노인요양시설 간호사 및 간호보조 인력의 인간중심케어 영향 요인
Factors Influencing Patient-Centered Care by Nursing Staff in Nursing Homes
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Purpose: The purpose of this study was to determine individual and organizational factors that influence patient- centered care. Methods: Data were collected through convenience sampling and hierarchical linear modeling (HLM) 7.0 was conducted to analyze the effects of individual and organizational factors for patient-centered care. Results: One hundred and thirty five participants were included, of which 42.2% were registered nurses (RNs), 20.0% certified nursing assistants, and 37.8% care workers. Among the 14 nursing homes assessed, the average proportion of registered nurses was 7.6%. Patient-centered care was explained by a power of 2.4% at the individual level and was significantly associated with religion of nursing staff. The explanatory variables were not significant at the organizational level. Conclusion: While previous studies have highlighted the association established between patient-centered care and both individual and organizational characteristics, the same degree of association was not found in the present study primarily due to convenience sampling. Possible avenues for improvement include further consideration of the differences between individual and organizational variables and the addition of more explanatory variables to measure their impact on patient-centered care. Nonetheless the present study provides informative perspectives on the perception of nursing staff regarding elder abuse and human rights sensitivity of nursing staff.
Abstract
Purpose: The purpose of this study was to determine individual and organizational factors that influence patient- centered care. Methods: Data were collected through convenience sampling and hierarchical linear modeling (HLM) 7.0 was conducted to analyze the effects of individual and organizational factors for patient-centered care. Results: One hundred and thirty five participants were included, of which 42.2% were registered nurses (RNs), 20.0% certified nursing assistants, and 37.8% care workers. Among the 14 nursing homes assessed, the average proportion of registered nurses was 7.6%. Patient-centered care was explained by a power of 2.4% at the individual level and was significantly associated with religion of nursing staff. The explanatory variables were not significant at the organizational level. Conclusion: While previous studies have highlighted the association established between patient-centered care and both individual and organizational characteristics, the same degree of association was not found in the present study primarily due to convenience sampling. Possible avenues for improvement include further consideration of the differences between individual and organizational variables and the addition of more explanatory variables to measure their impact on patient-centered care. Nonetheless the present study provides informative perspectives on the perception of nursing staff regarding elder abuse and human rights sensitivity of nursing staff.
참고문헌 (30)
- "Long-term care insurance statistics yearbook 2018" (2019)[URL]
- 배진희, "노인요양 시설내 학대경험이 이용 노인의 삶의 만족도에 미치는 영향", 한국콘텐츠학회 논문지, 17(6), pp.591~599 (2017), 한국콘텐츠학회[DOI]
- 김화선, "노인복지시설 종사자의 노인인권인식과 전문성이 사회복지실천유형에 미치는 영향", 인문사회 21, 9(4), pp.153~164 (2018), 인문사회 21[DOI]
- Edvardsson D, "Notes on person-centred care: what it is and what it is not", Nordic Journal of Nursing Research, 35(2), pp.65~66 (2015)[DOI]
- 사공혜, "요양병원 간호사의 인간중심돌봄과 간호서비스 질", 지역사회간호학회지, 27(4), pp.309~318 (2016), 한국지역사회간호학회[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)[DOI]
- Miller SC, "Does the introduction of nursing home culture change practices improve quality?", Journal of the American Geriatrics Society, 62(9), pp.1675~1682 (2014)[DOI]
- Anderson K, "How do staff influence the quality of long-term dementia care and the lives of residents? a systematic review of the evidence", International Psychogeriatrics, 28(8), pp.1263~1281 (2016)[DOI]
- Yasuda M, "Care staff training based on personcentered care and dementia care mapping, and its effects on the quality of life of nursing home residents with dementia", Aging and Mental Health, 21(9), pp.991~996 (2017)[DOI]
- Hunter PV, "The influence of individual and organizational factors on person-centred dementia care", Aging and Mental Health, 20(7), pp.700~708 (2016)[DOI]
- Roen I, "Person-centered care in Norwegian nursing homes and its relation to organizational factors and staff characteristics: a cross-sectional survey", International Psychogeriatrics, 30(9), pp.1279~1290 (2018)[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)
- "Human rights survey evaluation manual of elderly 2016" (2016)[URL]
- "Elder abuse report 2018" (2019)[URL]
- "Developing indicators of psychological scale for human rights sensitivity" (2003)[URL]
- 유정진, "위계적 선형모형의 이해와 활용", 아동학회지, 27(3), pp.169~187 (2006), 한국아동학회
- Kreft IG, "Introducing multilevel modeling" (1998), Sage
- 안민권, "남자간호사의 직무만족, 조직몰입 및 이직의도", 간호행정학회지, 21(2), pp.203~211 (2015), 간호행정학회[DOI]
- Moon A, "Perceptions of elder abuse and help-seeking patterns among African-American, Caucasian American, and Korean-American elderly women", The Gerontologist, 33(3), pp.386~395 (1993)[DOI]
- 방희명, "노인학대 인식수준에 영향을 미치는 요인에 관한 연구: 노인학대 신고의무자를 중심으로", 한국정책과학학회보, 13(1), pp.211~234 (2009), 한국정책과학학회
- White D, "Development and initial testing of a measure of person-directed care", The Gerontologist, 48(suppl_1), pp.114~123 (2008)[DOI]
- 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 (2014)[DOI]
- Lee HY, "Advanced statistical analysis theory", pp.435~444 (2013), Moonwoosa
- 황주연, "간호대학생의 인권감수성과 환자권리에 대한 인식", 한국간호교육학회지, 21(4), pp.455~465 (2015), 한국간호교육학회[DOI]
- 최재성, "노인요양시설의 문화변화 패러다임에 대한 탐색적 연구", 노인복지연구, (54), pp.61~84 (2011), 한국노인복지학회[DOI]
- 윤주영, "노인요양시설의 인간 중심 케어(Person-centered care)에 대한 연구", 한국노년학, 32(3), pp.729~745 (2012), 한국노년학회
- 유장학, "간호대학생의 대인관계, 대처 및 임상실습만족도가 전문직 자아개념에 미치는 영향", 한국산학기술학회논문지, 20(3), pp.553~561 (2019), 한국산학기술학회[DOI]
- 이금재, "노인요양병원 간호사의 영성과 임종간호태도", 디지털융복합연구, 13(12), pp.347~357 (2015), 한국디지털정책학회[DOI]
- Ray C, "Religion and spirituality as a cultural asset in medical students", Journal of Religion and Health, 57(3), pp.1062~1073 (2018)[DOI]
- Vincensi BB, "Interconnections : spirituality, spiritual care, and patient-centered care", Asia-Pacific Journal of Oncology Nursing, 6(2), pp.104~110 (2019)[DOI]