• Title/Summary/Keyword: person-centered care

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Nurses' Perceptions of Person-Centered Care in Long-term Care Hospitals: Focus Group Study (인간중심돌봄에 대한 요양병원 간호사의 인식: 포커스 그룹 연구)

  • Chang, Hee-kyung;Gil, Cho-rong;Kim, Hye-jin;Bea, Han-ju;Yang, Eun-ok;Yoon, Mi-lim;Ha, Ja-hyeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.11
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    • pp.441-453
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    • 2018
  • This study was conducted to understand and describe Korean nurses' perception of person-centered care for elderly patients in long-term care hospitals. Qualitative data were collected through four focus group interviews consisting of 21 nurses working in four long-term care hospitals in Jeolla and Gyeongsang provinces. Participants completed interviews from July 19 to 30, 2018. All interviews were recorded, transcribed, and analyzed by employing the thematic analysis method. Six main themes for the attributes of person-centered care for elderly patients in the long-term care hospitals were conceptualized: respecting individual needs, walking to the end, supporting hidden dreams, becoming a family partner, helping patients live like they are at home, and changing culture. Person-centered care perceived by nurses was conducted to provide individualized nursing according to elderly's preferences and help them discover the value and meaning of life through various activity programs. Nurses also recognized person-centered care to maintain cooperative relationships with their family members and share their decision-making process, as well as to form a physical environment and organizational culture that respects the rights and autonomy of the elderly. Based on the results of this study, it is necessary to identify the diverse needs of the elderly and develop nursing intervention programs based on person-centered care.

Person-centered Care and Nursing Service Quality of Nurses in Long-term Care Hospitals (요양병원 간호사의 인간중심돌봄과 간호서비스 질)

  • Sagong, Hae;Lee, Ga Eon
    • Research in Community and Public Health Nursing
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    • v.27 no.4
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    • pp.309-318
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    • 2016
  • Purpose: This study investigated the correlation between person-centered care (PCC) and nursing service quality of nurses in long-term care hospitals. Methods: The subjects were 114 nurses working in 8 long-term care hospitals. Instruments for evaluating PCC and nursing service quality were used. The data were analyzed by descriptive statistics, two samples-test, one-way ANOVA, Pearson's correlation and Multiple regression. Results: The mean of PCC was $3.25{\pm}0.45$ out of 5 and the nursing service quality was $3.87{\pm}0.40$. There were significant differences in PCC in terms of age and income satisfaction, the application of their opinions, the satisfaction of hospital managers, administrators and nurse managers. There were significant differences in nursing service quality according to age, position, the satisfaction of hospital managers, administrators and nurse managers. Nurses' PCC showed a significant positive correlation with nursing service quality. Factors influencing nursing service quality included PCC, their position and age and the most influencing one was PCC. Conclusion: This study suggests that the PCC is the strongest affecting element to the quality of nursing service in long-term care hospitals. Therefore, the strategies to improve the practice of person-centered care should be carried out to enhance the quality of nursing service.

Development and Effects of a Person-Centered Fall Prevention Program for Older Adults with Dementia in Long-Term Care Hospitals: For Older Adults with Dementia and Caregivers in Long-Term Care Hospitals (요양병원 치매노인을 위한 대상자 중심 낙상 예방 프로그램의 개발 및 효과: 치매노인과 요양보호사 대상)

  • Lim, Jeong Ok;Gu, Mee Ock
    • Journal of Korean Academy of Nursing
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    • v.52 no.3
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    • pp.341-358
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    • 2022
  • Purpose: This study examined the effects of a person-centered fall prevention program for older adults with dementia in long-term care hospitals. Methods: A nonequivalent control group pretest-posttest design was used. The study sample included 42 older adults with dementia (experimental group: 21, control group: 21) and 42 caregivers (experimental group: 21, control group: 21). The program comprised 48 sessions held over 12 weeks and included exercise intervention with resistance and balance, dance walking (45~60 min, three times/week), cognitive and emotional intervention (35~50 min, once per week), and person-centered fall prevention education (10 min, once per week). The program for caregivers consisted of six educational sessions (i.e., fall prevention competency enhancement and person-centered care strategy education, 80 min, once per week) for six weeks. Data were collected before participation and 12 weeks after program completion from February 18 to May 12, 2019. Data analysis was conducted using the chi-square test, t-test, and Mann-Whitney U test with SPSS/WIN 21.0. Results: The experimental group of older adults with dementia showed significant improvement in physical and cognitive functions, and a decrease in depression, and behavioral and psychological symptoms, when compared with the control group. caregivers in the experimental group exhibited significant improvement in fall-related knowledge and person-centered care of older adults with dementia compared to the control group. Conclusion: The study findings indicate that this program was effective as a nursing intervention for fall prevention among older adults with dementia in long-term care hospitals.

