응급실 간호사의 공감역량과 인간중심 간호의 관계에서 간호근무환경, 간호사 간 협력의 매개효과 = The Mediating Effects of Compassion Competence and Person-Centered Care in the Relationship Between Nursing Work Environment and Nurse-to-Nurse Collaboration among Emergency Department Nurses : A Cross-sectional study

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to identify the mediating effects of nursing work environment and nurse-to-nurse collaboration on the relationship between compassion competence and person-centered care (PCC) among emergency department (ED) nurses. Methods: The participants were 181 ED nurses with at least eight months of clinical experience were recruited. Data were collected from August 22 to September 13, 2025 using structured questionnaires. Data were analyzed by the independent t-test, one-way ANOVA, Pearson’s correlation coefficients and regression following the Baron and Kenny method using IBM SPSS 31.0 program. And Sobel test was used to determine the significance of the mediating effect. Result: The nursing work environment and nurse-to-nurse collaboration behavior partially mediated the relationship between compassion competence and PCC. Conclusion: The findings indicate that PCC among ED nurses is directly influenced by compassion competence and is further strengthened by the nursing work environment and nurse-to-nurse collaboration. Accordingly, enhancing PCC requires individual-level strategies, such as compassion competence education. In addition, a multilevel approach should be implemented to foster a collaborative nursing atmosphere at the unit level and improve the nursing work environment at the organizational level.

목차 (Table of Contents)

• (Abstract)
• Ⅰ. 서 론 1
• 1. 연구의 필요성 1
• 2. 연구 목적 5
• 3. 용어 정의 5
• Ⅱ. 문헌고찰 8
• 1. 응급실 간호사의 인간중심 간호 8
• 2. 공감역량 9
• 3. 간호근무환경 10
• 4. 간호사 간 협력 11
• Ⅲ. 연구 방법 13
• 1. 연구 설계 13
• 2. 연구 대상 13
• 3. 연구 도구 14
• 4. 자료 수집 방법 16
• 5. 자료 분석 방법 16
• 6. 윤리적 고려 17
• Ⅳ. 연구결과 18
• 1. 일반적 특성 18
• 2. 공감역량, 간호근무환경, 간호사 간 협력 및 인간중심 간호의 정도 20
• 3. 일반적 특성에 따른 인간중심 간호의 차이 22
• 4. 공감역량, 간호근무환경, 간호사 간 협력 및 인간중심 간호의 관계 24
• 5. 공감역량과 인간중심 간호의 관계에서 간호근무환경의 매개효과 26
• 6. 공감역량과 인간중심 간호의 관계에서 간호사 간 협력의 매개효과 29
• Ⅴ. 논 의 32
• Ⅵ. 결론 및 제언 36
• REFERENCES 37
• 부록 46