응급실 간호사의 자살시도자에 대한 낙인 인식이 인간중심간호 수행에 미치는 영향

Abstract

Purpose: This study aimed to examine the influence of emergency department (ED) nurses’ stigma toward individuals who attempted suicide on their person-centered care performance. Methods: A cross-sectional descriptive study included 175 ED nurses from general hospitals. Data were collected using structured questionnaires measuring suicide-related stigma and person-centered care. Statistical analyses included descriptive statistics, t-tests, ANOVA, Pearson’s correlation, and multiple regression. Results: The average stigma score was 2.42 (±0.66), with the highest subdomain being incompetence. The mean score for person-centered care was 4.03 (±0.45). A significant negative correlation was found between stigma and person- centered care (r=−.23, p=.002), particularly in the subdomains of immorality (r=−.27, p＜.001), incompetence (r=−.22, p=.004), and social exclusion (r=−.15, p=.045). Multiple regression analysis revealed that immorality (=−.26, p=.007) and the frequency of caring for suicide attempters significantly predicted person-centered care (F=4.81, p＜.001, Adjusted R =.17). Nurses who cared for suicide attempters once a week (=.31, p＜.001) or once a month (=.22, p=.006) reported significantly higher levels of person-centered care compared to those who did so almost daily. Conclusion: ED nurses' moral judgment toward suicide attempters negatively affects their ability to provide person-centered care. Furthermore, high exposure frequency may lead to emotional exhaustion. Education programs targeting stigma reduction and sustainable mental health nursing are essential for enhancing care quality in emergency settings