Purpose : This ethnographic study was conducted to explore and understand the meaning of the daily life of nurses in emergency room. The objectives of this study were to identify and describe the true nature of emergency room nurses’ daily experienc...
Purpose : This ethnographic study was conducted to explore and understand the meaning of the daily life of nurses in emergency room. The objectives of this study were to identify and describe the true nature of emergency room nurses’ daily experience and create a theoretical model based on it.
Methods : This study was a qualitative study to understand the daily life of emergency room nurses by recording an ethnography. It was also a mini ethnography focusing on the daily lives of nurses, who cared urgent patients in an emergency room. Data were collected through in-depth interview and participants observation, which were recorded and transcribed verbatim with the consent of the participants. The key participants in this research were 10 nurses who had cared at emergency room. Data were collected between November 2013 and October 2014 until completion. Interviews continued until no new information could be identified from transcripts. Data were analyzed using the taxonomic analysis method developed by Spradley.
Results : Nurses’ cultural domains were classified into ‘extensity of emergency room nurses’, ‘temporality of emergency room nurses’, ‘relationship among emergency room nurses’, ‘daily lives of emergency room nurses’, and ‘becoming emergency room nurses’ based on the data acquired from interviews.
The ‘extensity of emergency room nurses’ had four characteristics; ‘easy accessibility’, ‘open space exposing everything’, ‘busyness in the confusion’, and ‘hidden nurses’ station’. The ‘temporality of emergency room nurses’ had four characteristics, which were ‘unpredictable daily life’, ‘incapable of empathy with patients due to lacking spare time’, ‘busyness even during a night’, and ‘irregular meal time’. The ‘relationship among emergency room nurses’ was composed of seven characteristics: ‘torment from reckless patients and their parents’, ‘improvement in relationship with an unpleasant doctor’, ‘dominating power of a ward over an emergency room’, ‘unending request from acquaintance regarding patients’, ‘expressing anger to friends and family members’, ‘forming strong bonding with fellows’, and ‘thankful feeling from patients and their guardians’. The ‘daily lives of emergency room nurses’ had seven characteristics: ‘taking care of various patients’, ‘aggravated task due to cooperation of multiple departments’, ‘suffering from excessive telephone inquiries’, ‘busier during holidays unlike ward nurses’, ‘exposure to highly infectious environment’, ‘often observing unexpected deaths’, and ‘ambivalent feeling toward a suicide patient’. Lastly, the ‘becoming emergency room nurses’ had five characteristics, which were ‘gloomy feeling’, ‘becoming impatient’, ‘enduring the hard time with hard efforts’, ‘higher self-esteem as emergency room nurses’, and ‘wishes to improve the nursing works in an emergency room’
Conclusion : The daily culture of emergency room nurses could be summarized as ‘busy daily life in the confusion’. However, many nurses boosted their self-esteem with taking care of patients in needs upon the collaboration with fellow nurses. In the other words, nurses in an emergency room form a dynamic culture pursuing professionalism, not just simple chaotic daily life culture.
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