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Nursing students¡¯ orientation toward patient-centered care: testing the effects of empathy and psychological capital using a mediation model

°£È£ÇàÁ¤ÇÐȸÁö 2022³â 28±Ç 4È£ p.361 ~ 370
KMID : 0614820220280040361
¹Ú¸íÈ­ ( Park Myong-Hwa ) - Chungnam National University College of Nursing

 ( Thi-Thanh-Tinh GIAP ) - Chungnam National University College of Nursing
±èÀº°æ ( Kim Eun-Gyung ) - Chungbuk National University Department of Nursing
±è°æÀÚ ( Kim Kyoung-Ja ) - Inha University Department of Nursing
¾ÈÀº°æ ( Ahn Eun-Kyung ) - National Health Insurance Service Ilsan Hospital Department of Anesthesiology and Pain Medicine
¾ç³²¿µ ( Yang Nam-Young ) - Kongju National University College of Nursing and Health
À̹ÌÇâ ( Lee Mi-Hyang ) - Konyang University College of Nursing
Á¤Àº¿µ ( Jeong Eun-Young ) - Wonkwang University College of Nursing

Abstract

¸ñÀû: º» ¿¬±¸ÀÇ ¸ñÀûÀº °£È£ÇлýÀÇ È¯ÀÚÁ߽ɰ£È£ ÀνÄ, °ø°¨´É·Â, ±àÁ¤½É¸®ÀÚº»À» È®ÀÎÇÏ°í ȯÀÚÁ߽ɰ£È£ ÀνĿ¡ ¿µÇâÀ» ¹ÌÄ¡´Â ¿äÀÎÀ» ÆľÇÇϱâ À§ÇÔÀÌ´Ù. ¶ÇÇÑ ¸Å°³È¿°ú ¸ðµ¨À» »ç¿ëÇÏ¿© °ø°¨´É·Â°ú ȯÀÚÁ߽ɰ£È£ ÀÎ½Ä °£ÀÇ °ü°è¿¡¼­ ±àÁ¤½É¸®ÀÚº»ÀÇ ¸Å°³È¿°ú¸¦ È®ÀÎÇÏ¿´´Ù.

¹æ¹ý: º» ¿¬±¸´Â 7°³ ´ëÇÐÀÇ °£È£Çаú Çлý 338¸íÀ» ´ë»óÀ¸·Î ÇÏ¿´À¸¸ç, ´ë»óÀÚÀÇ È¯ÀÚÁ߽ɰ£È£ ÀνÄÀº PPOS (Patient Practitioner Orientation Scale)¸¦ »ç¿ëÇÏ¿© ÃøÁ¤µÇ¾ú´Ù. ¼öÁýµÈ ÀÚ·á´Â SPSSÇÁ·Î±×·¥À» »ç¿ëÇÏ¿© independent t-tests, ANOVA, Pearson¡¯s correlation coefficient, mediation model·Î ºÐ¼®ÇÏ¿´´Ù.

°á°ú: ȯÀÚÁ߽ɰ£È£ ÀνÄÀº 3.82¡¾0.43Á¡À̾úÀ¸¸ç, ÇÏÀ§¿µ¿ªÀÎ µ¹º½ÀνÄÀº 3.95¡¾0.68Á¡, °øÀ¯ÀνÄÀº 3.69¡¾0.50Á¡À̾ú´Ù. °£È£ÇÐ Àü°ø¸¸Á·µµ, ½Ç½À¸¸Á·µµ, °£È£ÇÐ ¼±Åà µ¿±â´Â 'µ¹º½ÀνÄ'°ú À¯ÀÇÇÑ °ü·ÃÀÌ ÀÖ¾úÁö¸¸, '°øÀ¯ÀνÄ'°ú´Â À¯ÀÇÇÏÁö ¾Ê¾Ò´Ù. ±àÁ¤½É¸®ÀÚº»Àº ȯÀÚÁ߽ɰ£È£ ÀνĿ¡¼­ÀÇ µ¹º½ÀνÄ(¥â=.240, p<.001)°ú °øÀ¯ÀνÄ(¥â=.182, p=.002) ¸ðµÎ¿¡ Åë°èÀûÀ¸·Î À¯ÀÇÇÑ ¿µÇâÀ» ¹ÌÃÆ´Ù. °ø°¨´É·ÂÀº µ¹º½ÀνÄ(¥â=.120, p=.087)°ú °øÀ¯ÀνÄ(¥â=.006, p=.931)¿¡ À¯ÀÇÇÏÁö ¾Ê°Ô ³ªÅ¸³µ´Ù. ±àÁ¤½É¸®ÀÚº»(¥â=.198, p=.004)Àº µ¹º½Àνİú °ø°¨´É·Â¿¡ À¯ÀÇÇÑ »ó°ü°ü°è¸¦ º¸¿´À¸³ª, °øÀ¯ÀνĿ¡¼­´Â (¥â=.066, p=.366) À¯ÀÇÇÑ »ó°ü°ü°è¸¦ º¸ÀÌÁö ¾Ê¾Ò´Ù.

