DOI QR코드

DOI QR Code

The Influence of Nursing Professionalism, Communication Competence and Nursing Work Environment of Dedicated COVID-19 Hospital Nurse on Person-Centered Care

코로나19 전담병원 간호사의 간호전문직관, 의사소통 능력 및 간호근무환경이 인간중심간호에 미치는 영향

  • Received : 2022.05.10
  • Accepted : 2022.06.17
  • Published : 2022.08.31

Abstract

Purpose: This study was a descriptive research design to identify nursing professionalism, communication competence, and working environment factors of dedicated COVID-19 hospital nurses and investigate factors affecting person-centered care. Methods: Participants were 211 nurses working in one tertiary hospital, two general hospitals, and one dedicated COVID-19 hospital in a metropolitan area. Collected data were analyzed using descriptive analysis, an independent t-test, one-way ANOVA, Scheffé test, Pearson correlation coefficient, and multiple regression analysis. Analysis was performed using SPSS 26.0 software. Results: Person-centered care was statistically significant. It positively correlated with nursing professionalism (r=.57, p<.001), communication competence (r=.56, p<.001), and nursing work environment (r=.60, p<.001). As a result, communication competence (𝛽=0.33, p<.001), hospital type (𝛽=0.25, p<.001), nursing professionalism (𝛽=0.23, p=.002), nursing work environment (𝛽=0.18, p=.006) and clinical career (𝛽=-0.11, p=.045) in that order. The regression model was statistically significant (F=30.467, p<.001) and showed an explanatory power of 49.6%. Conclusion: It is necessary for individuals and hospitals to provide opportunities for nurses to participate in various education and programs to improve person-centered care. This may enable them to enhance their nursing professionalism and communication competence.

