide the best care with a sense of mission. To practise this, the nurses emphasized the importance of having a professional mental attitude with one's vision and goals.
A good nurse needs to accept fourth dimension to retrieve nigh how he/she is affecting the patient. We meet a sick patient every day, but each patient's feel of a disease is a big upshot that happens once in a while. A nurse who meets patients during such situations can too serve every bit a model for patients' health. Then, information technology's of import for nurses to have a professional attitude in nursing care. (P5)
3.five.2. Having I's Own Nursing Philosophy
Participants regarded a adept nurse as one who created his/her own "nursing philosophy," while remaining on the side of patients complaining about physical and mental problems. Developing a nursing philosophy appeared to be facilitated by longer experience and participants stated that the art of nursing tin be realized through the generation of one's own nursing philosophy.
I remember that a good nurse has his/her own nursing philosophy. I have my own philosophy through my own experience of being at patients' bedsides. I am not conscious of this, simply information technology seems to exist brought nearly by the patient. I have spent 10 years doing this; so, fifty-fifty if the patient does non speak, in that location is an art to understanding and healing their heart. I came to realize that this is a high level of piece of work. (P9)
3.5.3. Growing Through Alter
The health care surround is busy and rapidly changing according to the demands of the times. Participants stated that nurses who have overcome the changing process go good nurses when adapting to change and exercise their work silently. Particularly, participants emphasized that they learn and mature further through caring for sick patients.
I am doing auto insurance screening work at present. For expensive medical screening such equally CT and MRI, the panel and I review the video and medical records together. If the patients feel the insurance screening results to be unfair, they file complaints. In this process, I need to report constantly and cooperate with professionals to build a systematic collaborative network. I think it is necessary for members of the full general public who file complaints to be able to explicate the problem and solve information technology hands. As insurance assessment continues to evolve in line with irresolute social conditions, I have to prepare myself accordingly. Even if the process towards becoming an expert is difficult, I remember overcoming it is proficient. I think that as my career advances, I gradually grow stride by pace co-ordinate to alter. (P8)
3.6. Contributes to Society
3.6.1. Various Roles and Activities that Nurses Perform
This relates to the diverse roles and activities that nurses perform and their contribution to various fields. Participants performed nursing roles in fields such as healthcare, insurance screening, nursing policy, working overseas contributing towards the development of countries, as well equally hospitals. Based on this feel, participants believed that nurses who actively contributed to society by giving advice or lectures about medical care and health in the community, and participated in social activities such equally medical service, exemplified good nursing.
I want to exist a nurse who can contribute to society. I think that is the role of a good nurse. Other supervisors see you as a director of some other intendance infirmary, playing an important role in other social organizations, or advising in your church or community, and doing something that fits that context. I remember nurses are professionals that can contribute to society until they die. If y'all are good for you and have a eye, yous tin can play your office in whatsoever fashion. (P10)
I went to Lao people's democratic republic thinking about what I could do in underdeveloped and developing countries. I learned the importance of identifying what is needed in the land, working on a projection in accord with their needs, and proposing a policy that fits the field. After coming to Korea, I have become interested in Democratic people's republic of korea'south medical environments and I am preparing to exercise what I can while attending related conferences. (P3)
4. DISCUSSION
This qualitative written report applied conventional content assay to sympathize the meaning of a good nurse. The meaning of a good nurse was classified into 6 categories and 16 subcategories. Nurses in Korea said that a proficient nurse was someone who "leans in toward the patient", "keeps the cornerstone of one's mind with a positive attitude", "provides professional intendance", "maintains a good relationship with colleagues", "matures with her/his nursing philosophy and confidence", and "contributes to lodge". These categories were framed within the health intendance environs and social situations of Korea.
Patient-centered care has been consistently emphasized. For the participants, a practiced nurse emphasizes the relationship with the patient and loving the patient should exist the ground of this relationship. Similar to the literature [15], we plant that nurses try to ease patients' suffering by providing relief and comfort. Nurses are encouraged to recognize the patients' unique characteristics [16]. Therefore, a nurse who seemingly ignores a patient and is characterized past bluntness, expressionlessness, and spooky behavior, is not considered a good nurse [17]. This can be seen as a constant signal of emphasis in the emotional attribute of nursing care. Nursing students and nurses also believe that nurses can build mutual trust with patients and abet for the latter through nursing care involving, for example, understanding and caring for patients [7, 18]. As such, nurses and patients thought that practiced nurses seemed to relieve inconvenience while communicating with patients. Since the communication between nurses and patients contributes towards the healing procedure, it should be based on sympathy, compassion, and altruistic commitment. This underscores the importance of education at an institutional level, that can improve nurses' attitudes and personality.
Nurses' provision of professional nursing care is a longstanding basic requirement for nurses. Professional nursing entails the provision of nursing intendance to patients with proficiency in nursing skills, accurately, scientifically, considerately, and responsibly, based on expert cognition [19]. Patients thought that nurses should obtain continuing instruction so every bit to improve their noesis and professional person nursing skills [fifteen, 16]. This represents a nurse'southward power to chop-chop and accurately provide evidence based nursing to patients. Evidence-based nursing is the basis for patient safety, which is a theoretical footing for providing customized healthcare [20].
