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Influence of Professional Self-concept, Moral Sensitivity on Elderly Care Performance of Geriatric Hospital Nurses

요양병원 간호사의 전문직 자아개념과 도덕적 민감성이 노인간호실천에 미치는 영향

  • 도영주 (진주보건대학교 간호학과) ;
  • 강영실 (경상대학교 간호학과 / 경상대학교 건강과학연구원)
  • Received : 2019.04.09
  • Accepted : 2019.05.03
  • Published : 2019.05.31

Abstract

This study was conducted to investigate the relationship among professional self-concept, moral sensitivity and elderly care performance nurses in geriatric hospitals, as well as to clarify factors that affect nurses' elderly care performance. Participants consisted of 153 nurses working in geriatric hospital in G Province were evaluated. Date were collected from September 15 to October 15, 2018 and analyzed using the SPSS/WIN 23.0 program. The mean of professional self-concept was $2.87{\pm}0.35$ out of 4, that of moral sensitivity was $4.70{\pm}0.47$ out of 7 and that of elderly care performance $3.51{\pm}0.41$ out of 4. Elderly care performance was siginificantly positively correlated with professional self-concept (r=.48, p<.001) and moral sensitivity (r=.31, p<.001). Factors influencing elderly care performance were professional self-concept (${\beta}=.32$, p=.001), moral sensitivity (${\beta}=.18$, p=.021), educational experience of geriatric nursing (${\beta}=.17$, p=.029), which explained 31.6% of elderly care performance. The results of this study suggest that supporting systems should be arranged to provide various learning opportunities as a way to increase the professional self-concept of nurses with short career as well as intervention strategies may be necessary to make education of geriatric nursing obligatory.

본 연구는 요양병원 간호사의 전문직 자아개념과 도덕적 민감성, 노인간호실천의 정도를 파악하고, 전문직 자아개념과 도덕적 민감성이 노인간호실천에 미치는 영향을 파악하기 위해 시행되었다. 연구대상자는 G도에 소재한 6개 요양병원에 근무하는 경력 3개월 이상인 간호사 153명이며 자료수집기간은 2018년 9월 15일부터 10월 15일까지이다. 수집된 자료는 SPSS win 23.0을 이용하여 mean, t-test, ANOVA, Pearson's coefficients, stepwise multiple regression으로 분석하였다. 대상자의 전문직 자아개념은 4점 만점에 $2.87{\pm}0.35$점, 도덕적 민감성은 7점 만점에 $4.70{\pm}0.47$점, 노인간호실천은 4점 만점에 $3.51{\pm}0.41$점이었다. 노인간호실천은 전문직 자아개념(r=.48, p<.001), 도덕적 민감성(r=.31, p<.001)와 정적 상관관계가 있었다. 노인간호실천에 유의한 영향을 미치는 요인은 전문직 자아개념(${\beta}=.32$, p=.001), 도덕적 민감성(${\beta}=.18$, p=.021), 노인간호교육 이수경험(${\beta}=.17$, p=.029)로 확인되었으며, 이들 변수들은 노인간호실천을 31.6% 설명하였다(F=8.32, p<.001). 따라서 요양병원 간호사의 노인간호실천 정도를 높이기 위해서는 전문직 자아개념과 도덕적 민감성을 향상 시킬 수 있는 교육프로그램의 개발과 적용이 필요하며 더불어 요양병원 간호사에게 노인간호에 대한 보수교육을 의무화하는 제도가 모색되어야 할 것이다.

Keywords

Table 1. General Characteristics

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Table 2. The degree of Professional self-concept, Moral sensitivity, Elderly care performance

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Table 3. Difference among Professional self-concept, Moral sensitivity, Elderly care performance

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Table 4. Correlation among Elderly care performance,Professional self-concept and Moral sensitivity

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Table 5. Factors Affecting Elderly care performance

