Implementing person-centred care is often considered difficult in congested emergency rooms. The purpose of this study was to understand person-centred care experienced by emergency room nurses in depth and examine the essence of emergency room nurses’ lived experience of the person- centred care. Eight nurses working in the emergency room of a large hospital in South Korea and who had over six months of experience were surveyed via semi-structured interviews in February 2019. The data were transcribed and analysed using Colaizzi’s framework. The major findings related to person-centred care experiences among emergency room nurses were: (1) feeling distanced from patients; (2) guilt and frustration; (3) accepting patients’ symptoms and emotions as they are; (4) person-centred care as a domain of nursing that cannot be replaced by machines; and (5) nursing as an art wherein the minutest details make a difference. Providing person-centred practice in the emergency room is difficult, but it will not only improve the quality of patient care but also increase the job satisfaction of nurses. Based on an in-depth understanding of person-centred care experienced by emergency nurses, it will contribute to enhancing the quality of nursing care in the emergency room.
1 January 2019 in Journal of Korean Academy of Nursing Administration
Background: The aim of this study was to investigate the validity and reliability of the Korean version of the Suicide Opinion Questionnaire to measure Korean nurses’ attitudes toward suicide attempters.Methods: The questionnaire data were collected from 191 nurses who worked in emergency rooms, emergency wards and psychiatry wards. The internal consistency reliability and construct validity were evaluated using exploratory and confirmatory factor analysis.Results: The Cronbach’s α values regarding internal consistency were 0.51-0.79 for the subscales of the Korean version of the Suicide Opinion Questionnaire. The factor loadings of 18 items on the 6 subscales ranged from 0.54 to 0.84. The 6 subscale model was validated by a confirmatory factor analysis. The goodness-of-fit indexes were verified to be χ2/df = 1.56, root mean square residual = 0.04, goodness of fit index = 0.91, adjusted goodness of fit index = 0.86, Tucker-Lewis index = 0.9, comparative fit index = 0.92 and root mean squared error of approximation = 0.05.Conclusion: The findings indicated relatively satisfactory construct validity for the Korean version of the Suicide Opinion Questionnaire, whereas the reliability was not high. The current study indicates that the questionnaire should be used with caution when measuring nurses’ attitudes toward suicide attempters.