Table 1. Awareness gained from narrative writing
Core category Category Subcategory
Awareness of habits and trends in one’s own thoughts emerged Being self-defensive Acting to evade denial and criticism
Swallowing one’s words
Trying to avoid troubles and litigation
Giving up unavoidable matters
Giving priority to safety
Seeing things from an occupational viewpoint Having problem-solving thoughts
Saving life first
Thinking according to the convenience of medical professionals Being very busy
Not thinking in a patient-centered manner
Giving priority to efficiency
Having biased thoughts Misconceiving
Having preconceived ideas
Denying negative emotions Feeling remorseful
Feeling guilty
Wanting to build favorable relationships with the staff Not disturbing the relationship
Refraining from expressing oneself
Being fully aware of what other people think of
Being accustomed to the circumstances of the hospital and its organizational culture Not having an uncomfortable feeling
There is a difference of awareness between staff and patients living daily life
Awareness of organizational and administrative issues emerged Power relationship is a contributory factor There is a power relationship within a team
There are power relationships among nurses
The system and culture within organizations is a contributory factor There aren’t enough human resources
Management system is insufficient
The nature of organizations is undesirable
The policies of organizations are undesirable
The culture of organizations is undesirable
Social conditions are contributory factors The systems of hospitals in accepting patients from other medical institutions are undesirable
The systems of law and society are undesirable
Int J Med Educ. 2018; 9:198-205; doi: 10.5116/ijme.5b39.d5d2