The Effects of Nursing Hospital Nurses' Caring Efficacy and Empathy Competence on Human-Centered Care (요양병원간호사의 돌봄효능감, 공감역량이 인간중심돌봄에 미치는 영향)

  • Gyeong Hye Kang;Nam Joo Je;Min Jung Lee
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.4
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    • pp.363-374
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    • 2023
  • This study is a descriptive research study to confirm the care efficacy and empathy competency of nursing hospital nurses and analyze the factors to improve person-centered care behavior, provide theoretical and practical information accordingly, and prepare basic data. The study collected data from March 20, 2023 to April 20, 2023, targeting 146 nurses at a nursing hospital for the elderly in C region located in G province, and finally analyzed a total of 144 copies. Using IBM SPSS/25, descriptive statistics t-test, ANOVA, and correlation multiple regression analysis were analyzed. As a result of analyzing the variables that affect the subject's person-centered care by hierarchical multiple regression, the higher the caring efficacy and empathy capacity, the more the person-centered care was affected, and the explanatory power was 31.5%. As a result of this study, empathy competency and care efficacy were found to have an effect on person-centered care. It is thought that various measures should be prepared to improve the care efficacy and empathy competency for the efficient nursing performance of person-centered care of nursing hospital nurses.

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)

  • Jung, Tai Myoung;Kim, Kyung Ah
    • Journal of Home Health Care Nursing
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    • v.29 no.2
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    • pp.165-174
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    • 2022
  • 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.

Validity and Reliability of the Person-centered Care Assessment Tool in Long-term Care Facilities in Korea (노인장기요양시설 종사자를 대상으로 한 인간중심돌봄 사정도구의 타당도 및 신뢰도 검증)

  • Tak, Young Ran;Woo, Hae Young;You, Sun Young;Kim, Ji Hye
    • Journal of Korean Academy of Nursing
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    • v.45 no.3
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    • pp.412-419
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    • 2015
  • Purpose: The aim of this study was to evaluate the validity and reliability of the Korean version of the Person-centered Care Assessment Tool (P-CAT). Methods: The English P-CAT was translated into Korean with forward and backward translation. Survey data were collected from 458 staff in 17 long-term care facilities in Korea. Construct validity and criterion related validity were evaluated. Cronbach's alpha was used to assess reliability. Results: The Korean version of P-CAT was shown to be valid homogeneously by factor, item and content analysis. Internal consistency reliability was satisfactory in which the values of factor 1, factor 2 and the total scale were .84, .77 and .86 respectively. Exploratory factor analysis supported the construct validity with a two-factor solution. Factor loadings of the 13 items ranged in .34~.80. Criterion validity to the Person-centered Climate Questionnaire-staff (PCQ-S) was .74 (p<.001). Conclusion: The Korean version of the P-CAT was found to be an applicable instrument with satisfactory reliability and validity for further use in measuring successful person-centered care in long-term care facilities for older persons.

Effect of Empathy Ability and Communication Competence on Person-centered Care of Nursing Students in the Region who Experienced Clinical Practice (임상실습을 경험한 일 지역 간호대학생의 공감능력, 의사소통능력이 인간중심간호에 미치는 영향)

  • Lim, Semi;Yeom, Young-Ran
    • Journal of Industrial Convergence
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    • v.20 no.10
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    • pp.25-32
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    • 2022
  • The purpose of this study was to identify the degree of empathy, communication competence and person-centered care of nursing students to identify the factors that influence person-centered care. Data were collected by using questionnaires from 207 students in the 3rd and 4th grades of the nursing college who experienced clinical practice in G city, from May 2 to 20, 2022. Data were analyzed by t-test, ANOVA, Games-Howell test, Scheffe test, Pearson's correlation, and multiple regression. Statistically, person-centered care showed a significantly positive correlation with empathy(r=.57, p<.001) and communication competence(r=.63, p<.001). Influencing factors on person-centered care were communication competence(β=.44, p<.001), empathy(β=.30, p<.001) and clinical practice satisfaction(β=-.13, p=.028) accounting for 49.8% of the total change. Based on this results, in order to improve person-centered care of nursing students, it is necessary to develop education programs to increase communication competence and empathy ability and to provide active feedback through pre and post evaluation to increase clinical practice satisfaction.

