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병원 조직의 환자중심간호문화 측정도구 개발

Development of the Patient-Centered Nursing Culture Scale for Hospitals

Journal of Korean Academy of Nursing 2019년 49권 5호 p.613 ~ 630
신에스더 ( Shin Esther ) - 인제대학교 간호학과

윤숙희 ( Yoon Sook-Hee ) - 인제대학교 간호학과


Purpose: This study aimed to develop a scale measuring the Patient-Centered Nursing Culture (PCNC) and provide a basic tool to improve PCNC in Korea.

Methods: A conceptual framework and construct factors were extracted through extensive literature review and in-depth interviews with nursing professionals. In total, 59 items were derived based on the pilot survey. Data were collected from 357 nurses working at general hospitals and analyzed for verifying the reliability and validity of the scale.

Results: Nine factors containing 54 items were extracted from the exploratory factor analysis to verify the construct validity. The nine factors were top management leadership, policy and procedure, education and training, middle management leadership, supportive teamwork, nursing workplace environment, professional competence, patient-centered nursing activity, and nurses’ values. These items were verified by convergent, discriminant, and concurrent validity testing. The internal consistency reliability was acceptable (Cronbach’s α=.96).

Conclusion: The developed PCNC scale is expected to be used as the tool for the development of theory and improvement of PCNC, the empirical testing for cause and effect of PCNC, the development of interventions, education and training programs for improving PCNC, and indicators for evaluation or accreditation of hospital service quality.


환자중심간호; 문화; 신뢰도와 타당도; 병원
Patient-Centered Nursing; Culture; Reliability and Validity; Hospitals
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