요양병원 간호사의 도덕적 민감성과 간호근무환경이 인간중심돌봄에 미치는 영향
Influence of Moral Sensitivity and Nursing Practice Environment in Person-centered Care in Long-term Care Hospital Nurses
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Purpose: The aim of this study was to examine effects of moral sensitivity and nursing practice environment on person-centered care by nurses in long-term care hospitals. Methods: Participants in this study were 118 nurses, with a least 4 months experience working in a long-term care hospital in Daegu City or North Gyeongsang Province. Data were collected from March 17 to 28, 2017 using questionnaires about general characteristics, the Korean Version Person-centered Care Assessment Tool, the Korean Moral Sensitivity Questionnaire, and the Korean Version of the Practice Environment Scale of Nursing Work Index. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation and hierarchial multiple regression analysis with the IBM SPSS statistics 19.0 Program. Results: Person-centered care showed significantly positive correlations with moral sensitivity (r=.21, p=.024) and nursing practice environment (r=.62, p<.001). In the hierarchial regression analysis, moral sensitivity explained 4%(F=5.24, p=.024) of the variance in person-centered care and nursing practice environment accounted for 38% (F=35.15, p<.001) of the variance in person-centered care. Conclusion: Findings indicate that improvements in person-centered care should be developed to provide a good nursing practice environment in long-term care hospitals.
Abstract
Purpose: The aim of this study was to examine effects of moral sensitivity and nursing practice environment on person-centered care by nurses in long-term care hospitals. Methods: Participants in this study were 118 nurses, with a least 4 months experience working in a long-term care hospital in Daegu City or North Gyeongsang Province. Data were collected from March 17 to 28, 2017 using questionnaires about general characteristics, the Korean Version Person-centered Care Assessment Tool, the Korean Moral Sensitivity Questionnaire, and the Korean Version of the Practice Environment Scale of Nursing Work Index. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation and hierarchial multiple regression analysis with the IBM SPSS statistics 19.0 Program. Results: Person-centered care showed significantly positive correlations with moral sensitivity (r=.21, p=.024) and nursing practice environment (r=.62, p<.001). In the hierarchial regression analysis, moral sensitivity explained 4%(F=5.24, p=.024) of the variance in person-centered care and nursing practice environment accounted for 38% (F=35.15, p<.001) of the variance in person-centered care. Conclusion: Findings indicate that improvements in person-centered care should be developed to provide a good nursing practice environment in long-term care hospitals.
참고문헌 (29)
- "Population projections for Korea" (2017)[URL]
- "2017 medical expenses statistics indicators" (2018)[URL]
- A survey on elderly human rights of geriatric hospitals, "Kwon KJ", National Human Rights Commission of Korea, ~, pp.Report No. 11-1620000-000571-01 (2014)
- Morgan S, "A concept analysis of person-centered care", Journal of Holistic Nursing, 30(1), pp.6~15 (2012)[DOI]
- Edvardsson D, "Notes on person-centred care: what it is and what it is not", Nordic Journal of Nursing Research, 35(2), pp.65~6 (2015)[DOI]
- McCance T, "An exploration of person-centredness in practice", The Online Journal of Issues in Nursing, 16(2), pp.1~ (2011)
- Hansson E, "Can a person-centred-care intervention improve health-related quality of life in patients with head and neck cancer? a randomized, controlled study", BMC Nursing, 18, pp.1~12 (2017)
- Edvardsson D, "Job satisfaction amongst aged care staff: exploring the influence of person-centered care provision", International Psychogeriatrics, 23(8), pp.1205~1212 (2011)[DOI]
- Brownie S, "Effects of person-centered care on residents and staff in aged-care facilities: a systematic review", Clinical Interventions in Aging, 8, pp.1~10 (2013)
- 한성숙, "간호대학생과 간호사의 도덕적 민감도 비교", 한국의료윤리학회지, 10(2), pp.117~124 (2007), 한국의료윤리학회[DOI]
- 장혜영, "요양병원 간호사의 도덕적 민감성, 노인에 대한 태도 및 노인간호실천", 한국의료윤리학회지, 16(2), pp.216~230 (2013), 한국의료윤리학회[DOI]
- 조행난, "간호사의 도덕적 고뇌 정도에 대한 이직의도의 차이", 한국콘텐츠학회 논문지, 15(5), pp.403~413 (2015), 한국콘텐츠학회[DOI]
- Kang J-H, "Nurse-perceived adverse patient outcomes and nurse-assessed quality of nursing care correlated to nurse practice environment", pp.2013
- Copanitsanou P, "Effects of work environment on patient and nurse outcomes", British Journal of Nursing, 26(3), pp.172~176 (2017)[DOI]
- 사공혜, "요양병원 간호사의 인간중심돌봄과 간호서비스 질", 지역사회간호학회지, 27(4), pp.309~318 (2016), 한국지역사회간호학회[DOI]
- 손인순, "신규간호사의 조직사회화 측정도구 개발", 임상간호연구, 14(1), pp.85~97 (2008), 병원간호사회
- Lutzen K, "Developing the concept of moral sensitivity in health care practice", Nursing Ethics, 13(2), pp.187~196 (2006)[DOI]
- Han SS, "Validation of a Korean version of the moral sensitivity questionnaire", Nursing Ethics, 17(1), pp.99~105 (2010)[DOI]
- Lake ET, "Development of the Practice Environment Scale of the nursing work index", Research in Nursing & Health, 25(3), pp.176~188 (2002)[DOI]
- 조은희, "한국어판 간호근무환경 측정도구의 타당도와 신뢰도", Journal of Korean Academy of Nursing, 41(3), pp.325~332 (2011), 한국간호과학회
- Edvardsson D, "Development and initial testing of the Person-centered Care Assessment Tool (PCAT)", International Psychogeriatrics, 22(1), pp.101~108 (2010)[DOI]
- 탁영란, "노인장기요양시설 종사자를 대상으로 한 인간중심돌봄 사정도구의 타당도 및 신뢰도 검증", Journal of Korean Academy of Nursing, 45(3), pp.412~419 (2015), 한국간호과학회
- 홍소형, "간호사의 도덕적 민감성과 노인간호실천과의 관계", 생명윤리, 17(1), pp.75~88 (2016), 한국생명윤리학회
- 황윤선, "수도권 200병상 이상 노인요양병원 간호사의 이직의도에 영향을 미치는 요인", 한국직업건강간호학회지, 25(3), pp.156~167 (2016), 한국직업건강간호학회[DOI]
- 한미영, "임상간호사의 간호근무환경, 공감피로 및 공감만족이 소진에 미치는 영향", 간호행정학회지, 21(2), pp.193~202 (2015), 간호행정학회[DOI]
- "The information of hospital evaluations" (2017)[URL]
- "A booklet of accreditation survey criteria (Ver 2.0)" (2017)[URL]
- Choi YR, "Influencing factors on the person-centered care of emergency room (ER) nurses", master's, pp.2015
- Kim S, "A study on the factors associated with nursing home staff's person centered care", master's, pp.2016