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NTIS 바로가기Journal of Korean academy of nursing = 대한간호학회지, v.46 no.2, 2016년, pp.260 - 270
김영아 (수성대학교 간호학과) , 박정숙 (계명대학교 간호대학)
Purpose: This study was conducted to develop a program to help emergency nurses overcome compassion fatigue, and to analyze the effects of the program. Methods: A nonequivalent control group pretest-posttest design was used. There were 14 participants in the experimental group and 18 subjects in the...
핵심어 | 질문 | 논문에서 추출한 답변 |
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공감피로가 적절하게 관리되지 못하면 어떻게 되는가? | 공감피로를 유발하는 공감스트레스 상황에 장기적으로 노출되면 정서적 탈진, 이인증, 개인적인 성취감의 감소, 탈진, 무력감과 혼돈, 지지자로부터의 고립감, 실제적인 원인으로부터 단절된 증상 등의 공감 피로 증상을 나타낸다[6]. 이러한 공감피로가 적절하게 관리되지 못하면, 간호사 개인에게는 외상 후 스트레스 장애와 유사한 과각성, 침습적 사고, 수면장애, 우울, 불안 등의 증상을 일으키고, 업무에서는 환자에 대한 무관심, 회피, 부인 등을 유발하게 된다[7]. | |
이차 외상성 스트레스란 무엇인가? | Figley [5]에 의하면, 공감피로는 이차 외상성 스트레스(secondary traumatic stress)와 소진이 결합된 개념이다. 이차 외상성 스트레스는 외상을 당했거나 고통 받는 사람들을 돕거나 돕기를 원하는 과정에서 생기는 스트레스를 의미하며[5], 소진은 공감피로의 마지막 단계인 고갈상태로써 업무 처리의 어려움, 희망이 없는 느낌, 좌절, 분노, 우울 등이 발생하는 것을 의미한다[5,8]. 이러한 공감피로는 간호사, 성직자, 상담가 등 돕는 직업을 가진 사람들에게서 발견되는데, 특히 간호사가 공감피로에 취약한 것으로 알려져 있다[9]. | |
응급실 간호사 경험하는 스트레스가 극심한 환경은 무엇인가? | 6%에 불과하였다[2]. 이러한 상황에서 응급실 간호사는 다양한 신체적 문제와 생명의 위협에 따른 심리적·정신적 어려움을 호소하는 환자와 직접 접촉해야 하며, 응급실의 혼란스러움, 위중한 환자, 날카로운 환자, 폭력, 장시간 환자에게 매달리게 되는 업무, 과밀한 업무 환경, 환자의 비현실적인 기대, 심한 외상, 사망 등에 반복적으로 노출되고 있다[3,4]. |
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