장기요양시설 요양보호사의 인간중심돌봄 영향요인
Associated with person centered care among care workers at long term care facilities
1
조회
0
다운로드
16
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to identify the factors related to person-centered care among care workers at long-term care facilities. Methods: The participants were 123 care workers employed at 10 nursing homes. Data were collected from April 23 to May 6, 2020 using questionnaires for person-centered care, organizational culture, empathy, and communication competence. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation and multiple regression. Results: The average age of participants was 60.10 years old, 98.4% were female, and the average working experience was 55.17 months. The factors influencing person-centered care were innovation-oriented culture (β=.29, p=.003) and empathy (β=.24, p=.008). The explanatory power was 41.0% (Adj R2=.41, F=13.05, p<.001). Conclusion: Based on the results of this study, it is necessary to manage the innovation-oriented culture by helping care workers adapt and encourage motivation. In addition, it is necessary to develop and implement educational programs to improve care workers’ empathy.
Abstract
Purpose: The purpose of this study was to identify the factors related to person-centered care among care workers at long-term care facilities. Methods: The participants were 123 care workers employed at 10 nursing homes. Data were collected from April 23 to May 6, 2020 using questionnaires for person-centered care, organizational culture, empathy, and communication competence. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation and multiple regression. Results: The average age of participants was 60.10 years old, 98.4% were female, and the average working experience was 55.17 months. The factors influencing person-centered care were innovation-oriented culture (β=.29, p=.003) and empathy (β=.24, p=.008). The explanatory power was 41.0% (Adj R2=.41, F=13.05, p<.001). Conclusion: Based on the results of this study, it is necessary to manage the innovation-oriented culture by helping care workers adapt and encourage motivation. In addition, it is necessary to develop and implement educational programs to improve care workers’ empathy.
참고문헌 (30)
- "Estimation of future population: 2017~2067years" (2019)[URL]
- 권종숙, "요양시설 거주 노인의 에너지와 영양소 섭취 실태 및 식품선호도 조사", 대한지역사회영양학회지, 21(2), pp.200~217 (2016), 대한지역사회영양학회
- "Long term care insurance statistical yearbook 2019" (2019)[URL]
- 윤주영, "노인요양시설의 인간 중심 케어(Person-centered care)에 대한 연구", 한국노년학, 32(3), pp.729~745 (2012), 한국노년학회
- 최재성, "노인요양시설의 문화변화 패러다임에 대한 탐색적 연구", 노인복지연구, (54), pp.61~84 (2011), 한국노인복지학회[DOI]
- Flesner MK, "Person-centered care and organizational culture in long-term care", Journal of Nursing Care Quality, 24(4), pp.273~276 (2009)[DOI]
- Mead N, "Patient-centredness : a conceptual framework and review of the empirical literature", Social Science &Medicine, 51(7), pp.1087~1110 (2000)[DOI]
- McCormack BG, "Person-centred nursing: theory, models and methods", pp.208~ (2010), Wiley-Blackwell
- 정현, "상급종합병원 간호사의 환자중심간호 예측모형", Journal of Korean Academy of Nursing, 49(2), pp.191~202 (2019), 한국간호과학회[DOI]
- Roen I, "Person-centered care in Norwegian nursing homes and its relation to organizational factors and staff characteristics : acrosssectional survey", International Psychogeriatrics, 30(9), pp.1279~1290 (2018)[DOI]
- Slater P, "Exploring person-centred practice within acute hospital settings", International Practice Development Journal, 5(Suppl 9), pp.1~8 (2015)[DOI]
- Kim S, "A study on the factors associated with nursing home staff's person centered care", Health & Nursing, 29(2), pp.59~71 (2017)
- 이수미, "장기요양시설 요양보호사의 치매노인과의 감정표현을 중점으로 한 의사소통 경험", 정신간호학회지, 27(3), pp.264~273 (2018), 한국정신간호학회[DOI]
- Han SJ, "A study on the relationship between nursing organizational culture and organizational performance", Journal of Korean Academy of Nursing Administration, 8(3), pp.441~456 (2002)
- 박상희, "노인이 인지한 장기요양서비스 질에 조직특성이 미치는 영향: 시설특성과 집단문화를 중심으로", 한국사회정책, 26(1), pp.116~138 (2019), 한국사회정책학회[DOI]
- 사공혜, "요양병원 간호사의 인간중심돌봄과 간호서비스 질", 지역사회간호학회지, 27(4), pp.309~318 (2016), 한국지역사회간호학회[DOI]
- Panyavin I, "Examining the influence of family dynamics on quality of care by informal caregivers of patients with Alzheimer's dementia in Argentina", American Journal of Alzheimer's Disease and Other Dementias, 30(6), pp.613~621 (2015)[DOI]
- 허경호, "포괄적 대인 의사소통 능력 척도개발 및 타당성 검증", 한국언론학보, 47(6), pp.380~408 (2003), 한국언론학회
- Choi JS, "Psychometric properties of a Korean measure of person-directed care in nursing homes", Research on Social Work Practice, 24(6), pp.676~684 (2013)[DOI]
- White DL, "Development and initial testing of a measure of person-directed care", The Gerontologist, 48(1), pp.114~123 (2008)[DOI]
- Monica ELL, "Construct validity of an empathy instrument", Research in Nursing & Health, 4(4), pp.389~400 (1981)[DOI]
- Park ES, "A study on the empathy of pediatric nurses", Child Health Nursing Research, 3(2), pp.142~153 (1997)
- 이현숙, "병원 간호사의 의사소통 능력, 의사소통 유형, 조직몰입간의 관계", 간호행정학회지, 16(4), pp.488~496 (2010), 간호행정학회
- Park SY, "The impact of self-efficacy and outcome expectations for function-focused care on person-centered care for nursing home nurses", master, pp.2020
- Mueller C, "Nurse competencies for person-directed care in nursing homes", Geriatric Nursing, 34(2), pp.101~104 (2013)[DOI]
- 김화선, "노인복지실무자의 인권의식과 인권개입 연구", 인문사회 21, 9(2), pp.93~104 (2018), 인문사회 21[DOI]
- Edvarsson D, "Patient experiences of caring and person-centeredness are associated perceived nursing care quality", Journal of Advanced Nursing, 73(1), pp.217~227 (2017)[DOI]
- 진영란, "노인요양시설의 조직문화 유형과 조직몰입도 관련요인", 한국콘텐츠학회 논문지, 15(11), pp.192~201 (2015), 한국콘텐츠학회[DOI]
- Jakimowicz S, "A concept analysis of patient-centred nursing in the intensive care unit", Journal of Advanced Nursing, 71(7), pp.1499~1517 (2015)[DOI]
- 최희경, "노인요양시설의 돌봄 서비스에 대한 가족과 요양보호사의 인식 및 기대 비교 연구", 가족과 문화, 22(4), pp.1~31 (2010), 한국가족학회[DOI]