노인 만성질환자 돌봄행위에 대한 간호사의 중요도 인지와 영향요인

Influencing Factors and Importance of Nurses' Caring Behaviors for Chronically Sick Elderly

  • 투고 : 2010.03.17
  • 심사 : 2010.06.01
  • 발행 : 2010.06.30

초록

Purpose: The purpose of this study was to investigate the importance of nurses' caring behaviors and to identify the factors influencing of nurses' caring behaviors. Methods: The participants were 404 nurses who were caring the chronically sick elderly in five H university hospitals. Data were collected through self-reported questionnaires on the importance of caring behaviors, nursing professional value and job satisfaction. Data were analyzed with descriptive statistics, t-test, ANOVA, Scheffe-test, Pearson's correlation coefficient and stepwise multiple regression with SPSS/WIN 16.0. Results: The average score for importance of nurses' caring behaviors was 3.38 and the 'professional knowledge and skill' factor was the highest level. The mean score of nursing professional value was 7.53 and job satisfaction, 3.18. Importance of nurses' caring behaviors had a significant positive correlation with nursing professional value, job satisfaction, nurse's age and work experience among demographic variables. Two significant variables influencing importance of nurses' caring behaviors were nursing professional value and job satisfaction. But characteristics of nurses did not influence. Conclusion: The findings of this study indicate that importance of nurses' caring behaviors can be improved by intervening factors affecting this importance. Based on the findings of this study, further nursing practice and nursing research for nurses caring the sick elderly should be focused on their nursing professional value and job satisfaction.

