요양보호사의 치매태도와 돌봄행위 간의 관계에서 공감역량의 매개효과
Relationship between Caregiver’s Dementia Attitude and Care Behavior: The Mediating Effect of Compassion Competence
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Purpose: This quasi-experimental study used a non-equivalent control group pretest-posttest design with clinical nurses to develop a compassion improvement program and verify its effects on compassion competence and empathic communication. Methods: The Triandis Interpersonal Behavior model (Triandis, 1980) was used as a theoretical framework, and a compassion improvement program was developed based on the ADDIE model. The experimental treatment in the program was conducted for 120 minutes per session, once a week, for a total of six sessions. The data collection and research period ranged from September 7 to November 16. It involved a pre-survey of measured variables, six sessions of experimental treatment, a post-survey, and a follow-up survey in sequence. The collected data were analyzed using the statistical program SPSS/WIN 25.0 and then based on a t-test and repeated measures ANOVA to verify the effectiveness of the program. Results: Clinical nurses participating in the compassion improvement program showed improved compassion competence (F=8.00, p=.001) due to the cultivation of insight, sensitivity, and communication skills. In addition, the improvement in attentive listening (F=3.32, p=.024) indicated that the program was partially effective in empathic communication. Conclusion: The compassion improvement program for clinical nurses, which was developed in this study, is expected to be useful in nursing practice. In other words, the compassion improvement program may contribute to creating a positive atmosphere in the workplace for nurses and an empathic relationship between nurses and healthcare recipients through improvement in the compassion competence of nurses. If the compassion improvement program is continuously implemented as a facilitating condition, it will greatly help prevent the turnover of clinical nurses, assist them in adapting to hospital life, and enhance the quality of nursing care.
Abstract
Purpose: This quasi-experimental study used a non-equivalent control group pretest-posttest design with clinical nurses to develop a compassion improvement program and verify its effects on compassion competence and empathic communication. Methods: The Triandis Interpersonal Behavior model (Triandis, 1980) was used as a theoretical framework, and a compassion improvement program was developed based on the ADDIE model. The experimental treatment in the program was conducted for 120 minutes per session, once a week, for a total of six sessions. The data collection and research period ranged from September 7 to November 16. It involved a pre-survey of measured variables, six sessions of experimental treatment, a post-survey, and a follow-up survey in sequence. The collected data were analyzed using the statistical program SPSS/WIN 25.0 and then based on a t-test and repeated measures ANOVA to verify the effectiveness of the program. Results: Clinical nurses participating in the compassion improvement program showed improved compassion competence (F=8.00, p=.001) due to the cultivation of insight, sensitivity, and communication skills. In addition, the improvement in attentive listening (F=3.32, p=.024) indicated that the program was partially effective in empathic communication. Conclusion: The compassion improvement program for clinical nurses, which was developed in this study, is expected to be useful in nursing practice. In other words, the compassion improvement program may contribute to creating a positive atmosphere in the workplace for nurses and an empathic relationship between nurses and healthcare recipients through improvement in the compassion competence of nurses. If the compassion improvement program is continuously implemented as a facilitating condition, it will greatly help prevent the turnover of clinical nurses, assist them in adapting to hospital life, and enhance the quality of nursing care.