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References

  1. Korean Statistical Information Service, 2014[Internet], http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B01003&vw_cd=MT_ZTITLE&list_id=A41_20&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_ id=&conn_path=E1#
  2. Korean Statistical Information Service, 2016[Internet], http://kosis.kr/statHtml/statHtml.do?orgId=354&tblId=DT_HIRA43&vw_cd=MT_ZTITLE&list_id=354_MT_DTITLE&seqNo=&lang_mode=ko&language=kor&obj_varid=&itm_id=&conn_path=E1
  3. Health Insurance Review & Assessment Service [Internet], Press release. Results of Evaluation of Long-Term Care Hospitals, 2010: 2011 Sep 30 http://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA0200410001000&brdScnBltNo=4&brdBltNo=8197
  4. Y. J. Lee, "Utilization of medical assistance patients in nursing hospital", Journal of the Korea Contents Association, Vol.17, No.5, pp.366-375, 2017. DOI: https://dx.doi.org/10.5392/JKCA.2017.17.05.366
  5. H. S. Oh, H. S. Jeong, "Implementation and evaluation of gerontological nursing education program: consist of knowledge about nursing care for elderly and elderly simulation experience", Journal of the Korea Academia-Industrial cooperation Society, Vol. 13, No. 4, pp.1654-1664, 2012. DOI: https://doi.org/10.5762/KAIS.2012.13.4.1654
  6. B. H. Kong, "Nursing practice and caring attitude from the aspect of virtue ethics", Journal of the philosophical society, vol. 34, No. 3, pp. 83-108, 2004.
  7. Arthur, D., "Measuring the professional self-concept of nurses:A critical review", Journal of Advanced Nursing , Vol. 17, pp. 712-719, 1992. DOI: http://dx.doi.org/10.1111/j.1365-2648.1992.tb0196
  8. C. H. Noh, K. Y. Sohng, "Survey on the Relationship Self-esteem and Professional Self-concept of Nurses", The Korean Journal of Fundamentals of Nursing, Vol. 4, No. 1, pp. 61-71, 1997.
  9. S. Y. Kang, "A Study on The Professional Self Concept of Nurses Working in The Geriatric Hospitals", Unpublished Master's thesis, Soonchunhyang University, Assan, 2010.
  10. K. Lutzen, M. Evertzon, C. Nordin, "Moral sensitivity in psychiatric practice", Nursing Ethics, Vol. 4, No. 6, pp. 472-482, 1997. DOI: https://doi.org/10.1177/096973309700400604
  11. S. S. Han, Y. S. Kim, J. H. Park, S. H. Ahn, K. H. Meng, J. H. Kim, "A Study of the Moral Sensitivity of Nurses and Nursing Students in Korea", Journal of Korean Medical Ethics Education, Vol. 10, No. 2, pp. 117-124, 2007. https://doi.org/10.35301/ksme.2007.10.2.117
  12. K. K. Kim, "The Nurses' Perceptions and Experiences on the Older Adult's Dignity in Nursing Homes", Journal of Korean Academic Nursing Administration, Vol. 15, No. 1, pp. 81-90, 2009.
  13. H. Y. Chang, J. E. Song, Y. S. Kim, M. A. You, "Moral Sensitivity, Attitude and Nursing Practices for Older People among Nurses in Long Term Care Hospitals", Journal of Korean Society for Medical Ethics, Vol. 13, No. 2, pp. 216-230, 2013.
  14. Arthur, D., "Measurement of the Professional Self-concept of Nurses Developing a Measurement Instrument", Nusing Education Today, Vol. 15, pp. 328-335, 1995. DOI: https://doi.org/10.1016/S0260-6917(95)80004-2
  15. S. S. Han, Y. S. Kim, J. H. Park, S. H. Ahn, K. H. Meng, J. H. Kim, "A study of the moral sensitivity of nurses and nursing students in korea", Korean Journal of Medical Ethics , Vol. 10, No. 2, pp. 117-124, 2007. https://doi.org/10.35301/ksme.2007.10.2.117
  16. H. J. Choi, "The research is nurse of knowledge, attitude and practice for old age patients", Unpublished master's thesis, Kyung Hee University, Seoul, 2002.
  17. M. R. Kang, K. S. Jeong, "Attitudes toward Caring for the Elderly and Geriatric Nursing Practice of Nurses in a General Hospital", Journal of korea Contents Association, Vol. 18, No. 7, pp. 127-137, 2018. DOI : https://10.5392/JKCA.2018.18.07.127
  18. Y. K. Kim, S. H. Kwon, "Effects of Empathy and Attitude in Caring for Elders by Nurses in Geriatric Nursing Practice in Long-term Care Hospitals ", Korean Gerontological Nursing Society, Vol. 19, No. 3, pp. 203-213, 2017. https://doi.org/10.17079/jkgn.2017.19.3.203
  19. Y. H. Kwon, H. Y. Lee, S. S. Hwang, "A Study on the Knowledge, Attitude and Nursing practice of the nurses-towards the Elderly in Geriatric Hospitals", Journal of the Korea Academia-Industrial cooperation Societ y, Vol. 14, No. 11, pp. 5785-5791, 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.11.5785
  20. J. H. Park, "Professional self-concept and job satisfaction recognized by Nurses Working in Long-term Care Hospitals", Unpublished Master's thesis, Changwon National University, Changwon, 2018.
  21. Y. M. Goh, "Professional Self-Concept and Organizational Commitment of Nurses in Special Hospitals", Unpublished Master's thesis, Yonsei University, Seoul, 2011.
  22. Angel E, Craven R, Denson N, "The nurses' self-concept instrument(NSCI): a comparison of domestic and international student nurses' professional self-concepts from a large Australian university", Nurse Educational Today , Vol. 32, No. 6, pp. 636-640, 2012. DOI: https://doi.org/10.1016/j.nedt.2011.09.006.
  23. J. M. Ryu, M. S. Kim, "Influence of Professional Self-concept, Self-leadership on Elderly Care Performance of Geriatric Hospital Nurses", Journal of Health Informatics and Statistics, Vol. 41, No. 4, pp. 392-402, 2016. DOI: https://doi.org/10.21032/jhis.2016.41.4.392
  24. J. A. Kim, Y. S. Kang, "Moral Distrss and Moral Sensitiviti of Nurses Working in Long Term Care Hospitals", Journal of the Korea Academia-Industrial cooperation Society, Vol. 19, No. 6, pp. 240-251, 2018. DOI: https://10.5762/KAIS.2018.19.6.240
  25. H. R. Kim, S. H. Ahn, "Moral Sensitivity and Moral Distress among Korean Hospital Nurses", The Korean Society for Medical Ethics , Vol. 13, No. 4, pp. 321-336, 2010. https://doi.org/10.35301/ksme.2010.13.4.321