• 대한통합의학회지
• /
• 제11권3호
• /
• pp.69-78
• /
• 2023

Purpose : Establishing competency in person-centered care is crucial for providing high-quality nursing care in diverse clinical settings and adapting to changing roles in different situations. This study aimed to explore the level of transcultural self-efficacy, cultural empathy, and person-centered care competency among nursing students, as well as identify the factors influencing their person-centered care competency. The findings will serve as fundamental data to enhance person-centered care competency. Methods : A questionnaire consisting of items on general characteristics, person-centered care competency, transcultural self-efficacy, and cultural empathy was administered to 175 nursing students in G city. Data were collected from March 5, 2023, to March 20, 2023. The collected data were analyzed using the SPSS 23.0 program. Pearson's correlation coefficients were used to examine the correlation among transcultural self-efficacy, cultural empathy, and person-centered care competency. Multiple regression analysis was employed to determine the factors influencing person-centered care competency. Results : The person-centered care competency scores were above the average level and varied according to department satisfaction (F=13.79, p<.001), subjective well-being (t=3.34, p=.015), and interpersonal relations (F=5.74, p=.001). Person-centered care competency exhibited a significant positive correlation with cultural empathy (r=.51, p<.001) and transcultural self-efficacy (r=.49, p<.001). Regression analysis confirmed that cultural empathy (β=.39, p<.001) and transcultural self-efficacy (β=.22, p<.001) were influential factors for nursing students' person-centered care competency, with the model explaining 37 % of the variance. Conclusion : Cultural empathy and transcultural self-efficacy are significant factors influencing the person-centered care competency of nursing students. It is crucial to encourage nursing students to develop person-centered care competency by fostering cultural empathy and transcultural self-efficacy. Further research is needed to identify additional factors affecting person-centered care competency among nursing students. Additionally, the development of education programs aimed at enhancing person-centered care competency is necessary.

• 산업융합연구
• /
• 제18권3호
• /
• pp.35-43
• /
• 2020

본 연구는 간호대학생의 인간중심간호 역량에 영향을 주는 요인을 파악하기 위한 연구이다. D시에 소재하는 2개 대학 간호대학생 294명을 대상으로 2019년 9월 1일부터 9월 25일까지 설문조사하였고, SPSS 21 프로그램을 이용하여 분석하였다. 간호대학생들의 비판적 사고성향은 5점 만점에 3.72점, 대인관계능력은 5점 만점에 3.90점, 인간중심간호 역량은 5점 만점에 4.01점이었다. 전공만족도가 높은 학생들이 낮은 학생에 비해 비판적 사고성향, 대인관계능력, 인간중심간호 역량 수준이 높았으며, 인간중심간호 역량은 비판적 사고성향, 대인관계능력과 순 상관관계에 있었다. 인간중심간호 역량에 미치는 요인은 비판적 사고성향, 대인관계능력, 학년임을 확인하였으며(F=20.103, p<.000), 변인들의 설명력은 33%이었다. 간호대학생의 인간중심간호 역량 향상을 위해서는 비판적 사고성향, 대인관계능력을 향상시킬 수 있는 교과내외의 다양한 프로그램개발과 적용이 필요하다.

• 중환자간호학회지
• /
• 제16권3호
• /
• pp.87-98
• /
• 2023

Purpose : This descriptive survey investigated the effects of clinical nurses' critical reflection competency, professional pride, and person-centered care practices on patient safety management activities. Methods : The participants were 183 clinical nurses working at a tertiary hospital in South Korea. The questionnaires consisted of the Critical Reflection Competency Scale for Clinical Nurses Professional Pride the Person-Centered Nursing Assessment Tool and Patient Safety Management Activities. The collected data were analyzed using descriptive statistics, t-tests, ANOVA, Tukey's HSD, Pearson's correlation coefficient, and multiple regression using SPSS 29.0. Results : The mean score for patient safety management activities was 4.65±0.34 out of 5. There were significant differences in patient safety management activities according to age (F=3.90, p =.010), education level (t=-2.56, p =.013), total work experience (F=3.87, p =.010), and the number of healthcare accreditation system experiences (F=5.22, p =.006). Patient safety management activities were positively correlated with critical reflection competency (r=.337, p <.001), professional pride (r=.271, p <.001), and person-centered care practices (r=.399, p <.001). The results indicated that person-centered care practices affected patient safety management activities (𝛽=.358, p <.001) with the explanatory power of 22.5%. Conclusion : To improve clinical nurses' patient safety management activities, it is necessary to develop participatory educational programs that can integrate skills and attitudes based on conceptual knowledge of person-centered care. Intervention studies are needed to test the effect of person-centered care on patient safety when applied in clinical practice.

