College of Nursing, and BK21 FOUR R&E Center for Learning Health Systems, Korea University, Seoul, Republic of Korea.
Department of Nursing, Soonchunhyang University, Dongnamgu, Soonchunhyang 6Gil 31, 31151, Cheonan, Republic of Korea.
BMC Geriatr. 2022 Nov 16;22(1):861. doi: 10.1186/s12877-022-03582-7.
Resilience has been studied as an effective concept in nursing that acts as a protective factor which aids in overcoming difficult situations and related mental problems. With the recent increase in demand for nursing homes, nursing home nursing staff are facing a variety of stresses and psychological burdens. Improving resilience has been suggested as one way to deal with the difficulties, such as stress, exhaustion, and burnout, that nursing home nursing staff are experiencing. In order to provide successful education aimed at improving such resilience, it is very important to understand how to perceive experience from the learner's point of view.
The study's aim is to identify the ways that nursing home nursing staff build resilience.
This study used phenomenography, a methodology for exploring the relationship between subject and phenomenon. From January 15, 2022 to February 20, 2022, data collection was undertaken at three nursing homes located in the Republic of Korea. The data was collected through semi-structured interviews with 20 nursing staff members in NHs and a data analysis that strictly followed the 7-step analysis process of phenomenography.
Eight categories were derived. The eight categories were then divided into two groups of four representing perception and strategy. Perception included four categories: 'grasping the situation', 'thinking about one's responsibility for the resident and personal values', 'considering one's strength' and 'thinking of an improved self'. Strategy included four categories: 'evaluation of oneself and one's environment', 'taking care of oneself', 'finding concrete ways to manage the problem' and 'self-development for growth'. Perception had three levels of awareness, valuing and assuring, while strategy had three levels of identifying, introspecting and concretizing.
This study provides insight into how individual nursing staff build resilience, a complex and subjective concept. It provides a foundation for future resilience education of nursing home nursing staff and suggests future educational intervention development directions.
韧性已被研究为护理中的一个有效概念，作为一种保护因素，有助于克服困难情况和相关的心理问题。随着对养老院需求的增加，养老院的护理人员面临着各种压力和心理负担。提高韧性被认为是应对养老院护理人员所经历的压力、疲惫和倦怠等困难的一种方法。为了提供旨在提高这种韧性的成功教育，了解学习者如何感知经验非常重要。
本研究旨在确定养老院护理人员建立韧性的方式。
本研究使用现象学，一种探索主体和现象之间关系的方法。从 2022 年 1 月 15 日至 2 月 20 日，在韩国的三个养老院进行了数据收集。通过与 NH 中的 20 名护理人员进行半结构化访谈收集数据，并严格遵循现象学的 7 步分析过程进行数据分析。
得出了八个类别。这八个类别进一步分为两组，每组四个，代表感知和策略。感知包括四个类别：“把握情况”、“思考对居民和个人价值观的责任”、“考虑自己的优势”和“思考自我提升”。策略包括四个类别：“自我和环境的评估”、“照顾自己”、“寻找具体的方法来解决问题”和“自我发展以成长”。感知有三个层次的意识、重视和保证，而策略有三个层次的识别、内省和具体化。
本研究深入了解了个体护理人员如何建立韧性，这是一个复杂而主观的概念。它为未来养老院护理人员的韧性教育提供了基础，并为未来的教育干预发展方向提出了建议。
