중환자간호학회지 (Journal of Korean Critical Care Nursing)

  • 제14권3호
  • /
  • Pages.14-25
  • /
  • 2021
  • /
  • 2005-212X(pISSN)
  • /
  • 2671-8634(eISSN)
한국중환자간호학회 (Korean Society of Critical Care Nursing)
권호 표지
DOI QR코드

DOI QR Code

중환자실 간호사의 인간중심 간호에 미치는 영향 요인

The Factors Affecting Person-centered Care Nursing in Intensive Care Unit Nurses

  • 강혜숙 (경상국립대학교병원) ;
  • 서민정 (경상국립대학교 간호대학.건강과학연구원 노인건강연구센터)
  • Kang, Hye Suk (Gyeongsang National University Hospital) ;
  • Seo, Minjeong (College of Nursing.Gerontological Health Research in Institute of Health Sciences, Gyeongsang National University)
  • 투고 : 2021.06.16
  • 심사 : 2021.08.17
  • 발행 : 2021.10.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose : The purpose of this study is to examine the relationship between burnout, nursing work environment, patient-centered communication, and person-centered care nursing among intensive care unit (ICU) nurses and to identify factors related to person-centered care nursing. Methods : This is a descriptive study involving 156 ICU nurses. A structured questionnaire was used to assess burnout, nursing work environment, patient-centered communication, and person-centered critical care nursing performance. Data were collected from February to March 2020, and descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis were conducted using SPSS/WIN 25.0 program. Results : The mean scores for person-centered care nursing, burnout, nursing work environment, and patient-centered communication of ICU nurses were 3.52±0.42, 3.00±0.76, 2.62±0.34, 4.06±0.64, respectively. Person-centered nursing showed a statistically significant negative correlation with burnout (r=-.20, p=.013) and a statistically significant positive correlation with patient-centered communication (r=.49, p<.001). In addition, patient-centered communication (𝛽=.47, p<.001) was significantly correlated with person-centered nursing. Conclusion : The results of this study showed that the factors affecting the person-centered care nursing of ICU nurses were patient-centered communication. Therefore, it is necessary to develop and apply patient-centered communication programs for improving the person-centered nursing performance of ICU nurses.

