간호사의 전문직관, 정치참여가 대상자 옹호에 미치는 영향
Influence of Nursing Professional Value and Political Participation of Nurses on Patient Advocacy
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목적: 본 연구의 목적은 대상자 옹호이론을 기반으로 간호사의 대상자 옹호 정도를 파악하고 간호전문직관과 정치참여가 대상자 옹호에 미치는 영향을 파악하기 위함이다. 방법: 본 연구는 횡단적 서술연구 설계를 이용하였고 데이터는 서울시 2개 구 내에 위치한 1곳의 상급종합병원, 3곳의 종합병원, 1곳의 보건소 간호사 232명을 대상으로 자기보고식 설문지를 이용하여 시행되었다. 자료는 SPSS/WIN 21.0을 이용하여 t-test, One-way ANOVA, Pearson's correlation coefficient, 다중선형회귀분석으로 분석하였다. 결과: 대상자 옹호는 6점 만점에 4.64±0.55점, 간호전문직관은 5점 만점에 3.60±0.49점, 정치참여는 5점 만점에 2.21±0.71점이었다. 간호전문직관(r=.37, p<.001)과 정치참여(r=.23, p<.001)는 대상자 옹호와 유의한 양의 관계를 보였다. 대상자 옹호에 영향을 미치는 요인은 간호전문직관(β=.28, p<.001)과 정치참여(β=.15, p=.014)로 확인되었다. 결론: 간호전문직관과 정치참여가 대상자 옹호의 영향요인이라는 본 연구의 결과를 바탕으로, 대상자 옹호 향상을 위한 교육적 전략과 전문직 단체 차원의 노력을 권고한다.
Abstract
Purpose: This study aimed to identify the level of patient advocacy and to determine the influence of nursing professional value and political participation of nurses on patient advocacy theory. Methods: This study used a cross-sectional descriptive study design. Data were collected from 232 nurses from a tertiary hospital, three general hospitals, and a public health center in two districts of a metropolitan using self-reporting questionnaires. Data were analyzed by t-test, One-way ANOVA, Pearson’s correlation coefficient, and multiple linear regression using SPSS/ WIN 21.0. Results: The mean score of patient advocacy was 4.64±0.55 out of 6, nursing professional value was 3.60±0.49 out of 5, and political participation was 2.21±0.71 out of 5. Nursing professional value (r=.37, p<.001) and political participation (r=.23, p<.001) showed a significant positive relationship with patient advocacy. Factors influencing patient advocacy were identified as nursing professional value (β=.28, p<.001) and political participation (β=.15, p=.014). Conclusion: Based on the findings that nursing professional value and political participation are key factors of patient advocacy, educational strategies and endeavors as level of professional organization are recommended for enhancing patient advocacy.
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