:,, * * ** *...,.. (H er d a, 199 9 ), (H on g, et al., 2 000 )., (Ma son, Ba ck er & Gor ges, 19 9 1) (Br a dley, 1993 ). (Kim, N oh, H a n & Lee, 199 6 ).. (N oh & Soh n g, 199 7 )... (Weiss, 1994 ).,. * ** 2 0 0 1 12 2 6 2 0 0 2 4 2 0 2 0 0 2 6 2 5-4 70 -
3 2 4.. 1.. 2... 1.. (h erm en eu t ica l cir cle ) (h erm en eu t ica l dist a n cia t ion ). (Bon t ek oe, 1996 ).........,,,... (Con n elly & Cla n dinin, 1990 )........ 2. 4. 3. (Kvale, 199 6 ) 3-4, 10. 27 ~ 30, 3, 4 5. 4, 6, 2, 2, 2, 1, 3.. 3-4 7 1 -
2 0 0 2 8. 3-4.. 4.. 1),,...,,,,?... 2 1.,. 2 ) 4 30 1..,.... 1.......,...,,...... 3. COPD..........,..... - 4 72 -
3 2 4. 2.. 3 4.,,. 1) 3 4........, 6........,... l ocal......,,..,.................. 2 ).,,...,!......,....,....... mout h care..,...... - 4 7 3 -
2 0 0 2 8... sampl i ng gas.?....,...... suct i on chest......,.. ( ).......,,. 3 )..,......,.........,............. 3,, Cir ca dia n., 3. 3. 2, 3,. 6.................,....,.....,........., - 4 74 -
3 2 4........., 6-7 10.....,.,,..!....................,......... ( )...,.......,....,.....,,..,.., cont ami nat i on......,........ 4... 1),,. - 4 7 5 -
2 0 0 2 8......,...,.,!... 40 COPD. i rri t abl e rest rai nt. i nt ubat i on...... sadat i on...,..,.,.....,...........,., ward)... mout h care...,....,.,.........................?.....,. 2 ),...!. 3 1 2.....,.,.,.,. - 4 76 -
3 2 4.,.,...,..,.... 2-3... bat hi ng ROM...,...........,., ward conf erence...,,,...,...... (H u gh es, 1979 ). Ka lisch Ka lisch (19 82 ). Su n g (198 7 ). (Hu gh es,19 79 ).,,.,.,,. 3-4..,, (Sla vit t, St a m p, Piedm ont & H a sse, 1978 ). - 4 7 7 -
2 0 0 2 8 (Lee & P a rk, 1996 ), N u m er of Abr am is (19 84 ), Du xb er y (1984 ).,.,,.,,.,, (Kalish & Kalish, 1982 ; Low er y- P a lm er, 198 2 ). Yi, Lee, Ch oi, Kim Ko (2 000 ) 3-4,.. Wolf (198 1).,,,.,. (Wolf, 198 1)..,, 3 D (difficu lt, dir t y, da n ger ). Kim, Kim Lee (20 0 1),,,, --,,.,..,,..,, (Son g, 1993 )..,. Ra dwin (199 8 ) - 4 78 -
3 2 4 Yi (2 000 ), Ra dwin (1998 ), Yi (20 00 ).,.. (Yi, et a l., 2 000 ),,. (t ellin g) (r et ellin g). (r econ st r u ct ion ).,....... 199 9 12 4 (n arr at ive). 10 3-4., 1 4,. 4..,...,,.,,,,,.,.. - 4 79 -
2 0 0 2 8,.. 1.. 2.. Re f e re n ce s Br a dley, J. J. (1993 ). Au t on om y t h r ou gh An dr ogyny. N u rse M an agem ent, 24 (10 ), 64. Bont ek oe, R. (199 6 ). Dim en sion s of t h e h erm en eu t ic circle, N ew J er sey : Hu m a n Pr ess. Du xbery, M. S. (1984 ). N u r se bu r n ou t in h igh st r ess w or k set t in gs, S u rgical R ou n ds, 7 (3 ), 113-115. H er d a, E. A. (1999 ). R esearch Conv ersat ion s an d N arrat iv e, A Crit ical H erm en eu t ic orient at ion in Part icip at ory In qu iry. Pr a eger (West por t ), 1-5. H on g, K. P., Ka n g, H. S. Oh, S. Y., Lim, N. Y., Kim, J. L., Yoo, M. S., N a, D. M., Kim, J. A., & Su h, G. H. (200 0 ). Fu n dam ent als of N u rsing, Seou l, Soo- Moon Sa Hu gh es, S. (197 9 ). Th e pu blic im a ge of t h e nu r se, A N S, 2, 55-7 1. Ka lisch, B. J., & Kalisch, P. A. (198 2 ). An a n a lysis of t h e sou r ce of ph ysicia n - n u r se conflict, In J. Mu ff (Ed ), S ocialization, sex ism an d st ereoty ping : W om en 's issu es in nu rsing (p p. 22 1-233 ), St. Lou is : C. V. Mosby. Kim, K. B., Kim, H. S., & Lee, K. H. (20 0 1). Clinical N u r ses ' Pr ofession al Conflict s, J Korean A cad N u rs, 3 1 (3 ), 4 92-50 5 Kim, S. S., N oh, C. H., H a n, Y. S., & Lee, J. K. (19 96 ). A st u dy of t h e r elat ion sh ip bet w een pr ofession al self- con cept a n d t h e opinion, a t t it u des a bove t h e specia lizat ion r ega r din g k or ea n nu r ses, J Korean A cad Psy ch iat r M ent H ealt h N u rs., 5 (2 ), 5-17. Lee, S. K., & P a rk, J. H. (1996 ). A st u dy on t h e r elat ion sh ip b et ween au t on om y a n d gr ou p coh esiven ess per ceived by nu r ses a n d t h eir j ob sa t isfa ct ion, or ga niza t ion a l com mit m en t, m ot ivat ion a n