The Journal of Korean Academic Society of Nursing Education (한국간호교육학회지)

The Korean Academic Society of Nursing Education (한국간호교육학회)
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Nursing Experience of Caring for Extremely Low Birth Weight Infants

초극소미숙아 돌봄을 통한 간호경험

  • 최경숙 (중앙대학교 의과대학 간호학과) ;
  • 김학선 (중앙대학교 의과대학 간호학과) ;
  • 김정숙 (삼성서울병원 신생아중환자실) ;
  • 이주현 (중앙대학교 의과대학 간호과학연구소)
  • Received : 2011.05.24
  • Accepted : 2011.07.24
  • Published : 2011.08.31
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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.

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