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간호대학생의 비판적사고성향과 환자안전역량의 관계에서 간호전문직관의 매개효과
하자현(Ja Hyeon Ha),서영자(Yeong Ja Seo),이선경(Seon Gyeong Lee) 한국간호연구학회 2023 한국간호연구학회지 Vol.7 No.2
Purpose : This study aimed to investigate the mediating effect of nursing professionalism in the relationship between nursing students’ critical thinking disposition and patient safety competency. Methods : The subjects of the study were 140 third- and fourth-grade nursing students who had experience in clinical practice among two universities located in S city and J city. The study was conducted from January 3, 2022 through February 15, 2022 using a self-report questionnaire. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation coefficients, and multiple regression following the Baron and Kenny method and Sobel test for mediation. Results : A positive correlation was found between nursing students’ patient safety competency and critical thinking disposition (r=.58, p<.001) and nursing professionalism (r=.43, p<.001); moreover, nursing professionalism was correlated with critical thinking (r=.46, p<.001). Nursing professionalism appeared to have a partial mediating effect in the relationship between critical thinking disposition and patient safety competency, and the explanatory power of critical thinking disposition and patient safety competency increased by 35.4% (F=39.06, p<.001). Conclusion : Nursing professionalism was found to be important for fostering nursing students’ patient safety competency, and it is considered necessary to develop curricula or programs and operate extracurricular programs that can improve nursing professionalism.
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장희경(Hee-kyung Chang),길초롱(Cho-rong Gil),김혜진(Hye-jin Kim),배한주(Han-ju Bea),양은옥(Eun-ok Yang),윤미림(Mi-lim Yoon),하자현(Ja-hyeon Ha) 한국산학기술학회 2018 한국산학기술학회논문지 Vol.19 No.11
본 연구의 목적은 인간중심돌봄에 대한 요양병원 간호사의 인식을 파악하는 것이다. 연구대상은 전라도와 경상도 내 위치한 요양병원 4곳에서 근무하고 있는 간호사 21명이며, 각 병원에 1개씩 포커스 그룹을 구성하여 총 4개의 포커스그룹에서 면담을 수행하였다. 자료 수집 기간은 2018년 7월 19일부터 7월 30일까지였고 질적 주제분석을 이용해 자료를 분석하였다. 연구결과 인간중심돌봄에 대한 요양병원 간호사의 인식은 6개의 주제와 11개의 하위주제로 도출되었으며, 6개의 주제는 “개별 요구 존중하기”, “끝까지 동행하기”, “남은 꿈 지지하기”, “가족과 동반자되기”, “집처럼 생활하도록 돕기”, “문화 변화시키기”로 나타났다. 간호사가 인식하는 인간중심돌봄은 노인의 선호도에 따라 개별화된 간호를 수행하고 다양한 활동프로그램을 통해 노인이 삶의 가치와 의미를 발견할 수 있도록 도와주는 것이었다. 또한 노인뿐만 아니라 이들의 가족 구성원과 협력적인 관계를 유지하고 의사결정을 공유하며 노인의 권리와 자율성이 존중받을 수 있는 물리적 환경 및 조직 문화를 형성하는 것을 인간중심돌봄이라고 인식하고 있었다. 본 연구결과를 토대로 향후 인간중심돌봄 문화 형성에 필요한 다각적 요구를 확인하고 인간중심돌봄을 기반으로 한 간호중재 프로그램을 개발하여 그 효과를 검증할 필요가 있다. This study was conducted to understand and describe Korean nurses’ perception of person-centered care for elderly patients in long-term care hospitals. Qualitative data were collected through four focus group interviews consisting of 21 nurses working in four long-term care hospitals in Jeolla and Gyeongsang provinces. Participants completed interviews from July 19 to 30, 2018. All interviews were recorded, transcribed, and analyzed by employing the thematic analysis method. Six main themes for the attributes of person-centered care for elderly patients in the long-term care hospitals were conceptualized: respecting individual needs, walking to the end, supporting hidden dreams, becoming a family partner, helping patients live like they are at home, and changing culture. Person-centered care perceived by nurses was conducted to provide individualized nursing according to elderly’s preferences and help them discover the value and meaning of life through various activity programs. Nurses also recognized person-centered care to maintain cooperative relationships with their family members and share their decision-making process, as well as to form a physical environment and organizational culture that respects the rights and autonomy of the elderly. Based on the results of this study, it is necessary to identify the diverse needs of the elderly and develop nursing intervention programs based on person-centered care.
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