d int en d t o st a y on j ob s, J KA NA 2 (1), 5-15. Low er y- P a lm er, A. (1982 ). Th e cu lt u r al b a sis of p olit ical a ct ivit ies, In J. Mu ff(e d ), S ocializat ion, sexism an d st ereot y ping : W om en 's issu es in nu rsing (pp. 189-2 09 ). St. Lou is : C.V. Mosby. Ma son, D. J., Ba ck er, B. A. & Geor ges, C. A. (199 1). Tow ar d a feminist m odel for t h e polit ica l em pow er m ent of nu r ses. J. N u rsing S ch olarsh ip, 23 (2 ), 72-7 7. N oh, C. H., Soh n g, K. Y. (19 97 ). Su r vey on t h e Relat ion sh ip Self- est eem a n d Pr ofession al Self- con cept of N u r ses, J Korean Fu n d N u rs., 4 (1), 6 1-72. N u m er of, R. E., & Abr a mis, M. N. (1984 ). Sou r ces of st r ess am on g nu r se : a n em pirica l invest iga t ion, J of Hu m an S t ress, 10 (2 ),88-100. Ra dwin, L. E. (199 8 ) Em pir ica lly gen er at ed at t ribu t es of experien ce in n u r sin g, J of A dv an ced N u rsing, 2 7, 590-59 5. Sla vit t, D. B., St am p, P. L., P iedm ont, E. B., & H a sse, M. B. (1978 ). N u r ses' Sat isfa ct ion wit h Th eir Work Sit u a t ion, N.R., 2 7 (2 ), 1 14-120. Son g, I. J. (19 93 ). A com pa r a t ive st u dy of t h e opinion on t h e im a ge of nu r sin g a m on g t h e doct or s,nu r ses, ot h er h ospit al per son n el a n d t h e gen er al pu blic, T h e Korean nu rse, 32 (2 ), 5 1-6 2. Weiss, R. S. (1994 ). L earning from st rangers. T h e art an d m et h od of qu alit at iv e Int erv iew st u dies, Th e Fr ee Pr ess (N ew York ), 1. - 4 8 0 -
3 2 4 Yi, M. S., Lee, E. O., Ch oi, M. A., Kim, K. S., & Ko, M. H. (2 000 ). Expert ise in ICU nu r sin g : A qu alit a t ive a p pr oa ch, J Korean A cad N u rs 30 (5 ), 12 30-124 2. - Ab s t r a c t - Re con s t r u ct ion of Pr ofes s ion a l Id en t it y in Clin ica l Nu r s e s Kan g, Hy u n -S ook * Ch o, Ky ou l-j a * Ch oe, Na m -He e ** Kim, W on -Ock * P u r p o s e : Th is st u dy w a s ca rried ou t t o id ent ify a n d r e- est ablish t h e pr ofession al id ent it y in clinica l nu r ses. Me t h o d : Fr om Dec. 19 99, for 4 m ont h s, t h e st u dy h a d been con du ct ed by n ar r at ive a n a lysis m et h od b a sed on h erm en eu t ic pr in ciples. Su bj ect s wer e t en nu r ses wit h 3-4 yea r s of nu r sin g experien ce at a u niver sit y h ospit al. Th e da t a wer e collect ed a n d t r a n scribed t h r ou gh n a rr at ive int er views. Re s u l t : As a r esu lt, t h e m a t er n a l r ole wa s id ent ified a s t h e m ost dom in a n t discou r se in wh ich nu r ses form ed t h eir id ent it y. Su bj ect s felt t h a t a m a t er nit y is socio- cu lt u r ally n eeded in ca se of nur sin g. Reconst ru ct ion of pr ofession al id ent it y con sist s of 3 st a ges, Tellin g, Ret ellin g a n d Rebu ildin g. At fir st, nu r ses felt con fu sed by sk ept ism of t h e pr ofession, in t er per son al difficu lt ies, a n d h eavy wor k loa ds. H ow ever, du rin g t h e int erviews, nu r ses r ecognized t h at nu r sin g is n ot r ega r ded a s sign ifica n t, effort t o m a k e nu r sin g m ea nin gfu l wer e sm a ll, a n d t h er e w a s a la ck of u n der st a n din g ot h er s. Fr om t h is n ew in sigh t, t h ey r e- est ablish ed a n ew im a ge of nu r sin g "t h r ou gh bet t er u n der st a n din g of ot h er s, seekin g k n owledge, a n d m a kin g posit ive effor t s t owa r ds qu a lified nu r sin g. Co n c lu s i o n : Th e a bove n arr at ive int er views m a y h elp nu r ses r eflect a n d con t ext u ally in t er pr et t h em selves, so t h at a n ew ident it y cou ld b e est ablish ed. F u rt h er m or e r esea r ch er s ca n obt ain n ew in sigh t fr om t h e su bj ect s, wh ile t h e su bj ect s form a n ew n u r sin g im a ge fr om self- r eflect ion. Ke y w o rd s : Pr ofession al ident it y, Clinica l nu r se, N a rr at ive * Collage of Nu r sin g, Kyu n g H ee Un iver sit y ** Seoul Wom en ' s College of Nursing - 4 8 1 -