°á·Ð: º» ¿¬±¸°á°ú °£È£ÇлýÀÇ È¯ÀÚÁ߽ɰ£È£ ÀνÄÀÌ »ó´ëÀûÀ¸·Î ³ôÁö ¾ÊÀº °ÍÀ¸·Î ³ªÅ¸³µ´Ù. °£È£´ëÇп¡¼­ ü°èÀûÀΠȯÀÚÁ߽ɰ£È£ ±³À° ÇÁ·Î±×·¥ÀÌ ¾ÆÁ÷Àº ¹ÌÈíÇÏ´Ù´Â Á¡À» °í·ÁÇÒ ¶§ ȯÀÚÁ߽ɰ£È£¿¡ ´ëÇÑ Àνİú ´õºÒ¾î ȯÀÚ¸¦ À§ÇÑ °³º°Àû µ¹º½À» Çâ»ó½ÃÅ°±â À§ÇØ °£È£ÇÐ Àü°ø°ú ½Ç½À¿¡¼­ °ü·Ã ³»¿ëÀ» ü°èÀûÀ¸·Î ±³À°ÇÏ¿©¾ß ÇÏ¸ç °ø°¨´É·Â, ±àÁ¤½É¸®ÀÚº»ÀÇ °­È­¿Í ´õºÒ¾î °£È£ÇÐ Àü°ø¿¡ ´ëÇÑ ¸¸Á·µµ¸¦ ³ôÀÏ ¼ö ÀÖ´Â Àü·«µµ °í·ÁµÇ¾î¾ß ÇÑ´Ù. ¶ÇÇÑ È¯ÀÚ ¹× °¡Á·µ¹º½ÀÚ¿Í °Ç°­°ü·Ã Á¤º¸¸¦ ÇÔ²² ÇÏ°í À̵éÀ» Âü¿©Çϵµ·Ï ÃËÁøÇÏ´Â °øÀ¯ÀÇ °³³ä¿¡ ´ëÇÑ Á߿伺µµ °£È£±³À°¿¡ ¹Ý¿µµÇ¾î¾ß ÇÒ °ÍÀÌ´Ù.

Purpose: This study aims to determine nursing students¡¯ orientation toward patient-centered care (PCC) and identify its influencing factors: their personality traits, empathy, and psychological capital (PsyCap). A mediating model was used to test the role of PsyCap in the association between empathy and PCC.

Methods: This cross-sectional study included 338 nursing students from seven universities in South Korea. Their orientation toward PCC was measured using the Patient?Practitioner Orientation Scale (PPOS). Moreover, we analyzed the data using independent t-tests, ANOVA, Pearson¡¯s r, and SPSS PROCESS macro.

Results: The overall mean score on the PPOS was 3.82¡¾0.43, with the Caring and Sharing subscales accounting for 3.95¡¾0.68 and 3.69¡¾0.50, respectively. Nursing students¡¯ satisfaction with their majors, practicums, and motivation for choosing this profession was significantly related to Caring?not Sharing. Nevertheless, PsyCap positively influenced both Caring (¥â=.240, p<.001) and Sharing (¥â = .182, p=.002). While empathy failed to significantly impact both Caring (¥â = .120, p=.087) and Sharing (¥â=.006, p=.931). PsyCap mediated the association of empathy with Caring (¥â=.198, p=.004); however, the same was not true for Sharing (¥â=.066, p=.366).

Conclusion: The findings indicate that the orientation of Korean nursing students toward PCC is not high. Therefore, to improve the PPOS Caring subscale, nurse educators should formulate better strategies to enhance nursing students¡¯ satisfaction with their major and practicums, empathy, and PsyCap. The importance of sharing health-related information with patients and family caregivers should be emphasized in the nursing curriculum.
KeyWords
°ø°¨´É·Â, ÁßÀç ¸ðµ¨, °£È£Çаú Çлý, ȯÀÚ Á᫐ µ¹º½, ±àÁ¤Àû ½É¸® ÀÚº»
Empathy, Mediation model, Nursing student, Patient-centered care, Psychological capital
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ÇмúÁøÈïÀç´Ü(KCI) KoreaMed