Keywords

References

  1. Decrease in fatality rate and number of confirmed cases after vaccination in nursing homes and nursing facilities [Internet], Seoul; Ministry of Health and Welfare;2021. [cited 2021 April 14] Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=365277
  2. Lee SY, Kim YJ, Kwon HY, Kim SW, Lee EJ, Jung YJ, Hwang WS, Kim CB. Factors associated with depression during the coronavirus disease 2019 (COVID-19) quarantine in four districts of seoul metropolitan city. The Korean Journal of Rehabilitation Nursing. 2019;24(1):15-24. https://doi.org/10.7587/kjrehn.2021.15
  3. Park HY. Mental health in patients with coronavirus disease-19 and the quarantined people. Journal of Korean Neuropsychiatr Association. 2021;60(1):11-18. https://doi.org/10.4306/jknpa.2021.60.1.11
  4. Kim DB. Ethical concerns regarding patient autonomy at a COVID-19 residential treatment center. Korean Journal of Medicine Ethics. 2021;24(1)81-87. https://doi.org/10.35301/ksme.2021.24.1.81
  5. Ross H, Tod AM, Clarke A. Understanding and achieving person-centred care: the nurse perspective. Journal of Clinical Nursing. 2015;24(10):1223-1233. https://doi.org/10.1111/jocn.12662
  6. Santana MJ, Manalili K, Jolley RJ, Zelinsky S, Quan H, Lu M. How to practice person-centred care: A conceptual framework. Health Expectations. 2018;21:429-440. https://doi.org/10.1111/hex.12640
  7. Cronenwett L, Sherwood G, Bamsteiner J, Disch J, Johnson J, Mitchell T, Warren J. Quality and safety education for nurses. Nursing Outlook. 2007;55(3)122-131. https://doi.org/10.1016/j.outlook.2007.02.005
  8. An JY, Eun.Y.. The effect of nursing competence on patient-centered care among nurses saring for patients with chronic disease: The mediating effect of burnout and the moderating effect of nursing work environment. Korean Journal of Adult Nursing. 2021; 33(2):134-144. https://doi.org/10.7475/kjan.2021.33.2.134
  9. Joo YS. Person-centered care and predictors among nurses in adult intensive care units. [master's thesis]. Seoul: Yonsei University; 2020. p. 1-108. https://ir.ymlib.yonsei.ac.kr/handle/22282913/181015
  10. Yoon EJ, Kwon YM, An OH.. Development of a nursing professional values scale. Journal of Korean Academy of Nursing. 2005;35(6):1091-1100. https://doi.org/10.4040/jkan.2005.35.6.1091
  11. McCormack., Dewing J, McCance T. Developing person-centred care: addressing contextual challenges through practice development. Journal of Issues in Nursing.2011;16(2):3. https://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=22088152&lang=ko&site=ehost-live
  12. Kourkouta L, Papathanasiou IV. Communication in nursing practice. Materia Socio-Medica. 2014;26(1):65-67. https://doi.org/10.5455/msm.2014.26.65-67
  13. Boykins AD. Core communication competencies in patient-centered care. The Journal of the Association of Black Nursing Faculty in Higher Education. 2014;25(2):40-45. https://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=24855804&lang=ko&site=ehost-live
  14. Lake ET, Friese CR. Variations in nursing practice environments: Relation to staffing and hospital characteristics, Nursing Research, 2006;55(1):1-9. https://doi.org/10.1097/00006199-200601000-00001
  15. Rugulies R. What is a psychosocial work environment? Scandinavian Journal of Work Environment and Health. 2019;45(1):1-6. https://doi.org/10.5271/sjweh.3792
  16. Maassen SM, van Oostveen C, Vermeulen H, Weggelaar AM. Defining a positive work environment for hospital healthcare professionals: A delphi study. Public Library of Science One. 2021;16(2):1-7. https://doi.org/10.1371/journal.pone.0247530
  17. Shin KR. COVID-19 counter measures and action plan for improvement of nursing treatment. Health Insurance Review & Assessment Service Research. 2021;1(1): 103-107. https://doi.org/10.52937/hira.21.1.1.103
  18. Chung SJ, Seong MH, Park JY. Nurses' experience in COVID-19 patient care. Journal of Korean Academy Nursing Administration. 2022;28(2):142-153. https://doi.org/10.11111/jkana.2022.28.2.142
  19. Poghosyan L, Clarke SP, Finlayson M, Aiken LH. Nurse burnout and quality of care: Cross-national investigation in six countries. Research in Nursing & Health, 2010;33(4):288-298. https://doi.org/10.1002/nur.20383
  20. Kim KR.. A Phenomenological study on the nurse's COVID-19 patient care experience in the infectious disease hospitals. The Journal of Humanities and Social Sciences 2021;12(5):2145-2160. http://dx.doi.org/10.22143/HSS21.12.5.151
  21. No EY, Chae YJ, Kim HJ, Kim EJ, Park YH. Nurses' experience with caring for COVID-19 patients in a negative pressure room amid the pandemic situation. Journal of Korean Academy of Nursing. 2021;51(5): 585-596. https://doi.org/https://doi.org/10.4040/jkan.21148
  22. Kim SB, Park YR. Factors associated with person-centered care for elderly in long-term care hospital nurses. Korean Journal of Adult Nursing. 2019;31(6):618-627. https://doi.org/10.7475/kjan.2019.31.6.618
  23. Rubin RB, Martin MM, Bruning SS, Power DE. Interpersonal communication competence: Scale development and test a self-efficacy model. Paper presented at: The annual meeting of the Speech Communication Association. 1991 October; Atlanta.
  24. Hur KH. Construction and validation of a global interpersonal communication competence scale. Korean Journal of Journalism and Communication Studies. 2003;47(6): 380-408. http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE00955214
  25. Cho EH, Choi MN, Kim EY, Yoo IY, Lee NS. 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):325-332. http://dx.doi.org/10.4040/jkan.2011.41.3.325
  26. Lee JJ. Development of person centered nursing assessment tool (PCNAT). [dissertation], Daegu: Daegu Catholic University; 2018. p. 59-60. http://www.riss.kr/link?id=T14927301&outLink=K
  27. Morgan S, Yoder LH. A concept analysis of person-centered care. Journal of Holistic Nursing: Jourmal of Holistic Nursing. 2012;30(1):6-15. https://doi.org/10.1177/0898010111412189
  28. Choi UJ, Kang JS. The mediating effect of nurse's communication on the relationship between nursing needs and nursing satisfaction in hospital patients. Journal of the Korea Academia-Industrial Cooperation Society. 2018;19(4):374-382. https://doi.org/10.5762/KAIS.2018.19.4.374
  29. Lee YM. Nursing practice environment, job stress and person-centered care in geriatric hospital nurses. Journal of The Korean Data Analysis Society. 2018;20(5):2635-2647. https://doi.org/10.37727/jkdas.2018.20.5.2635
  30. Lee MA, Kang SJ, Hyun HS. Relationship among nursing professionalism, nursing work environment, and patient safety nursing activities in general hospital nurses. Journal of Korean Academy of Nursing Administration. 2019;25(4):317-328. https://doi.org/10.11111/jkana.2019.25.4.317