본 연구의 목적은 대학병원 물리치료사들의 소진경험을 심층적으로 이해하는 데에 있다. 연구목적을 달성하기 위해 근거이론(Strauss & Corbin, 1998)방법을 적용하여 물리치료사들의 현장 경험에 대한 깊이 있는 이해와 실재를 기반으로 하여 귀납적으로 개념과 이론을 추출 및 분석을 통해 수행되었다. 위의 연구문제에 대해 본 연구에서는 현재 대학병원의 물리치료사로 근무 중인 5명을 대상으로 심층면담을 한 후 근거이론의 절차에 따라 자료를 분석하였다. 분석 결과 10개의 범주, 32개의 하위범주, 84개의 개념이 도출되었다. 물리치료사들의 직무경험에서 인과적 조건은 물리치료사의 직업에 대한 회의, 병원내의 다양한 갈등, 환자와 보호자들 사이에 경험하는 갈등이었고, 중심현상은 업무로 인한 정신적ㆍ육체적 소진경험이었으며, 이 현상에 영향을 미치는 맥락적 조건은 사회에서 중요한 역할을 해야 할 물리치료사’,‘물리치료실에서 전개되는 의료적 이슈들이었다. 이러한 상황 또는 맥락적 조건 속에서 전략을 촉진시키거나 억제하는 방향으로 작용하는 중재적 조건은 가정 내 갈등으로 나타났고, 작용/상호작용 전략은 소진을 극복하는 활동’,‘노후에 대한 대비’이었다. 결과는‘독립경영에 대한 열망’으로 나타났다. 대학병원 물리치료사들의 소진경험에 대한 과정은‘직업에 대한 내적 갈등의 단계’,‘업무로 인한 긴장과 탈진의 단계’,‘소진의 극복단계’,‘물리치료사로서의 사회적 역할증진과 기대의 단계’등 4가지로 분석되었다. 선택코딩에서 핵심범주는‘육체적ㆍ정신적 탈진으로부터의 소진 극복하기’로 나타났으며, 핵심범주를 중심으로 지속적으로 나타나는 범주들 간의 관련성을 확인한 결과, 유형은‘현상유지형’,‘스트레스 대처형’,‘적극적 미래 대처형’이 포함된 3가지로 분석되었다.

This study was made to understand burnout of physical therapists at the university hospital. Its concrete task was performed by applying a grounded theory(Strauss & Corbin, 1998) method. The research method was suitable to this study trying to extract a concept and a theory inductively based on physical therapists' deep understanding of field experiences and the reality. We made this study through in-depth interviews for five physical therapists. We collected data through in-depth interviews from June to October 2008. We received written consents from the participants before the interviews, and recorded and collected the contents of the interviews after recording them. The theory consists of three coding processes. In open coding, we conceptualized and categorized according to the paradigm of the theory. In axial coding, we analyzed categories and processes according to the paradigm. In selective coding, we discovered a key category, wrote down the outline of a story, derived from it the relevance between categories and classified their types centering on the category, and analyzed the data through a conditional matrix. This study showed that from open coding 84 concepts, 32 subcategories and 10 categories were derived. Based on above analysis, we followed suggestions of social welfare practice can be derived from a process of making this study and the result from it.

This study was made to understand burnout of physical therapists at the university hospital. Its concrete task was performed by applying a grounded theory(Strauss & Corbin, 1998) method. The research method was suitable to this study trying to extract a concept and a theory inductively based on physical therapists' deep understanding of field experiences and the reality. We made this study through in-depth interviews for five physical therapists. We collected data through in-depth interviews from June to October 2008. We received written consents from the participants before the interviews, and recorded and collected the contents of the interviews after recording them. The theory consists of three coding processes. In open coding, we conceptualized and categorized according to the paradigm of the theory. In axial coding, we analyzed categories and processes according to the paradigm. In selective coding, we discovered a key category, wrote down the outline of a story, derived from it the relevance between categories and classified their types centering on the category, and analyzed the data through a conditional matrix. This study showed that from open coding 84 concepts, 32 subcategories and 10 categories were derived. Based on above analysis, we followed suggestions of social welfare practice can be derived from a process of making this study and the result from it.

university hospital, physical therapists, burnout, grounded theory