• Journal of Hospice and Palliative Care
• /
• 제25권2호
• /
• pp.66-75
• /
• 2022

Purpose: The purpose of this study was to examine person-centered care, nursing professionalism, the nursing work environment, and empathy capacity among hospice ward nurses and to identify the factors affecting person-centered care. Methods: Data were collected using a self-report questionnaire completed by 120 nurses at 30 inpatient hospice institutions in South Korea from August 24, 2020 to September 8, 2020. The independent t-test, one-way analysis of variance, and Pearson correlation analysis were conducted using SPSS version 26.0. Results: The scores were 3.76±0.45 for person-centered care, 3.58±0.47 for nursing professionalism, 3.24±0.57 for the nursing work environment, and 4.00±0.46 for empathy capacity. There were positive correlations between the variables. Factors that influenced the person-centered care of hospice nurses were being a manager (β=0.20, P=0.002), high nursing professionalism (β=0.20, P=0.012), a better nursing work environment (β=0.15, P=0.033), and high empathy capacity (β=0.51, P<0.001). The explanatory power was 65.3%. Conclusion: To reinforce the person-centered care competency of hospice nurses, it is necessary to improve nursing professionalism, the nursing work environment, and empathy competency. Opportunities for nurses to practice independently must be expanded for nurses to develop nursing professionalism. Sufficient nursing personnel and material resources must be provided to nurses to cultivate a positive work environment. Empathy should be improved by implementing integrated education programs that include nursing practice situations.

• 문화기술의 융합
• /
• 제9권4호
• /
• pp.363-374
• /
• 2023

본 연구는 요양병원 간호사의 돌봄효능감, 공감역량을 확인하고 그 요인을 분석하여 인간중심돌봄 행위의 향상과 그에 따른 이론적, 실천적 정보를 제공하며 기초자료를 마련하기 위한 서술적 조사연구이다.. 본 연구는 G도 소재의 C지역 노인시설 요양병원 간호사 146명을 대상으로 2023년 3월 20일부터 4월 20일까지 자료를 수집하였으며, 총 144부를 최종 분석하였다. IBM SPSS/25을 사용하여 기술통계 t-test, ANOVA, 상관관계 다중회귀분석으로 분석하였다. 대상자의 인간중심돌봄에 영향을 미치는 변수들을 위계적 다중회귀로 분석한 결과 돌봄효능감과, 공감역량이 높을수록 인간중심돌봄에 영향을 미쳤으며, 설명력은 31.5%이었다. 본 연구결과 공감역량, 돌봄효능감순으로 인간중심돌봄에 영향을 미치는 것으로 나타났다. 요양병원 간호사의 인간중심돌봄의 효율적인 간호수행을 위한 돌봄효능감, 공감역량의 향상을 위한 다양한 방안들이 마련되어야 할 것으로 생각된다.

• 대한간호학회지
• /
• 제52권3호
• /
• pp.341-358
• /
• 2022

Purpose: This study examined the effects of a person-centered fall prevention program for older adults with dementia in long-term care hospitals. Methods: A nonequivalent control group pretest-posttest design was used. The study sample included 42 older adults with dementia (experimental group: 21, control group: 21) and 42 caregivers (experimental group: 21, control group: 21). The program comprised 48 sessions held over 12 weeks and included exercise intervention with resistance and balance, dance walking (45~60 min, three times/week), cognitive and emotional intervention (35~50 min, once per week), and person-centered fall prevention education (10 min, once per week). The program for caregivers consisted of six educational sessions (i.e., fall prevention competency enhancement and person-centered care strategy education, 80 min, once per week) for six weeks. Data were collected before participation and 12 weeks after program completion from February 18 to May 12, 2019. Data analysis was conducted using the chi-square test, t-test, and Mann-Whitney U test with SPSS/WIN 21.0. Results: The experimental group of older adults with dementia showed significant improvement in physical and cognitive functions, and a decrease in depression, and behavioral and psychological symptoms, when compared with the control group. caregivers in the experimental group exhibited significant improvement in fall-related knowledge and person-centered care of older adults with dementia compared to the control group. Conclusion: The study findings indicate that this program was effective as a nursing intervention for fall prevention among older adults with dementia in long-term care hospitals.

