Browse > Article
http://dx.doi.org/10.5953/JMJH.2022.29.3.176

Effects of Nursing Professionalism, Job Stress and Nursing Work Environment of Clinical Nurses on Person-centered Care  

Cho, Kyeonga (College of Nursing, Kangwon National University)
Kim, Myoungsuk (College of Nursing, Kangwon National University)
Publication Information
Journal of muscle and joint health / v.29, no.3, 2022 , pp. 176-184 More about this Journal
Abstract
Purpose: This study attempted to examine the degree of nursing professionalism, job stress, nursing work environment, and person-centered care of clinical nurses, and also to identify the relationship between the variables and the factors affecting person-centered care. Methods: Participants included 162 nurses with a clinical experience of six months or more, who have worked at hospitals with more than 500 beds in Gangwon Province. Results: Person-centered care showed a statistically significant positive correlation with nursing professionalism (r=.43, p<.001) and nursing work environment (r=.34, p<.001). The adjusted R2 was 0.266, indicating that the measured variables explained 26.6% of the variance in person-centered care. Nursing professionalism had the greatest impact on person-centered care among clinical nurses (β=.37, p<.001), followed by job stress (β=.21, p=.005), nursing work environment (β=.19, p=.007), and master's or higher degree (β=.15, p=.036). Conclusion: The findings show that four factors affect person-centered care: nursing professionalism, job stress, nursing work environment, and education level. For clinical nurses to provide high-quality person-centered care, it is necessary to strengthen nursing professionalism, address job stress and improve nursing work environment.
Keywords
Nurses; Person-centered care; Professionalism; Job stress; Environment;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Park, S. H., & Kang, J. Y. (2015). Development and psychometric evaluation of the korean nursing work environment scale. Journal of Korean Critical Care Nursing, 8(1), 50-61.
2 Selimen, D., & Andsoy, I. I. (2011). The importance of a holistic approach during the perioperative period. AORN Journal, 93(4), 482-490. https://doi.org/10.1016/j.aorn.2010.09.029   DOI
3 Selye, H. (1950). The physiology and pathology of exposure to stress. Quebec: Acta.
4 Shim, J. Y., Seo, N. S., Kim, M. A., & Park, J. S. (2019). Influence of job stress, sleep quality and fatigue on work engagement in shift nurses. The Korean Journal of Stress Research, 27(4), 344-352. https://doi.org/10.17547/kjsr.2019.27.4.344   DOI
5 Shin, Y. M., & Cho, H. H. (2021). The effects of nursing work environment, job stress and knowledge sharing on nursing performance of nurses in a tertiary hospital. Journal of East-West Nursing Research, 27(1), 32-42. https://doi.org/10.14370/jewnr.2021.27.1.32   DOI
6 Sidani, S., Collins, L., Harbman, P., MacMillan, K., Reeves, S., Hurlock-Chorostecki, C., et al. (2014). Development of a measure to assess healthcare providers' implementation of patientcentered care. Worldviews on Evidence-Based Nursing, 11(4), 248-257. https://doi.org/10.1111/wvn.12047   DOI
7 Suhonen, R., Gustafsson, M., Katajisto, J., Valimaki, M., & LeinoKilpi, H. (2010). Person-centered care scale-nurse version: a finnish validation study. Journal of Evaluation in Clinical Practice, 16(1), 145-154. https://doi.org/10.1111/j.1365-2753.2009.01168.x   DOI
8 Yeun, E. J., Kwon, Y. M., & Ahn, O. H. (2005). Development of a nursing professional values scale. Journal of Korean Academy of Nursing, 35(6), 1091-1100. https://doi.org/10.4040/jkan.2005.35.6.1091   DOI
9 Morgan, S., & Yoder, L. H. (2012). A concept analysis of personcentered care. Journal of Holistic Nursing, 30(1), 6-15. https://doi.org/10.1177/0898010111412189   DOI
10 Oh, E. W., Yang, S. M., Kim, S. H., You, H. N., Chin, E. Y., Kim, Y. J., et al. (2016). Compare the level of job stress, burn-out and job satisfaction between intensive care unit nurses and general unit nurses. Journal of the Korean Institute of Oriental Medical Informatics, 22(1), 27-36.
11 Health Foundation Great Britain. (2014). Person-centred care made simple: what everyone should know about person-centred care (1st ed.). London: Health Foundation.
