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정현 ( Jeong Hyun ) - 대전보건대학교 간호대학
박명화 ( Park Myoung-Hwa ) - 충남대학교 간호대학
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Abstract
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Purpose: Patient-centered care is a widely utilized concept in nursing and health care. However, the key components of patient-centered nursing have not yet been reported. Moreover, previous studies on patient-centered care have mostly focused on components of nursing rather than organizational factors. Therefore, a comprehensive understanding of influential factors of patient-centered care is required.
Methods: The purpose of this study was to develop a theoretical model based on person-centered care theory, and the relevant literature and to test the developed model with covariance structure analysis in order to determine the causal paths among the variables.
Results: The model fit indices for the hypothetical model were suitable for the recommended level (goodness of fit index=.87, standardized root mean residual=.01, root mean square error of approximation=.06, Tucker-Lewis index=.90, comparative fit index=.92, parsimonious normed fit index=.75). In this study, five of the six paths established in the initial hypothetical model were supported. The variables of teamwork, self-leadership, and empathy accounted for 56.4% of hospital nurses’ patient-centered care. Among these, empathy was the strongest predictor of patient-centered care.
Conclusion: These results suggest that it is necessary to use strategies to improve self-leadership and empathy. In addition to enhancing the personal factors of nurses, nursing organizations should strive for effective multidisciplinary cooperation with active support for patient-centered care and openness to change.
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KeyWords
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환자중심간호, 간호사, 공감, 리더십, 조직문화
Patient-Centered Care, Nurses, Empathy, Leadership, Organizational Culture
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원문 및 링크아웃 정보
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등재저널 정보
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