수술실 소독간호사의 상황인식 구현과정: 분석적 귀납법(Analytic Induction) 접근

Abstract

Purpose: This study aimed to identify and explore how perioperative scrub nurses embody their situationalawareness to elucidate the association between research and application. Methods: This qualitative studyemployed an analytical induction approach. The analytical method reconstructed by Bloor (1978) and modifiedby Johnson (2004) was used to investigate and analyze the phenomenon in clinical practice. The study wasconducted from January 12 to May 20, 2019. Data were collected using semi-structured interviews; the studysubjects included 12 perioperative scrub nurses working at three university hospitals. Results: Perioperative scrubnurses embodied situational awareness by comparing and identifying general and abnormal situations throughoutsurgical procedures, setting priorities in their tasks, responding to situations according to the degree of emergencyin the operating room, and developing an integrated view. Perioperative scrub nurses embodied situationalawareness through typical patterns involving empirical cases based on experiences, apprenticeship-orientedtraining, information exchange among surgical team members, and self-directed simulation. Professionalresponsibility and the level of surgical emergency played an essential role in embodying these patterns. Conclusion: These findings will provide practical categories that will contribute to the development of strategiesfor practical education of novice perioperative scrub nurses and nursing students.