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Abstract Background This study aimed to understand the experiences of nurses working in the integrated nursing care service, a relatively recent addition to the Korean hospital infrastructure, to suggest ways in which to address their grievances and needs and improve their job satisfaction, thereby reducing turnover. Methods This study adopted a qualitative approach to explore subjects’ vivid experiences. Data were collected through in-depth interviews with 17 nurses with over one year of experience working in integrated nursing care wards. The main question asked was “Can you describe your experiences in the integrated nursing care ward?” All interviews were recorded, transcribed, and analyzed using Colaizzi’s method for phenomenological research. Results Six theme clusters were derived from the analysis: “distorted perceptions of the integrated nursing care ward,” “challenges owing to distorted perceptions of the integrated nursing care ward,” “loneliness and fighting alone,” “being ridiculed,” “practicing textbook holistic care,” and “the satisfaction felt only in the integrated nursing care ward.” For the overarching theme, we identified “Satisfaction in providing holistic care despite the challenges.” Conclusions While working in the integrated nursing care ward, nurses practiced holistic nursing care, which in turn built their self-esteem. However, they experienced greater levels of stress as a result of misinformation. Therefore, dissemination of accurate information is necessary to correct public misunderstandings of the integrated nursing care wards. Further, adequate compensation and support systems are needed to relieve the stress nurses felt because of such misunderstandings. Additionally, nurses should be motivated to continue to provide quality care for the patients and take pride in their work. Future research should explore the physical and mental concerns of nurses working in integrated care wards.

Background: Lung cancer is a clinical disease with multiple malignant tumors. Currently, it is difficult for patients to benefit from routine clinical nursing due to the lack of a pertinent and systematic approach., Aim: To investigate the effect of integrated nursing care on the negative emotions and satisfaction of lung cancer patients., Methods: From January 2018 to December 2019, 92 patients with lung cancer were selected and divided into the study group and the control group; there were 46 patients in each group. The control group received routine nursing, and the study group received integrated medical care in addition to the care received by the control group. Negative emotions before and after the intervention, the self-management ability score after the intervention, family care burden after the intervention and nursing satisfaction after the intervention were measured in the two groups., Results: After the intervention, the self-rating anxiety scale and self-rating depression scale scores in the study group were lower than those in the control group ( P < 0.05); the scores for health knowledge, self-concept, self-responsibility and self-care skills in the study group were higher than those in the control group ( P < 0.05); the scores for individual burden and responsibility burden in the study group were lower than those before the intervention ( P < 0.05); and the nursing satisfaction in the study group (93.48%) was higher than that in the control group (78.26%, P < 0.05)., Conclusion: An integrated nursing care approach for lung cancer patients can effectively relieve the patient's negative feelings, improve their self-management ability, help to reduce the burden of family care and improve patient satisfaction with nursing activities., Competing Interests: Conflict-of-interest statement: No conflict of interest., (©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.)