키워드

참고문헌

  1. Berg, L., Skott, C., & Danielson, E. (2007). Caring relationship in a context: Fieldwork in a medical ward. International Journal of Nursing Practice 13 (2), 100-106. https://doi.org/10.1111/j.1440-172X.2007.00611.x
  2. Boltz, M., Capezuti, E., Bowar-Ferres, S., Norman, R., Secic, M., Kim, H., et al. (2008). Hospital nurses' perception of the geriatric nurse practice environment. Journal of Nursing Scholarship, 40(3), 282-289. https://doi.org/10.1111/j.1547-5069.2008.00239.x
  3. Burns, N., & Grove, S. K. (1987). The practice of nursing research conduct, critique and utilization. Philadelphia: Saunders Company.
  4. Chang, E., Chenoweth, L., & Hancock, K. (2003). Nursing needs of hospitalized older adults: Consumer and nurse perceptions. Journal of Gerontological Nursing, 29(9), 32-41.
  5. Cho, M. O. (1999). An ethnography of succession of caring behavior for the elderly. Journal of Korean Gerontological Nursing, 1 (1), 42-71.
  6. Erlen, J . A. (2007). The frail elderly: A matter of caring. Orthopaedic Nursing, 26(6), 379-382. https://doi.org/10.1097/01.NOR.0000300951.73247.60
  7. Jonasson, L. L., Liss, P. E., Westerlind, B., & Berterὅ, C. (2010). Ethical values in caring encounters on a geriatric ward from in the next kin's perspective: An interview study. International Journal of Nursing Practice 16(1), 20-26. https://doi.org/10.1111/j.1440-172X.2009.01805.x
  8. Khomeiran, R. T., Yekta, Z. P., Kiger, A. M., & Ahmadi, F. (2006). Professional competence: Factors described by nurses as influencing their development. International Nursing Review, 53 (1), 66-72. https://doi.org/10.1111/j.1466-7657.2006.00432.x
  9. Kim, Y. Y., & Lee, B. S. (1999). Importance of nurses' caring behaviors as perceived by staff nurses and patients. The Journal of Fundamentals of Nursing, 6(1), 18-34.
  10. Ko, S. H., & Chung, B. Y. (2004). Nursing professionalism and job satisfaction of nurses in general hospital. Journal of Korean Academy of Nursing Administration, 10 (3), 335- 344.
  11. Kwon, K. J ., Chu, M. S., & Kim, J . A. (2009). The impact of nursing professionalism on the nursing performance, job satisfaction and retention intention among clinical nurses. Journal of Korean Academy of Nursing Administration, 15(2), 182-192.
  12. Lee, B. S. (1996). Concept analysis of caring. Journal of Korean Academy of Nursing, 26(2), 337-344.
  13. Lee, H. K. (1998). Factors influencing the nurses' perceptions of caring behaviors. Unpublished master's thesis, Catholic University of Korea, Seoul.
  14. Lee, S. J ., & Chang, S. O. (1995). The study on the content analysis of caring, supporting, nursing situation. Journal of Korean Academy of Adult Nursing, 7 (2), 279-298.
  15. Liu, J . E., Mok, E., & Wong, T. (2006). Caring in nursing: Investigating the meaning of caring from the perspective of cancer patients in Beijing, China. Journal of Clinical Nursing, 15(2), 188-196. https://doi.org/10.1111/j.1365-2702.2006.01291.x
  16. Mafullul, Y. M., & Morriss, R. K. (2000). Determinants of satisfaction with care and emotional distress among informal carers of demented and non demented elderly patients. International Journal of Geriatric Psychiatry, 15(7), 594- 599. https://doi.org/10.1002/1099-1166(200007)15:7<594::AID-GPS154>3.0.CO;2-T
  17. Ministry for Health, Welfare and Family Affairs (2006, J uly). The Third Korea National Health and Nutrition Examination Survey -Activity Limitation and Health Related Quality of Life-. Retrieved March 7, 2010, from Web site: http://www.mw.go.kr
  18. Ministry for Health, Welfare and Family Affairs (2009, October). 2009 Yearbook of health, welfare and family statistics. Retrieved March 7, 2010, from Web site: http://stat.mw. go.kr
  19. Morse, J . M., Solberg, S. M., Neander, W. L., Bottorff, J . L., & Johnson, J . L. (1990). Concepts of caring as a concept. Advanced Nursing Science, 13(1), 1-14.
  20. Rees, J ., King, L., & Schmitz, K. (2009). Nurses' perceptions of ethical issues in the care of older people. Nursing Ethics, 16(4), 436-452. https://doi.org/10.1177/0969733009104608
  21. Shin, H. J . (2006). The characteristics of caring in nursing -focused on the ethical aspect-. Unpublished master's thesis, Chosun University, Gwangju.
  22. Smith, M. K., & Sullivan, J . M. (1997). Nurses' and patients' perceptions of most important caring behaviors in a longterm care setting: Patients and nurses agree on the importance of a combined scientific-humanistic caring approach. Geriatric Nursing, 18(2), 70-73. https://doi.org/10.1016/S0197-4572(97)90060-4
  23. Song, J . J . (2008). SPSS/AMOS statistical analytic method for thesis. Paju: 21C Book Company.
  24. Torrance, G. W., Feeny, D., & Furlong, W. (2001). Visual analog scales: Do they have a role in the measurement of preferences for health states? Medical Decision Making, 21(4), 329-334.
  25. Tuckett, A. G. (2005). The care encounter: Pondering caring, honest communication and control. International Journal of Nursing Practice, 11(2), 77-84. https://doi.org/10.1111/j.1440-172X.2005.00505.x
  26. Von Essen, L., & Sj d n, P. O. (1993). Perceived ö é importance of caring behaviors to Swedish psychiatric inpatients and staff, with comparisons to somatically-ill samples. Research in Nursing and Health, 16(4), 293-303. https://doi.org/10.1002/nur.4770160408
  27. Wolf, Z. R., Giardino, E. R., Osborne, P. A., & Ambrose, M. S. (1994). Dimensions of nurse caring. IMAGE: Journal of Nursing Scholarship, 26(2), 107-111. https://doi.org/10.1111/j.1547-5069.1994.tb00927.x
  28. Wu, Y., Larrabee, J. H., & Putman, H. P. (2006). Caring behaviors inventory: A reduction of the 42-item instrument. Nursing Research, 55(1), 18-25. https://doi.org/10.1097/00006199-200601000-00003
  29. Yeun, E. J ., Kwon, Y. M., & Ahn, O. H. (2005). Development of nursing professional values scale. Journal of Korean Academy of Nursing, 35(6), 1091-1100.
  30. Yom, Y. H. (2009). The effects of organizational justice on job satisfaction, organizational commitment and health status among nurses. Journal of Korean Academy of Nursing Administration, 15(2), 216-224.