Participants emphasized the need for social and environmental support such every bit greater social recognition, the evolution of avant-garde nursing roles, and remuneration for nursing care in order for nurses to provide such professional care. This is reflected by data on Korea, such as the poor ratio of 6.ix nurses per population of i,000 in Korea, compared to the average of 9.3 nurses in OECD countries [21]. In Korea, considering there is no independent nursing law that states the role of nurses, the medical law specifies it [22]. The nurses in our study also idea that it is necessary to have patient holistic care in society to be able to manage their work efficiently, and to understand a given trouble from various angles and to think critically based on the continue providing social and environmental support.
The nurse who filled the cornerstone of his/her mind with a positive mental attitude was responsible for the work through cocky-management. This has been continuously emphasized to healthcare providers in the health care environment for patients who are physically and mentally uncomfortable. Participants in the written report besides stressed that in a health intendance environs where unexpected situations occur of a sudden, nurses who accept intendance of their patients should provide patient induced care while decision-making their wellness and emotions. This is similar to previous literature indicating that patients responded positively to nurses who had bright expressions and were humorous, confident, motivated, diligent, and cocky reliant [17, 23]. Providing care that is non harmful to patients is an important issue related to ethical conscience for nurses with professional and independent activities in this study. Nursing students likewise stated that honesty was most important for nurses who work independently [24]. In Korea, "the code ideals of nurses" was enacted to respect and defend the dignity and basic rights of human life in 1972. The fourth revision in 2013 highlighted the responsibilities of nurses and patients, nurses' professional person nursing obligations, and ethics as nurses [25]. Participants emphasized that maintaining an impression of trustworthiness as a nurse involves a continuous effort to control oneself and the maintenance of a positive mental attitude. Therefore, strengthening these upstanding competencies will exist necessary not only in undergraduate nursing programs but too in clinical nurses who have various ethical problems from the viewpoint of preventive ideals [26].
It is important to maintain practiced relationships with colleagues because nurses play a central role in complex human relationships in the health care setting. In particular, previous enquiry emphasized the relationships between nurses and other medical staff such equally doctors, radiologists, physiotherapists, and nutritionists [18]. This emphasizes the role of nurses as mediator who maintains balance and provides care at the middle of the complex structure of the hospital. Also the relationship among nurses is a problem in the recent nursing organizational culture in Korea. 15.8% of Korean nurses experienced bullying in their workplace and idea that nursing organizations were more hierarchical than relationship-oriented [27]. The participants in this study emphasized the importance of not only the relationship with other therapies merely as well the nurse friendly relationship. Therefore, it is necessary to understand each specialist's characteristics, and so that effective treatment tin can exist provided to patients, and to establish communication and a work process arrangement centered on nurses.
Participants adult alongside patients in the health care surround and had their ain career outlook. This developed farther and participants experienced nursing as an fine art and developed their ain nursing philosophy. One study stated that nursing is not the handling of disease, but a series of acts that help patients recover and provides relief by preventing various inconveniences caused by illness [19]. Nursing activities centering on patients tin demonstrate the nature of nursing equally an fine art through an aesthetic approach to identifying the moral characteristics of care [28]. Our participants as well noted that nurses should continue their efforts to mature and detect their uniqueness while reflecting on their philosophy.
A final destination of the adept nurse experienced by participants was contribution to society. This finding seemingly emphasized a role that is gaining importance, with civil and social responsibilities, and newly emerging fields of practice. These nurses are involved in policy development in various fields and seem to emphasize the integrated role for promoting and maintaining individuals' health in the social environment. The nurse's insurance screening piece of work includes requesting medical records, checking medical use, handling objections, and screening outcome notifications [29]. In add-on, in the international health field, it was possible to place the role of nursing in cooperation with the institutions while accepting the local civilisation [30]. Our participants referred to the agile part of nurses every bit ceremonious contributors, thereby challenging them to apply their clinical experience to demonstrate their competence in schools, communities, and international health sites based on clinical feel.
The limitations of this study are equally follows: Kickoff, interviews were conducted nurses at the senior general hospital, which takes care of serious patients, so the role of hospital centered nurses was emphasized. Second, the function of male nurses is non confirmed because the role of women in cultural and ideological roles in Korean society with Confucian culture that divides men and women is reflected in the image of nurses.
This study has the post-obit significance. It could exist a bones data for policy strategy research to provide good nursing care in terms of nursing research. We will provide basic data for establishing strategies for nursing coaching and positive nursing work surroundings and contribute to expanding the nurse 's cocky prototype in terms of nursing do. Students will have the opportunity to identify the pregnant of a good nurse prototype as a nurse in terms of nursing education.
CONCLUSION
This study examines the meaning of proficient nurses from the perspective of nurses in a rapidly changing Korean society. We tin can confirm that the significant of expert nurses has changed from that of nurses assuming a historically therapeutic role to an integrated role. This event presents a reaffirmation of the social position and role of nurses working in healthcare sectors. In addition, to strengthen nurses' abilities equally competent practitioners, it is necessary to provide social and legal support for nurses and to create advisable environments. It is important to provide bones data that shape the identity of a professional nurse, presenting qualities that make up a good nurse. The results of this report can be used for policy research to enable expert nursing practice, and to develop strategies for improving nursing educational activity and nursing work environments.
Source: https://opennursingjournal.com/VOLUME/13/PAGE/75/FULLTEXT/
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