의도적 간호순회 인식과 배경요인이 이행에 미치는 영향
Performance, Perception, and Influencing Contexts of Intentional Rounding
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목적: 본 연구는 의도적 간호순회에 대한 간호사의 이행, 인식과 배경요인을 파악하고, 의도적 간호순회 이행에 미치는 영향요인을 규명하고자 한다. 방법: 일개 상급 종합병원에서 의도적 간호순회 수행 중인 입원 병동의 근무 경력이 6개월 이상인 498명의 간호사로부터 설문 자료가 수집되었다. 결과: 의도적 간호순회 이행은 5점 만점에 평균 3.81점(±0.68), 의도적 간호순회 인식은 평균 3.46점(±0.42)점, 그리고 의도적 간호순회 배경요인은 평균 3.79점(±0.51)으로 나타났다. 의도적 간호순회 이행(F=20.51, p<.001)과 의도적 간호순회 인식(F=4.96, p=.001)은 근무부서에 따라 통계적으로 유의한 차이가 있었다. 의도적 간호순회 배경요인은 연령(F=6.02, p=.003)과 총 임상경력(F=3.36, p=.010)에 따라 통계적으로 유의한 차이가 있었다. 대상자의 의도적 간호순회 이행과 인식(r=.42, p<.001), 의도적 간호순회 이행과 배경요인(r=.46, p<.001), 의도적 간호순회 인식과 배경요인(r=.58, p<.001)은 통계적으로 유의한 양의 상관관계가 있는 것으로 나타났다. 근무부서(F=10.45, p<.001), 의도적 간호순회 인식의 하위요인 중 환자 이익(F=-2.46, p=.014)과 간호사 이익(F=4.34, p<.001), 개인(F=7.77, p<.001) 및 부서(F=2.99, p=.003) 특성 관련 배경요인이 의도적 간호순회 이행에 유의하게 영향을 미치는 요인들로 선택되었다. 결론: 의도적 간호순회의 이익에 대한 인식을 향상시키기 위해 리더 역할로서 간호사의 교육과 참여를 지원할 필요가 있다. 또한 부서별 특성에 따라 의도적 간호순회 프로토콜을 적용하고 평가할 필요가 있다.
Abstract
Purpose: This descriptive study aimed to explore the performance, nurses' perception, and influencing contexts of intentional rounding (IR), and to identify the factors influencing the performance of IR. Methods: 498 questionnaire responses were collected from clinical nurses with more than six months of work experiences in general wards performing IR in a general hospital. Results: The mean scores of the performance, nurses' perception, and influencing contexts of IR were 3.81(±0.68), 3.46(±0.42), and 3.79(±0.51) out of 5.00, respectively. There were significant differences in performance (F=20.51, p<.001) and nurses' perception (F=4.96, p=.001) based on the work department. There were significant differences in the influencing contexts based on age (F=6.02, p=.003) and the length of clinical experience in the ward (F=3.36, p=.010). Performance and nurses’ perception(r=.42, p<.001), performance and influencing contexts (r=.46, p<.001), and nurses' perception and influencing contexts (r=.58, p<.001) showed a statistically positive correlation. Work unit (F=10.45, p<.001), nurses' perception of the benefits to patients (F=-2.46, p=.014) and to nurses (F=4.34, p<.001), and influencing contexts at the individual (F=7.77, p<.001) and department levels (F=2.99, p=.003) were found to be significant factors on the performance of IR. Conclusion: It is necessary to support the education programs and active participation of nurses in their role as leaders to raise their awareness regarding the benefits of IR. Furthermore, there is a need to adapt the IR protocol according to the unique characteristics of each unit and evaluate the effectiveness.
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