The Relationship between Person-Centered Nursing and Family Satisfaction in ICUs (중환자실에서의 인간중심 간호와 가족 만족도 관계)

  • Kang, Jiyeon;Shin, Eun-Ja
    • Journal of Korean Critical Care Nursing
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    • v.12 no.3
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    • pp.1-12
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    • 2019
  • Purpose : This study aims to identify the relationship between person-centered critical care nursing (PCCN) and family satisfaction for intensive care unit (ICU) nurses. Methods : This research used a cross-sectional survey. The participants were 142 nurses and 121 family members from 8 ICUs in 4 hospitals in B city. The questionnaire survey was conducted between December 2018 and March 2019. The eight ICUs were divided into those that scored high and those that scored low for person-centered care relative to the average score for PCCN, and the difference in family satisfaction between the ICUs with high and low scores was compared using t-test. Results : The mean score of PCCN was $3.68{\pm}0.40$ out of 5. In the subcategories of PCCN, "comfort"was the highest at $3.95{\pm}0.49$, followed by "respect" at $3.73{\pm}0.57$, "compassion" at $3.59{\pm}0.57$, and "individuality" at $3.47{\pm}0.54$. The average score of family satisfaction with the ICUs was $3.45{\pm}0.67$ out of 5. In its subcategories, "emotion" was the highest at $3.69{\pm}0.72$, followed by "information" at $3.61{\pm}0.75$, "participation" at $3.30{\pm}0.79$, and "resources" at $3.20{\pm}0.80$. The family satisfaction ($3.75{\pm}0.54$) with the ICU of the highest-scoring PCCN was significantly higher than the family satisfaction ($3.25{\pm}0.53$) with the ICU with the lowest-scoring PCCN (t=4.97, p<.001). Conclusion: The results suggest that the PCCN scores of ICU nurses should be promoted to improve family satisfaction. It is necessary to pursue a variety of ways to secure the provision of person-centered nursing practice in ICUs.

An analysis of the relationship among nursing students' perception of target advocacy, work value, and person-centered care (간호대학생이 지각한 대상자 옹호, 직업 가치 및 인간중심돌봄 간의 관계분석)

  • Ji Ah Song;Jae Woo Oh
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.2
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    • pp.287-295
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    • 2024
  • This study examined the relationship between target advocacy, work values, and person-centered care among nursing students, and attempted to provide basic data for the development of educational materials to improve fundamental ideology for nursing students. The data collection period was from July 1 to July 31, 2023. The questionnaires of 172 nursing students who were enrolled in universities located in cities D and S and agreed to participate in this study were analyzed. The results of the analysis showed that the influential factors on nursing students' person-centered care were target advocacy and work values, and the explanatory power of these variables was 23.5%. In conclusion, in order to improve nursing students' competence in person-centered care, it is necessary to identify the extent of their work values as nurses, compare and develop programs for the formation of positive work values, and improve their awareness of target advocacy, which is the fundamental philosophy of nursing.

Effect of Long-term Care Worker's Person-Centered Care on Service Quality of long term care facility -Focusing on mediating effects of long term care worker's emotional labor and job satisfaction- (요양보호사의 인간중심케어와 서비스 질의 관계 -요양보호사의 감정노동과 직무만족의 매개효과 중심-)

  • Song, Myeong-Seop;Rhee, Young-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.3
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    • pp.476-484
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    • 2021
  • In this study, we analyze the relationships between long-term care workers' person-centeredness and job satisfaction, emotional labor, and service quality. Self-administered questionnaires were used to collect data from 460 long-term care workers in long-term care facilities. In the research model, person-centered care was verified using independent variables, with emotional labor (surface behavior, internal behavior) and job satisfaction applied as parameters, and service quality applied as a dependent variable. The results of this study are as follows. First, the fit of the model is good. Second, the implicit behavior of emotional labor is found to be an important factor affecting service quality. Also, emotional labor is an important mediator, improving the value of person-centered care and service quality. There is a positive correlation between internal behavior and service quality, and a negative correlation between surface behavior and service quality. Third, emotional labor (surface behavior, internal behavior) is the most influential variable in terms of service quality. The results of this study demonstrate the necessity to pay clinical and academic attention to person-centered care in terms of long-term care workers' emotional labor and service quality.