DOI QR코드

DOI QR Code

Influence of Ethical Sensitivity and Person-environment Fit on Person-centered Care of Nurses in Long-term Care Hospitals

요양병원 간호사의 윤리적민감성과 개인-환경적합성이 인간중심돌봄에 미치는 영향

  • Received : 2022.06.16
  • Accepted : 2022.07.17
  • Published : 2022.08.31

Abstract

Purpose: The study examined the effects of ethical sensitivity and person-environment fit on person-centered care of nurses in long-term care hospitals. Methods: The participants were 111 nurses. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis with the SPSS program. Results: The mean of person-centered care was 2.95±0.62 out of 5. There were significant differences in person-centered care in terms of age, shift pattern, total clinical career, and educational experience of person-centered care. Person-centered care and ethical sensitivity, person-centered care and person-environment fit showed a positive correlation. Factors affecting the person-centered care were the age (20-29), shift pattern (three shift), person-environment fit. The explanatory power was 42%. Conclusion: These results can be used to increase the person-environment fit and adopt a differented approach based on age and shift pattern in order to enhance person-centered care. Therefore, it is necessary to develop and apply an person-centered care program for nurses in long-term care hospitals.

Keywords

References

  1. Tak YR, Woo HY, You SY, Kim JH. Validity and reliability of the person-centered care assessment tool in long-term care facilities in korea. Journal of Korean Academy Nursing, 2015;45(3): 412-419. https://doi.org/10.4040/jkan.2015.45.3.412.
  2. 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.
  3. Yoon JY, Roberts T, Bower BJ, Lee JY. A review of person-centered care in nursing homes. Journal of the Korean Gerontological Society, 2012;32(3): 729-745.
  4. Seok JE. A study on the concept and improvement plan of long-term care service quality-the voice of service field for 'Good Care'-. Korean Journal of Social Welfare, 2014;66(1): 221-249. https://doi.org/10.20970/KASW.2014.66.1.014
  5. Flesner MK. Person-centered care and organizational culture in long-term care. Journal of Nursing Care Quality, 2009;24(4): 273-276. https://doi.org/10.1097/NCQ.0b013e3181b3e669.
  6. Morgan S, Yoder LH. A concept analysis of person-centered care. Journal of Holistic Nursing, 2011;30(1): 6-15. https://doi.org/10.1177/0898010111412189.
  7. Sagong H, Lee GE. Person-centered care and nursing service quality of nurses in long-term care hospitals. Journal of Korea Academy Community Health Nursing, 2016;27(4): 309-318. https://doi.org/10.12799/jkachn.2016.27.4.309
  8. Park JH, Park EH. Factors influencing nursing service quality of nurses in long term care hospitals. Journal of The Korea Convergence Society, 2022;13(1): 409-415. https://doi.org/10.15207/JKCS.2022.13.01.409.
  9. Lutzen K, Dahlqvist V, Eriksson S, Norberg A. Developing the concept of moral sensitivity in health care practice. Nursing Ethics, 2006;13(2): 187-196. https://doi.org/10.1191/0969733006ne837oa.
  10. Milliken A. Nurse ethical sensitivity: An intergrative review. Nursing Ethics, 2016;5: 1-26. https://doi.org/10.1177/0969733016646155.
  11. Weaver K, Morse J, Mitcham C. Ethical sensitivity in professional practice: concept analysis. Journal of Advanced Nursing, 2008;62(5): 607-618. https://doi.org/10.1111/j.1365-2648.2008.04625.x.
  12. Kang IS, Kim WG. The effects of ethical climate and ethical sensitivity on organizational effectiveness of small and middle-sized hospital Nurses. The Journal of the Korea Contents Association, 2019;19(1): 24-36. https://doi.org/10.5392/JKCA.2019.19.01.024.
  13. Cho IY, Yun JY, Kim HJ. Factors affecting person-centered care competence for senior nursing students: focused on king's dynamic interaction system model. Journal of the Korea Convergence Society, 2021;12(8): 357-367. https://doi.org/10.15207/JKCS.2021.12.8.357.
  14. Kim DH, Ha KS. Personality factors of sales force and individuals-impact on the degree of environmental compatibility job satisfaction, turnover: Based on the insurance agents. Asia-Pacific Journal of Business Venturing and Entrepreneurship, 2016;11(2): 121-134. https://doi.org/10.16972/APJBVE.11.2.201604.121
  15. Kim HJ, Heo EJ, Jung MS. The effect of nurses' person-environment fit and job satisfaction on their organizational citizenship behavior. Health Service Management Review, 2021;15(1): 13-24. https://doi.org/10.18014/hsmr.2021.15.1.13.
  16. Kristof-Brown AL, Zimmerman RD, Johnson E. Consequences of individual's fit at work: a meta-analysis of person job, person-organization, person-group, and person-supervisor fit. Personnel Psychology, 2005;58(2): 281-342. https://doi.org/10.1111/j.1744-6570.2005.00672.x.
  17. Yoon CH. A Study on factors influencing job stress and turnover intention for medical workforce (Doctors and Nurses) in medical institution. Unpublished doctoral dissertation, Seoul: KyungHee University; 2017. 82 p.
  18. Oh JW, Han SJ. Mediating effects of person-environment fit between calling and job satisfaction of nurses in small and medium size general hospitals. Korean Academy of Nursing Administration, 2018;24(5): 365-374. https://doi.org/10.11111/jkana.2018.24.5.365.
  19. Karen HE, Guido M. Testing vocational interests and personality as predictions of person-vocation and person-job fit. Journal of Career Assessment, 2007;15(2): 206-226. https://doi.org/10.1177/1069072706298105.
  20. Yeo JD, Park JH. A study in the effects of the service quality of the radiology department on the medical customer satisfaction. The Korean Journal of Health Service Management, 2010;4(1): 59-70.
  21. Annelies EM. van Vianen. Person-environment fit: A review of its basic tenets. annual review of organizational psychology and organizational Behavior, 2018;5: 75-101. https://doi.org/10.1146/annurev-orgpsych-032117-104702.
  22. Joung MY, Seo JM. Development of an ethical sensitivity scale for clinical nurses. Journal of Korean Academy Fundamental Nursing, 2020;27(4): 375-386. https://doi.org/10.7739/jkafn.2020.27.4.375.
  23. Edvardsson D, Fetherstonhaugh D, Nay R, Gibson S. Development and initial testing of the person-centered care assessment tool (P-CAT). International Psychogeriatrics, 2010;22(1): 101-108. https://doi.org/10.1017/s1041610209990688.
  24. Lee JS, Lee SY, Nursing practice environment and oral distress impact on person-centered care of long-term care hospital nurses, Journal of the Korean Applied Science and Technology, 2020;37(6): 1790-1797. https://doi.org/10.12925/jkocs.2020.37.6.1790