참고문헌 (29)
- Ahn, Y. M., "Effects of compassion competence, professional self-concept, and nursing practice environment on caring behaviors of clinical nurses in a tertiary hospital", The Korean Journal of Health Service Management, 12(4), pp.17~30 (2018)[DOI]
- Baron, R. M., "The moderator-mediator variable distinction in social psychological research : Conceptual, strategic, and statistical considerations", Journal of Personality and Social Psychology, 51(6), pp.1173~1182 (1986)[DOI]
- Eo, H. K., "Impacts of burden from behavioral psychological symptoms of dementia, dementia attitude, and emotional labor on caring behavior of nurses in long-term care hospital", Journal of Muscle and Joint Health, 28(2), pp.111~120 (2021)[DOI]
- Ha, E. H., "Subjective perception of long-term care facilities in home-dwelling older adults : A Q methodological study", Korean Journal of Adult Nursing, 33(3), pp.269~282 (2021)[DOI]
- Han, E. J., "Comparison of utilized resource volumes by grade of seniors in long-term care facilities", Journal of Korean Gerontological Nursing, 24(1), pp.96~107 (2022)[DOI]
- Hayes, A. F., "Introduction to mediation, moderation, and conditional process analysis: A regression-based approach", pp.167~180 (2018), The Guilford Press
- Hong, M. H., "Relationship of communication competence with caring behavior in clinical nurses : The mediating effect of compassion competence", Journal of Korean Academy of Fundamentals of Nursing, 28(4), pp.411~420 (2021)[DOI]
- Hwang, S. Y., "A study on the levels of dementia-related knowledge, attitude, and practice among nursing assistants caring for institutionalized elders with dementia", Journal of Korean Academy of Adult Nursing, 11(3), pp.378~388 (1999)
- Jo, S. H., "A convergence study on the knowledge and attitudes of dementia partner nursing students on dementia", Journal of the Korea Convergence Society, 9(7), pp.317~323 (2018)[DOI]
- Kim, H. H., "The effect of geriatric care helper's knowledge of dementia on job stress, self-efficiency and care fulfillment", doctor, pp.2014
- Kim, J. S., "The positive contribution of spirit", Korean Psychological Journal of Culture and Social Issues, 15(1), pp.207~226 (2009)
- Kim, J. Y., "Factors influencing care behavior of certified care assistants for older adults with dementia", Journal of Korean Gerontological Nursing, 20(3), pp.185~192 (2018)[DOI]
- Kim, S. Y., "Elderly Koreans' perception of nursing homes", Journal of Korean Academy Community Health Nursing, 27(3), pp.242~253 (2016)[DOI]
- "Future elderly population trend" (2023)[URL]
- La Monica, E. L., "Construct validity of an empathy instrument", Research in Nursing & Health, 4(4), pp.389~400 (1981)[DOI]
- Lee, M. H., "Nursing students' attitudes to dementia and empathy as predictors of pain assessment in patients with dementia : A mediation model", Journal of Korean Gerontological Nursing, 1(21), pp.41~49 (2019)[DOI]
- Lee, M. H., "Geriatric hospital nurses' empathy, attitude and pain management for patients with dementia", Journal of Korean Academy of Adult Nursing, 28(4), pp.388~398 (2016)[DOI]
- Lee, M. K., "Relationship between resource utilization and long-term care classification level for residents in nursing homes", Journal of Korean Academy Nursing, 40(6), pp.903~912 (2010)[DOI]
- Lee, Y. J., "Development and validation of an instrument to measure nurses' compassion competence", Applied Nursing Research, 30, pp.76~82 (2016)[DOI]
- Lee, Y. S., "The influence of dementia attitude, empathy, and burden related to behavioral and psychological symptoms in dementia patients on job satisfaction of long-term care hospital nurses", Journal of Korean Gerontological Nursing, 22(3), pp.205~215 (2020)[DOI]
- McAuliffe, L, Brown, D., "Pain and dementia : an overview of the literature", International Journal of Older People Nursing, 7(3), pp.219~226 (2012)[DOI]
- McKhann, G. M., "The diagnosis of dementia due to Alzheimer's disease : Recommendations from the national institute on aging alzheimer's association workgroups on diagnostic guidelines for Alzheimer's disease", Alzheimer's & Dementia : The Journal of the Alzheimer's Association, 7(3), pp.263~269 (2011)[DOI]
- "Korean dementia observatory 2022" (2023)[URL]
- O'Connor, M. L., "Development and psychometric validation of the dementia attitudes scale", International Journal of Alzheimer's Disease, 2010, pp.1~10 (2010)[DOI]
- Oh, E. J., "Career choice and labor market transition of the married women by level of education", Journal of Vocational Education & Training, 12(1), pp.141~162 (2009)[DOI]
- Oh, Y. J., "Relationship between caring burden and caring behavior among family caregivers of elderly with dementia in community-dwelling : mediating effects of caring self-fficacy and social support", Journal of Korean Academy of Adult Nursing, 32(2), pp.186~198 (2020)[DOI]
- Park, A. Y., "A study of knowledge about dementia, empathy and attitudes toward dementia in caregivers of older adults with dementia", Journal of Digital Convergence, 16(1), pp.389~397 (2018)[DOI]
- Seong, J. A., "The influence of attitude toward the elderly, empathy and job stress on quality of service among caregivers in long-term care facilities", The Journal of the Korea Contents Association, 21(11), pp.646~656 (2021)[DOI]
- Yun, S. W., "Impact of dementia knowledge, burden from behavioral psychological symptoms of dementia and empathy in the caring behavior of certified caregivers in nursing homes", Journal of Korean Gerontological Nursing, 17(3), pp.131~141 (2015)[DOI]
