Journal of Korean Gerontological Nursing (노인간호학회지)

Korean Gerontological Nursing (한국노인간호학회)
권호 표지
DOI QR코드

DOI QR Code

Influence of Moral Sensitivity and Nursing Practice Environment in Person-centered Care in Long-term Care Hospital Nurses

요양병원 간호사의 도덕적 민감성과 간호근무환경이 인간중심돌봄에 미치는 영향

  • Park, Eun-Mi (Daegu Catholic University Medical Center) ;
  • Park, Jin-Hwa (College of Nursing.Research Institute of Nurse Science, Daegu Catholic University)
  • 박은미 (대구가톨릭대학교병원) ;
  • 박진화 (대구가톨릭대학교 간호대학.간호과학연구소)
  • Received : 2018.05.29
  • Accepted : 2018.08.22
  • Published : 2018.08.31
⟨ Previous Next ⟩

Abstract

Purpose: The aim of this study was to examine effects of moral sensitivity and nursing practice environment on person-centered care by nurses in long-term care hospitals. Methods: Participants in this study were 118 nurses, with a least 4 months experience working in a long-term care hospital in Daegu City or North Gyeongsang Province. Data were collected from March 17 to 28, 2017 using questionnaires about general characteristics, the Korean Version Person-centered Care Assessment Tool, the Korean Moral Sensitivity Questionnaire, and the Korean Version of the Practice Environment Scale of Nursing Work Index. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation and hierarchial multiple regression analysis with the IBM SPSS statistics 19.0 Program. Results: Person-centered care showed significantly positive correlations with moral sensitivity (r=.21, p=.024) and nursing practice environment (r=.62, p<.001). In the hierarchial regression analysis, moral sensitivity explained 4% (F=5.24, p=.024) of the variance in person-centered care and nursing practice environment accounted for 38% (F=35.15, p<.001) of the variance in person-centered care. Conclusion: Findings indicate that improvements in person-centered care should be developed to provide a good nursing practice environment in long-term care hospitals.