12 Hur, Y. J., & Lee, B. S. (2011). Relationship between empowerment, job stress and burnout of nurses in hemodialysis units. Keimyung Journal of Nursing Science, 15(1), 21-30.
13 Kang, J. Y., Cho, Y. S., Jeong, Y. J., Kim, S. G., Yun, S. Y., & Shim, M. Y. (2018). Development and validation of a measurement to assess person-centered critical care nursing. Journal of Korean Academy of Nursing, 48(3), 323-334. https://doi.org/10.4040/jkan.2018.48.3.323   DOI
14 Lee, J. E. (2015). Patients' and nurses' perceptions of patient centered nursing care. Unpublished master's thesis, Chungnam National University, Daejeon.
15 Kim, M. H., Park, C. S., & Seo, J. B. (2008). A study on effects of customer orientation factors in relation to medical services on the values of the services and customer satisfaction. The Korean Journal of Health Service Management, 2(1), 1-27.
16 Kim, M. J., & Gu, M. O. (1984). The development of the stresses measurement tool for staff nurses working in the hospital. Journal of Korean Academy of Nursing, 14(2), 28-37. https://doi.org/10.4040/jnas.1984.14.2.28   DOI
17 Lake, E. T. (2002). Development of the practice environment scale of the nursing work index. Research in Nursing & Health, 25(3), 176-188. https://doi.org/10.1037/t32232-000   DOI
18 Lee, Y. J. (2019). The effects of clinical nurses' nursing professionalism and emotional labor on patient-centered care. Unpublished master's thesis, Pukyong National University, Busan.
19 Lee, Y. M. (2018). Nursing practice environment, job stress and person-centered care in geriatric hospital nurse. Journal of the Korean Data Analysis Society, 20(5), 2635-2647. https://doi.org/10.37727/jkdas.2018.20.5.2635   DOI
20 Aiken, L. H., Havens, D. S., & Sloane, D. M. (2000). The magnet nursing services recognition program: a comparison of two groups of magnet hospitals. American Journal of Nursing, 100(3), 26-36. https://doi.org/10.1097/00000446-200003000-00040   DOI
21 Bang, Y. E., & Park, B. H. (2016). The effects of nursing work environment and job stress on health problems of hospital nurses. Korean Journal of Occupational Health Nursing, 25(3), 227-237. https://doi.org/10.5807/kjohn.2016.25.3.227   DOI
22 Eklund, J. H., Holmstrom, I. K., Kumlin, T., Kaminsky, E., Skoglund, K., Hoglander, J., et al. (2019). "Same same or different?" a review of reviews of person-centered and patientcentered care. Patient Education and Counseling, 102(1), 3-11. https://doi.org/10.1016/j.pec.2018.08.029   DOI
23 Cho, E. H., Choi, M. N., Kim, E. Y., Yoo, I. Y., & Lee, N. J. (2011). 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, 41(3), 325-332. https://doi.org/10.4040/jkan.2011.41.3.325   DOI
24 Choi, Y. R. (2015). Influencing factors on the person-centered care of emergency room (ER) nurses. Unpublished master's thesis, Hanyang University, Seoul.
25 Christmas, K. (2008). How work environment impacts retention. Nursing Economics, 26(5), 316.
26 Faul, F., Erdfelder, E., Buchner, A., & Lang, A. (2009). Statistical power analyses using G* power 3.1: tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. https://doi.org/10.3758/brm.41.4.1149   DOI
27 Friese, C. R., Lake, E. T., Aiken, L. H., Silber, J. H., & Sochalski, J. (2008). Hospital nurse practice environments and outcomes for surgical oncology patients. Health Services Research, 43(4), 1145-1163. https://doi.org/10.1111/j.1475-6773.2007.00825.x   DOI
28 Lee, Y. O. (2006). A study on the moderated effect of self-efficacy in the relationship between stressors and occupational stress level of the nurses in a tertiary hospital. Unpublished master's thesis, Keimyung University, Daegu.
29 Park, E. M., & Park, J. H. (2018). The influence of moral sensitivity and nursing practice environment on person-centered care in long-term care hospital nurses. Journal of Korean Gerontological Nursing, 20(2), 109-118. https://doi.org/10.17079/jkgn.2018.20.2.109   DOI