지방의료원 간호사의 환자중심간호에 미치는 영향요인
Factors Affecting Patient-centered Nursing in Regional Public Hospital
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연구목적: 본 연구의 목적은 지방의료원 간호사를 대상으로 의사소통능력, 간호전문직관, 간호조직문화, 팀워크가 환자중심간호에 미치는 영향을 파악하기 위함이다. 연구방법: 연구대상자는 G도 소재 지방의료원 5곳에서 근무하는 162명의 간호사들이며, 자료수집은 2019년 10월 7일부터 10월 19일까지 자가보고 설문지를 이용하여 수행되었다. 수집된 자료는 SPSS 통계프로그램(Version 24.0)의 기술통계, t-test 또는 ANOVA, Pearson’s correlation coefficient 및 hierarchical multiple regression analysis을 이용하여 분석하였다. 연구결과: 환자중심간호에 미치는 정적 영향요인은 혁신지향문화, 위계지향문화, 간호전문직관이었고, 부적 영향요인은 중환자실 근무로 나타났으며, 이 변수들이 환자중심간호에 대한 설명력은 43%였다. 결론: 지방의료원 간호사들의 환자중심간호 수행을 위해 간호사들의 환자중심간호의 중요성에 대한 인식을 향상시키고 혁신지향문화를 형성해가는 노력이 필요하다. 나아가, 지방의료원에 적합한 전문 교육과 관련 프로그램을 통해 간호전문직관을 향상시키기 위한 조직적인 노력이 필요하다.
Abstract
Purpose: This study examines the factors affecting patient-centered nursing among regional public hospital nurses, with a focus on communications, professionalism, organizational culture, and teamwork. Methods: We included 162 nurses working at five regional public hospitals in G province. Data were collected from October 7 through October 19, 2019 using self-report questionnaires. Data were analyzed using descriptive statistics, t-test or ANOVA, Pearson’s correlation coefficient, and hierarchical multiple regression analysis using SPSS (Version 24.0). Results: The factors affecting patient-centered nursing included an innovation-oriented culture, working in an intensive care unit, hierarchy-oriented culture, and nursing professionalism. These variables explained 43% of patient-centered nursing. Conclusions: These results suggest that enhancing an innovation-oriented culture is necessary for patient-centered nursing and to improve nurses’ awareness about the importance of patient-centered nursing. Moreover, organizational efforts are required to increase nurses’ professionalism through suitable educational programs in regional public hospitals.
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