중환자실 간호사의 환자중심간호에 대한 인식
Intensive Care Unit Nurses’ Perception of Patient Centered Nursing
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본 연구는 Q방법론을 적용하여 중환자실 간호사의 환자중심간호에 대한 인식 유형과 각 유형별 특성을 파악함으로써, 추후 중환자실 간호사 교육 및 간호 질 향상에 기여하고자 시도되었다. 심층면접을 통해 도출된 34개의 Q 표본을 구성하고, 편의추출된 총 32명의 중환자실 간호사를 대상으로 Q 분류를 실시하였다. PQ-method 프로그램을 활용하여 주성분 분석방법(PCA)와 배리맥스회전과정을 거친 분석을 통해 가장 설명력이 높은 3개의 요인이 최종적으로 도출되었다. 분석 결과, 유형 1 ‘포괄적 이해 기반 환자공감 추구형’, 유형 2 ‘간호사 역량 기반 환자회복 지향형’, 유형 3 ‘개별화된 간호 기반 환자행복 추구형’으로 각각 명명되었다. 본 연구결과를 바탕으로 중환자실 간호사의 환자중심간호 맞춤형 교육프로그램 개발이 필요하다. 또한 교육프로그램의 효과에 대해 간호사와 환자측면에서 검증함으로서 지속적인 연구가 이루어져야 할 것이다.
Abstract
This study was attempted to contribute to improving the quality of nursing care and education of nurses in the intensive care unit by applying the Q-methodology to identify the types of perceptions and characteristics of patient-centered nursing of intensive care unit nurses. In this study, 34 Q samples derived from in-depth interviews were constructed and Q sorting was performed on a total of 32 ICU nurses. The three factors with the highest explanatory power were finally derived through principal components factor analysis (PCA) and varimax rotation analysis using the PQ-method program. As a result of the analysis, Type 1 was named ‘Comprehensive understanding-based patient empathy pursuit’, Type 2 ‘Patient recovery-oriented based on nurses’ competency’, and Type 3 ‘Individualized nursing-based patient happiness pursuit’, respectively. Based on the results of this study, it is necessary to develop customized education program for patient centered-nursing for intensive care unit nurses. In addition, further study should be conducted to verify the effectiveness of the education program from the perspectives of nurses and patients.
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