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노인요양시설 간호사 및 간호보조 인력의 인간중심케어 영향 요인

Factors Influencing Patient-Centered Care by Nursing Staff in Nursing Homes

노인간호학회지 2020년 22권 1호 p.10 ~ 21
김은미 ( Kim Eun-Mee ) - 이화여자대학교 간호대학

신주현 ( Shin Juh-Hyun ) - 이화여자대학교 간호대학

Abstract


Purpose: The purpose of this study was to determine individual and organizational factors that influence patient- centered care.

Methods: Data were collected through convenience sampling and hierarchical linear modeling (HLM) 7.0 was conducted to analyze the effects of individual and organizational factors for patient-centered care.

Results: One hundred and thirty five participants were included, of which 42.2% were registered nurses (RNs), 20.0% certified nursing assistants, and 37.8% care workers. Among the 14 nursing homes assessed, the average proportion of registered nurses was 7.6%. Patient-centered care was explained by a power of 2.4% at the individual level and was significantly associated with religion of nursing staff. The explanatory variables were not significant at the organizational level.

Conclusion: While previous studies have highlighted the association established between patient-centered care and both individual and organizational characteristics, the same degree of association was not found in the present study primarily due to convenience sampling. Possible avenues for improvement include further consideration of the differences between individual and organizational variables and the addition of more explanatory variables to measure their impact on patient-centered care. Nonetheless the present study provides informative perspectives on the perception of nursing staff regarding elder abuse and human rights sensitivity of nursing staff.

키워드

노인요양시설; 인력; 인간중심케어; 다층분석
Nursing homes; Workforce; Patient-centered care; Multilevel analysis
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