• 중환자간호학회지
• /
• 제11권2호
• /
• pp.21-33
• /
• 2018

Purpose : To explore the person-centered care (PCC) experienced by critical patients. Method : This qualitative study deductively examined the attributes of the PCC model proposed by Jakimowicz and Perry. The participants were 16 patients who were recently discharged from intensive care units at a university hospital. Data were collected through in-depth interviews and were analyzed using the deductive method of content analysis. Results : A total of 4 categories, 16 subcategories, and 33 codes were generated from 171 meaningful statements. The final 4 categories were "compassionate presence," "professional interaction," "outstanding competency," and "patient identity." These were consistent with the main attributes of Jakimowicz and Perry's model. However, most of the codes belonged to the "compassionate presence" and "patient identity" categories. Among the attributes of the model, "continuity of nursing," "therapeutic relationship," "expert knowledge," "clinical knowledge," "evidence-based intervention," and "patient's rights" were not derived as codes. Conclusion : These findings deepen the understanding of the PCC model from the patient's point of view. The main attributes of PCC identified in the current study can be applied to the development of practical guidelines for intensive care nursing. In addition, we recommend the development of a PCC measurement tool for critical care patients.

• Journal of Hospice and Palliative Care
• /
• 제20권1호
• /
• pp.1-7
• /
• 2017

이 논문은 개인적으로 경험되는 독특한 희망경험을 찾도록 도와주기 위하여 저자들이 개발한 "희망 찾기 내러티브 커뮤니케이션 모델"에 대하여 서술한다. 모델은 희망과 희망경험의 본질에 대한 문헌 및 저자들의 연구결과들과 주관적인 의미들과 경험들로서 희망 개념, 개인 특수한 희망경험에 접촉하기 위한 방법으로서 이야기하기 과정 및 내러티브 구성의 개념, 그리고 개인중심커뮤니케이션의 통합에 근거 개발되었다. 모델을 적용한 한 연구의 희망 찾기 경험은 모델을 한층 명확하게 하였다. 개인중심커뮤니케이션을 통하여 이야기하기와 내러티브 구성을 통합하는 모델은 세 요소들-이야기하기 요소, 내러티브 중재 요소, 커뮤니케이션 요소-로 구성된다. 이러한 요소들은 화자로서의 대상자가 희망경험의 근본인 개인 특수 주제적 플롯을 가진 희망 내러티브를 생산하는데 필수적으로 요구되는 커뮤니케이션 촉진자로서의 중재자의 적극적인 참여 속에서 개인-특수 희망경험을 찾는 것을 목적으로 하는 하나의 중재로서 과정화된다. 대상자에서 이 모델을 적용하여 성공적인 개인 희망경험 찾기의 긍정적인 결과가 나타났다. 이 모델의 성공은 중재자의 모델에 대한 이해와 개인중심-커뮤니케이션 전략 적용능력에 기인된 것으로 보인다.

• 한국간호교육학회지
• /
• 제29권3호
• /
• pp.319-334
• /
• 2023

Purpose: This study investigated the prevalence and perceptions of workplace violence against registered nurses (RNs) in hospitals. Methods: One thousand RNs replied to a nationwide survey from November 14 to December 22, 2022. They reported their general characteristics, prevalence of and their responses to different types of workplace violence from patients, family caregivers, physicians, and nurse peers, as well as their perceptions of workplace violence management systems. Results: A total of 71.1% of the RNs reported that they had experienced workplace violence in the last six months. The violence and sexual harassment experienced from patients and family caregivers were 57.3% and 19.1%, respectively. Furthermore, violence, sexual harassment, and workplace harassment from physicians were experienced by 24.6%, 4.0%, and 7.4%, respectively, of the RNs, and those from nurse peers by 21.4%, 3.1%, and 11.3%, respectively. The RNs stated that they often responded to workplace violence with passive and inactive behaviors, which were more serious toward physicians' workplace violence or sexual harassment from different perpetrators. Only 69.5% were aware of their hospital's workplace violence management systems, while only 14.7%~27.4%, according to the type of hospital (p=.471), perceived the systems as effective. Multiple important strategies were identified to prevent workplace violence. Conclusion: Critical suggestions are discussed for the prevention of workplace violence, including protecting the human rights of healthcare professionals, inter-organizational collaboration, and a culture of person-centered healthcare, and training nurse managers' competency in managing workplace violence.