한국의료질향상학회지 (Quality Improvement in Health Care)

  • 제27권1호
  • /
  • Pages.26-42
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  • 2021
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  • 1225-7613(pISSN)
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  • 2288-078X(eISSN)
한국의료질향상학회 (Korean Society for Quality in Health Care)
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병원 간호사의 환자중심 간호 경험

Hospital Nurses' Experience of Patient-Centered Nursing

  • 정수진 (경희대학교 일반대학원 간호학과) ;
  • 황지인 (경희대학교 간호과학대학)
  • Chung, Soojin (Department of Nursing, Graduate School, Kyung Hee University) ;
  • Hwang, Jee-In (College of Nursing Science, Kyung Hee University)
  • 투고 : 2021.04.06
  • 심사 : 2021.05.24
  • 발행 : 2021.06.30
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초록

Purpose: This study aimed to explore frontline nurses' experience of patient-centered care and understand the factors affecting its implementation in hospitals. Methods: Four focus group interviews were conducted with 30 nurses in two university hospitals. The following theoretical framework of patient-centered care was used: 1) Respect for patients' values, preferences, and expressed needs, 2) Care coordination and integration, 3) Information, communication, and education, 4) Physical comfort, 5) Emotional support and alleviation of fear and anxiety, 6) Involvement of family and friends, 7) Care transition and continuity, and 8) System issues. We performed a directed content analysis. Results: The most frequent patient-centered nursing practices of the hospital nurses were "promoting physical comfort" in inpatient settings and "providing information and communicating" in outpatient settings. The factors influencing patient-centered nursing included the health professionals' mindfulness, work overload and staff shortage, and unreasonable social demands and regulations. Conclusion: A more comprehensive patient-centered nursing practice should be implemented by improving "care transition and continuity," "family/caregiver involvement," and "system building." Health professionals' mindfulness is significant, and organizational supports addressing work overload and staff shortage are needed alongside change in social awareness.

키워드

과제정보

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (no. 2014R1A1A2055455).

참고문헌

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