가정∙방문간호학회지 (Journal of Home Health Care Nursing)

한국가정∙방문간호학회 (Korean Academic Society of Home Health Care Nursing)
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가정전문간호사의 자아존중감, 영적안녕이 영적간호수행에 미치는 영향

Influence of Home Health Care Nurses' Self-esteem and Spiritual Well-being on their Spiritual Care

  • 김채원 (가톨릭대학교 여의도성모병원) ;
  • 박미현 (가톨릭대학교 간호대학)
  • Kim, Chaewon (The Catholic University of Korea, Yeouido ST. Mary's Hospital) ;
  • Park, Mihyun (College of Nursing, The Catholic University of Korea)
  • 투고 : 2021.10.10
  • 심사 : 2021.11.11
  • 발행 : 2021.12.31
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초록

Purpose: This study investigated the degree of, and factors influencing the spiritual care among home healthcare nurses. Methods: The subjects were 168 advanced practice nurses working in 94 hospital-based facilities for home health care located in Seoul, Gyeonggi-do, and Incheon Metropolitan City. Data were collected from January 14, 2019, to March 7, 2019, using structured questionnaires on spiritual care and related variables based on the literature. Data were analyzed by t-test, one-way ANOVA, Pearson correlation, and multiple regression analysis (stepwise) using SPSS Version 23.0 program. Results: The results showed that the degree of spiritual care of home health care nurses was 3.44 points out of a possible 5 points. Factors affecting nurses' spiritual care were spiritual well-being(𝛽=.36, p<.001), recognition of spiritual care as the nature of nursing(𝛽=.17, p=.016) and role of nurses(𝛽=.22 p=.002), regular-based education for spiritual care(𝛽=.23, p<.001), patients' discomfort with spiritual discussion(𝛽=-.18, p=.001), and nurses' experience in home health care area(𝛽=.14, p=.010), which explained 57.2% of the observed variation in spiritual care. Conclusion: This study suggests the need to develop regular-based education programs for facilitating spiritual care and strengthening home health care nurses' spiritual well-being and their positive perceptions toward spiritual care.