Keywords

References

  1. Statistics Korea. Population projections for Korea [internet]. Daejeon: Statistics Korea; 2016 Dec 8 [updated 2017 Jan 26; cited 2017 Oct 17]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA003&conn_path=I2
  2. Health Insurance Review & Assessment Service. 2017 medical expenses statistics indicators [Internet]. Wonju: Health Insurance Review & Assessment Service; 2018 Mar 21 [updated 2018 Mar 21; cited 2018 Apr 3]. Available from: http://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020045010000&brdScnBltNo=4&brdBltNo=2296&pageIndex=1#none
  3. Kwon KJ, Park TJ, Lee SY. A survey on elderly human rights of geriatric hospitals. Research Service Report. Seoul: National Human Rights Commission of Korea; 2014 Nov. Report No. 11-1620000-000571-01.
  4. Morgan S, Yoder LH. A concept analysis of person-centered care. Journal of Holistic Nursing. 2012;30(1):6-15. https://doi.org/10.1177/0898010111412189
  5. Edvardsson D. Notes on person-centred care: what it is and what it is not. Nordic Journal of Nursing Research. 2015;35(2):65-6. https://doi.org/10.1177/0107408315582296
  6. McCance T, McCormack B, Dewing J. An exploration of person-centredness in practice. The Online Journal of Issues in Nursing. 2011;16(2):1. https://doi.org/10.3912/OJIN.Vol16No02Man01
  7. Hansson E, Carlstrom E, Olsson L, Nyman J, Koinberg I. Can a person-centred-care intervention improve health-related quality of life in patients with head and neck cancer? a randomized, controlled study. BMC Nursing. 2017;18:1-12. https://doi.org/10.1186/s12912-017-0206-6
  8. Edvardsson D, Fetherstonhaugh D, McAuliffe L, Nay R, Chenco C. Job satisfaction amongst aged care staff: exploring the influence of person-centered care provision. International Psychogeriatrics. 2011;23(8):1205-12. https://doi.org/10.1017/S1041610211000159
  9. Brownie S, Nancarrow S. 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
  10. Han SS, Kim YS, Park JH, Ahn SH, Meng KH, Kim JH. A study of the moral sensitivity of nurses and nursing students in Korea. Korean Journal of Medical Ethics Education. 2007;10(2):117-24.
  11. Chang HY, Song JE, Kim YS, You MA. Moral sensitivity, attitude, and nursing practices for older people among nurses in long term care hospitals. Korean Journal of Medical Ethics. 2013;16(2):216-30.
  12. Cho HN, An MJ, So HS. Differences of turnover intention by moral distress of nurses. The Journal of the Korea Contents Association. 2015;15(5):403-13. https://doi.org/10.5392/JKCA.2015.15.05.403
  13. Kang J-H. Nurse-perceived adverse patient outcomes and nurse-assessed quality of nursing care correlated to nurse practice environment [dissertation]. [Daejeon]: Chungnam National University; 2013. 56 p.
  14. Copanitsanou P, Fotos N, Brokalaki H. Effects of work environment on patient and nurse outcomes. British Journal of Nursing. 2017;26(3):172-6. https://doi.org/10.12968/bjon.2017.26.3.172
  15. Sagong H, Lee GE. Person-centered care and nursing service quality of nurses in long-term care hospitals. Journal of Korean Academy of Community Health Nursing. 2016;27(4): 309-18. https://doi.org/10.12799/jkachn.2016.27.4.309
  16. Sohn IS, Kim HS, Kwon JS, Park DL, Han YH, Han SS. Development of an instrument to measure organizational socialization of new clinical nurse. Journal of Korean Clinical Nursing Research. 2008;14(1):85-97.
  17. Lutzen K, Dahlqvist V, Eriksson S, Norberg A. Developing the concept of moral sensitivity in health care practice. Nursing Ethics. 2006;13(2):187-96. https://doi.org/10.1191/0969733006ne837oa
  18. Han SS, Kim JH, Kim YS, Ahn SH. Validation of a Korean version of the moral sensitivity questionnaire. Nursing Ethics. 2010;17(1):99-105. https://doi.org/10.1177/0969733009349993
  19. 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
  20. 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 Administration. 2011;41(3):325-32. https://doi.org/10.4040/jkan.2011.41.3.325
  21. Edvardsson D, Fetherstonhaugh D, Nay R, Gibson S. Development and initial testing of the Person-centered Care Assessment Tool (PCAT). International Psychogeriatrics. 2010;22(1):101-8. https://doi.org/10.1017/S1041610209990688
  22. Tak YR, You HY, Kim JH. Validity and reliability of the personcentered care assessment tool in long-term care facilities in Korea. Journal of Korean Academy of Nursing. 2015;45(3): 412-9. https://doi.org/10.4040/jkan.2015.45.3.412
  23. Hong SH, Park YH, Moon JS. Relationship between moral sensitivity and elderly nursing practice of nurses. Journal of Korean of Bioethics Association. 2016;17(1):75-87.
  24. Hwang YS, Cho EY. Factors influencing nurse turnover intention of senior convalescence hospitals in the metropolitan area. Korean Journal of Occupational Health Nursing. 2016;25(3):156-67. https://doi.org/10.5807/kjohn.2016.25.3.156
  25. Han MY, Lee MS, Bae JY, Kim YS. Effects of nursing practice environment, compassion fatigue and compassion satisfaction on burnout in clinical nurses. Journal of Korean Nursing Administration. 2015;21(2):193-202. https://doi.org/10.11111/jkana.2015.21.2.193
  26. Health Insurance Review & Assessment Service. The information of hospital evaluations [internet]. Wonju: Health Insurance Review & Assessment Service; 2017 Mar 31 [updated 2017 Mar 31; cited 2018 Jul 10]. Available from: http://www.hira.or.kr/re/diag/getDiagEvlList.do?pgmid=HIRAA030004000100
  27. Ministry of Health and Welfare, Korea Institute for Healthcare Accreditation. A booklet of accreditation survey criteria (Ver 2.0) [internet]. Seoul; Korea Institute for Healthcare Accreditation; 2017 Jul 7 [updated 2017 Jul 7; cited 2018 Jul 10]. Available from: http://www.koiha.kr/member/kr/board/establish/establish_BoardView.do
  28. Choi YR. Influencing factors on the person-centered care of emergency room (ER) nurses [master's thesis]. [Seoul]: Hanyang University; 2015. 102 p.
  29. Kim S. A study on the factors associated with nursing home staff's person centered care [master's thesis]. [Seoul]: Ewha Womans University; 2016. 82 p.

Cited by

  1. Factors Influencing Intentions to Care For Emerging Infectious Disease Patients among National and Public Hospitals Nurses vol.28, pp.1, 2018, https://doi.org/10.7739/jkafn.2021.28.1.11
  2. 고학년 간호대학생의 인간중심간호역량 영향요인: King의 역동적 상호작용 체계모형을 중심으로 vol.12, pp.8, 2021, https://doi.org/10.15207/jkcs.2021.12.8.357
  3. Structural Equation Model for Developing Person-Centered Care Competency among Senior Nursing Students vol.18, pp.19, 2018, https://doi.org/10.3390/ijerph181910421
  4. Factors Influencing Retention Intention of Nurses at Long-Term Care Hospitals in Korea vol.47, pp.10, 2018, https://doi.org/10.3928/00989134-20210908-07