키워드

참고문헌

  1. Alhalal E, Alrashidi LM, Alanazi AN. Predictors of patient-centered care provision among nurses in acute care setting. Journal of Nursing Management. 2020;28(6):1400-9. https://doi.org/10.1111/jonm.13100
  2. Kang JY, Cho YS, Jeong YJ, Kim SG, Yun SY, Shim MY. Development and validation of a measurement to assess person-centered critical care nursing. Journal of Korean Academy of Nursing. 2018;48(3):323-34. https://doi.org/10.4040/jkan.2018.48.3.323
  3. Jakimowicz S, Perry L. A concept analysis of patient-centred nursing in the intensive care unit. Journal of Advanced Nursing. 2015;71(7):1499-517. https://doi.org/10.1111/jan.12644
  4. Price AM. Caring and technology in an intensive care unit: an ethnographic study. Nursing in Critical Care. 2013;18(6):278-88. https://doi.org/10.1111/nicc.12032
  5. Hong JW, Kang JY. Development and validation of a patient version of person-centered critical care nursing questionnaire: a methodological study. SAGE Open, 2020;10(2):1-10. https://doi.org/10.1177/2158244020924423
  6. McCormack B, McCance T. Person-centred practice in nursing and health care: theory and practice. Oxford: John Wiley & Sons; 2016.
  7. Lusk JM, Fater K. A concept analysis of patient-centered care. In Nursing Forum. 2013;48(2):89-98. https://doi.org/10.1111/nuf.12019
  8. Brownie SN, Nancarrow SS. Effects of person centered care on residents and staff in aged-care facilities: a systematic review. Clinical Interventions in Aging. 2013;8:1-10. https://doi.org/10.2147/CIA.S38589
  9. Kim J, Lee TW. The influence of nursing practice environment, compassion fatigue and compassion satisfaction on burnout among clinical nurses. Journal of Korean Clinical Nursing Research, 2016;22(2):109-17. https://doi.org/10.22650/JKCNR.2016.22.2.109
  10. Choi YL. Influencing factors on the person-centered care of emergency room (ER) nurses [dissertation]. Seoul: Hanyang University; 2015. p. 1-102.
  11. Maslach C, Jackson SE. The measurement of experienced burnout. Journal of Ocupational Behavior. 1981;2(2):9-13. https://doi.org/10.1002/job.4030020205
  12. Cotrau P, Hodosan V, Vladu A, Timar C, Daina L, Pantis C, et al. Occupational stress and burnout syndrome among ICU nurses. a prospective observational study. CEACR. 2019;1(1):1-10. https://dx.doi.org/10.35995/ceacr1010003
  13. Azoulay E, Herridge M. Understanding ICU staff burnout: the show must go on. American Journal of Respiratory and Critical Care Medicine. 2011;184(10):1099-100. https://doi.org/10.1164/rccm.201109-1638ED
  14. McCance T, McCormack B, Dewing J. An exploration of person-centredness in practice. OJIN: The Online Journal of Issues in Nursing. 2011;16(2):1-12. http://dx.doi.org/10.3912/OJIN.Vol16No02Man01
  15. Lake ET. Development of the practice environment scale of the nursing work index. Research in Nursing & Health. 2002;25(3):176-88. https://doi.org/10.1002/nur.10032
  16. Kang JY, Lim YM. The relationship between the work environment and person-centered critical care nursing for intensive care nurses. Journal of Korean Critical Care Nursing. 2019;12(2):73-84. https://doi.org/10.34250/jkccn.2019.12.2.73
  17. Rutten JER, Backhaus R, Tan F, Prins M, Roest H, Heijkants C, et al. Work environment and person-centered dementia care in nursing homes-a cross-sectional study. Journal of Nursing Management. 2021:1-9. https://doi.org/10.1111/jonm.13386
  18. Moisoglou L, Yfantis A, Galanis P, Pispirigou A, Chatzimargaritis E, Theoxari A, et al. Nurses work environment and patients' quality of care. International Journal of Caring Sciences. 2020;13(1):108-16.
  19. Slatore CG, Hansen L, Ganzini L, Press N, Osborne ML, Chesnutt MS, et al. Communication by nurses in the intensive care unit: qualitative analysis of domains of patient centered care. American Journal of Critical Care. 2012;21(6):410-8. https://doi.org/10.4037/ajcc2012124
  20. Hoorn ST, Elbers PW, Girbes AR, Tuinman PR. Communicating with conscious and mechanically ventilated critically ill patients: a systematic review. Critical Care. 2016;20(1):1-14. https://doi.org/10.1186/s13054-016-1483-2
  21. Dithole KS, Thupayagale-Tshweneagae G, Akpor OA, Moleki MM. Communication skills intervention: promoting effective communication between nurses and mechanically ventilated patients. BMC nursing. 2017;16(1):1-6. https://doi.org/10.1186/s12912-016-0197-8
  22. Bachnick S, Ausserhofer D, Baernholdt M, Simon M, Match RN Study Group. Patient-centered care, nurse work environment and implicit rationing of nursing care in Swiss acute care hospitals: a cross-sectional multi-center study. International Journal of Nursing Studies. 2018;81:98-106. https://doi.org/10.1016/j.ijnurstu.2017.11.007
  23. Yoo HJ, Shim JL. Effects of a person-centred care intervention in an intensive care unit: using mixed methods to examine nurses' perspectives. Journal of Nursing Management. 2020;28(6):1295-304. https://doi.org/10.1111/jonm.13081
  24. Maslach C, Jackson SE. Mind Garden [Internet]. Maslach Burnout Inventory; 1981 [cited 2020 July 13]. Available from: https://www.mindgarden.com/maslach-burnout-inventory-mbi/173-mbi-license-to-reproduce.html?search_query=MBI&results=43
  25. Cho EH, Choi MN, Kim EY, Yoo IY, Lee NJ. Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. Journal of Korean Academy of Nursing. 2011;41(3):325-32. https://doi.org/10.4040/jkan.2011.41.3.325
  26. Yang YL. Therapeutic communication among nurses in intensive care unit [dissertation]. Seoul: Yonsei University; 2013. p. 1-75.
  27. Park YS, Oh EG. Factors related to intensive care unit nurses' patient centered communication competency. Journal of Korean Critical Care Nursing. 2018;11(2):51-62.
  28. Kang J, Shin EJ. The relationship between person-centered nursing and family satisfaction in ICUs. Journal of Korean Critical Care Nursing. 2019;12(3):1-12. https://doi.org/10.34250/jkccn.2019.12.3.1
  29. Kim MR, Kang HS, Kim KH, Lee WY. Visiting policy and nurses' attitudes towards visiting in intensive care units. Journal of Korean Data Anal Society. 2010;12(2):797-810. https://doi.org/10.1111/j.1365-2648.2005.03400.x
  30. Alasad J, Ahmad M. Communication with critically ill patients. Journal of Advanced Nursing. 2005;50(4):356-62. https://doi.org/10.1111/j.1365-2648.2005.03400.x
  31. Byun DS, Yom YH. Factors affecting the burnout of clinical nurses-focused on emotional labor. Journal of Korean Academy of Nursing Administration. 2009;15(3):444-54.
  32. Chuang CH, Tseng PC, Lin CY, Lin KH, Chen YY. Burnout in the intensive care unit professionals: a systematic review. Medicine. 2016;95(50):1-12. https://dx.doi.org/10.1097%2FMD.0000000000005629 https://doi.org/10.1097%2FMD.0000000000005629
  33. Filho FA, Rodrigues MCS, Cimiotti JP. Burnout in Brazilian intensive care units: a comparison of nurses and nurse technicians. AACN advanced critical care. 2019;30(1):16-21. https://doi.org/10.4037/aacnacc2019222
  34. Hong HJ, Kang J. A qualitative content analysis of the person-centered care experienced by critical care patients. Journal of Korean Critical Care Nursing. 2018;11(2):21-33.

피인용 문헌

  1. Influencing Factors on Performance of Person-Centered Care among Intensive Care Unit Nurses: An Ecological Perspective vol.33, pp.5, 2021, https://doi.org/10.7475/kjan.2021.33.5.522