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참고문헌

  1. Ministry of Health and Welfare. Self-promotion guidebook for integrated care for local communities [Internet]. Seoul: Ministry of Health and Welfare; 2020 [cited 2020 July 28]. Available from: http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=356310
  2. Rules on certification for advanced practice nurses [Internet]. Seoul: Ministry of Government Legislation; 2021 [cited 2021 June 27]. Available from: https://law.go.kr/%EB%B2%95%EB%A0%B9/%EC%9D%98%EB%A3%8C%EB%B2%95%EC%8B%9C%ED%96%89%EA%B7%9C%EC%B9%99/%EC%A0%9C24%EC%A1%B0
  3. van den Bulck AOE, Metzelthin SF, Elissen AMJ, Stadlander MC, Stam JE, Gia Wallinga G, et al. Which client characteristics predict home-care needs? results of a survey study among Dutch home-care nurses. Health & Social Care in the Community 2019;27(1):93-104. https://doi.org/10.1111/hsc.12611
  4. Ruder S. Spirituality in nursing: nurses' perceptions about providing spiritual care. Home Healthcare Nurse. 2013; 31(7):356-367. https://doi.org/10.1097/NHH.0b013e3182976135
  5. Ramezani M, Ahmadi F, Mohammadi E, Kazemnejad A. Spiritual care in nursing: a concept analysis. International Nursing Review. 2014;61(2):211-219. https://doi.org/10.1111/inr.12099
  6. Zakaria Kiaei M, Salehi A, Moosazadeh Nasrabadi A, Whitehead D, Azmal M, Kalhor R, et al. Spirituality and spiritual care in Iran: nurses' perceptions and barriers. International Nursing Review. 2015;62(4):584-592. https://doi.org/10.1111/inr.12222
  7. Jung SH. A study on the effect of spiritual nursing care education on the nurses' perception and intervention in meeting spiritual needs of the patient. [master's thesis]. Seoul:Yonsei University; 1989. 72 p.
  8. Lee SW, Kim JH, Lee BS, Jung MS, Yoo M, Lee DS, et al. Understanding nursing theory. 3rd ed. Paju: Sumunsa; 2017. p. 42-368.
  9. Choi GH. A Study of the relationships between spiritual well-being, perception of spiritual needs of patients and spiritual nursing intervention among nurses. Journal of The Korean Data Analysis Society. 2014;16(4):2245-2259. http://uci.kci.go.kr/resolution/result.do?res_cd=G704-000930.2014.16.4.013&res_svc_cd=
  10. Hawthorne DM. The invisibility of spiritual nursing care in clinical practice. Journal of Holistic Nursing. 2020;38(1): 147-155. https://doi.org/10.1177/0898010119889704
  11. Lee GE, Kim KM. Analysis of spiritual care experiences of acute-care hospital nurses. Korean Journal of Hospice and Palliative Care. 2020;23(2):44-54. https://doi.org/10.14475/kjhpc.2020.23.2.44
  12. Moeini M, Momeni T, Musarezaie A, Sharifi S. Nurses' spiritual well-being and their perspectives on barriers to providing spiritual care. Iranian Journal of Critical Care Nursing. 2015;8(3):159-166.
  13. Azarsa T, Davoodi A, Khorami Markani A, Gahramanian A, Vargaeei A. Spiritual wellbeing, attitude toward spiritual care and its relationship with spiritual care competence among critical care nurses. Journal of Caring Sciences. 2015;4(4):309-320. https://doi.org/10.15171/jcs.2015.031
  14. Lee HJ. Factors affecting clinical nurses' spiritual care competence. [master's thesis]. Seoul:Catholic University; 2016. 51 p.
  15. Tiew LH, Creedy DK, Chan MF. Student nurses' perspectives of spirituality and spiritual care. Nurse Education Today. 2013;33(6):574-579. http://doi.org/10.1016/j.nedt.2012.06.007
  16. Chan MF. Factors affecting nursing staff in practising spiritual care. Journal of Clinical Nursing. 2010;19(15-16): 2128-2136. https://doi.org/10.1111/j.1365-2702.2008.02690.x
  17. Sim MR, Kim J, Choi SK. Influence of self-esteem, communication and existential well-being on spiritual care competence in nurses. Journal of Korean Academy of Fundamentals of Nursing. 2017;24(4):286-295. https://doi.org/10.7739/jkafn.2017.24.4.286
  18. Choi SK, Kim J, Kim SY. Development and effectiveness of a spiritual care education program for nurses. Journal of Convergence for Information Technology. 2019;9(9):67-77. https://doi.org/10.22156/CS4SMB.2019.9.9.067
  19. Rosenberg M, editors. Society and the adolescent self-image. Princeton. New Jersey: Princeton University Press; 1965.
  20. Jon BJ. Self-Esteem: a test of its measurability. Yonsei medical journal. 1974;11:107-130.
  21. Paloutzian RF, Ellison CW. Loneliness, spiritual well-being and the quality of life. In:Peplau LA, & Perlman D, editors. Loneliness:a sourcebook of current theory, research and therapy, NY: Wiley-Interscience; 1982. p. 224-237.
  22. Kang JH. A Investigate study on spiritual wellbeing of cancer patients. [master's thesis]. Busan: Pusan National University; 1996. 64 p.
  23. DeVellis RF. Scale development theory and applications. 4th ed. United States of America: Sage Publications, Inc; 2016. p. 81-83.
  24. Sung MH. Effects of spiritual well-being on spiritual nursing intervention. Journal of Korean Oncology Nursing. 2009;9(1): 15-22.
  25. Rules on certification for advanced practice nurses [Internet]. Seoul: Ministry of Government Legislation; 2021 [cited 2019 January 20]. Available from: https://www.law.go.kr/LSW/lsSc.do?section=&menuId=1&subMenuId=15&tabMenuId=81&eventGubun=060101&query=%EC%A0%84%EB%AC%B8%EA%B0%84%ED%98%B8%EC%82%AC#undefined
  26. Lee JH, Kim CS. Effects of spiritual well-being and burnout on self-esteem among nurses working in a cancer hospital. The Journal of Korean Nursing Research. 2019;3(1):1-12. http://dx.doi.org/10.34089/jknr.2019.3.1.1
  27. Seo EY, Kwon SH, Kim YK, Han AL. Experience of cancer patients receiving spiritual nursing care in one christian general hospital. Asian Oncology Nursing. 2019;19(3): 179-191. https://doi.org/10.5388/aon.2019.19.3.179
  28. Kim SH, Jang SN. A study on death perception of home visiting nurses. Journal of Qualitative Inquiry. 2019;5(2): 89-130. http://dx.doi.org/10.30940/JQI.2019.5.2.89