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    중환자실 간호사의 윤리적 간호역량과 긍정 간호조직문화가 인간중심간호에 미치는 영향: 횡단적 조사연구 = The Influence of Ethical Nursing Competence and Positive Nursing Organizational Culture on Person-Centered Care in Intensive Care Unit Nurses: A Cross-Sectional Survey

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    https://www.riss.kr/link?id=A109220194

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Purpose: The purpose of this study was to investigate the impact of ethical nursing competence and positive nursing organizational culture on person-centered care among intensive care unit (ICU) nurses. Methods: A cross-sectional research design was adopted for this study. The participants were 156 ICU nurses working at three hospitals in Seoul City and Gyeonggi-do. The data were collected from September 8 to September 30, 2023. The questionnaire consisted of tools for general characteristics, person-centered care, ethical nursing competence, and positive nursing organizational culture..Results: Participants had a mean age of 28.90 ± 5.38 years, and the mean score for person-centered care was 3.65 ± 0.46. Person-centered care was influenced by ethical nursing competence (β=.60, p<.001) and positive nursing organizational culture (β=.21, p=.004). The explanatory power was 32.4% (F = 13.36, p<.001, Adj.R² = .324). Conclusion: Based on the findings of this study, to improve the performance of person-centered nursing by ICU nurses, it is necessary to provide ongoing, systematic education focusing on ethical nursing. This educational initiative should be designed to address the specific ethical challenges encountered in ICU settings. In addition, strengthening managers’ active leadership and promoting a positive nursing organizational culture can be expected to improve person-centered nursing performance.
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    Purpose: The purpose of this study was to investigate the impact of ethical nursing competence and positive nursing organizational culture on person-centered care among intensive care unit (ICU) nurses. Methods: A cross-sectional research design was a...

    Purpose: The purpose of this study was to investigate the impact of ethical nursing competence and positive nursing organizational culture on person-centered care among intensive care unit (ICU) nurses. Methods: A cross-sectional research design was adopted for this study. The participants were 156 ICU nurses working at three hospitals in Seoul City and Gyeonggi-do. The data were collected from September 8 to September 30, 2023. The questionnaire consisted of tools for general characteristics, person-centered care, ethical nursing competence, and positive nursing organizational culture..Results: Participants had a mean age of 28.90 ± 5.38 years, and the mean score for person-centered care was 3.65 ± 0.46. Person-centered care was influenced by ethical nursing competence (β=.60, p<.001) and positive nursing organizational culture (β=.21, p=.004). The explanatory power was 32.4% (F = 13.36, p<.001, Adj.R² = .324). Conclusion: Based on the findings of this study, to improve the performance of person-centered nursing by ICU nurses, it is necessary to provide ongoing, systematic education focusing on ethical nursing. This educational initiative should be designed to address the specific ethical challenges encountered in ICU settings. In addition, strengthening managers’ active leadership and promoting a positive nursing organizational culture can be expected to improve person-centered nursing performance.

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    참고문헌 (Reference)

    1 강지연 ; 임윤미, "The relationship between the work environment and person-centered critical care nursing for intensive care nurses" 12 (12): 73-84, 2019

    2 강지연 ; 신은자, "The relationship between person-centered nursing and family satisfaction in ICUs" 12 (12): 1-12, 2019

    3 강혜숙 ; 서민정, "The factors affecting person-centered care nursing in intensive care unit Nurses" 14 (14): 14-25, 2021

    4 Lee SM, "The effect of ethical nursing competence and social intelligence on attitudes towards brain death organ donation:focused on the intensive care unit nurses" Eulji University 2023

    5 Scholtz S, "The culture of nurses in a critical care unit" 3 : 2333393615625996-, 2016

    6 Tzeng HM, "Relationship of nurses' assessment of organizational culture, job satisfaction, and patient satisfaction with nursing care" 39 (39): 79-84, 2002

    7 Freund RJ, "Regression analysis" Elsevier 85-96, 2006

    8 Luxford K, "Promoting patient-centered care : a qualitative study of facilitators and barriers in healthcare organizations with a reputation for improving the patient experience" 23 (23): 510-515, 2011

    9 주영신 ; 장연수, "Predictors of person-centered care among nurses in adult intensive care units" 28 (28): 34-44, 2022

    10 이혜란 ; 양남영, "Influence of ethical sensitivity and personenvironment fit on person-centered care of nurses in longterm care hospitals" 29 (29): 175-182, 2022

    1 강지연 ; 임윤미, "The relationship between the work environment and person-centered critical care nursing for intensive care nurses" 12 (12): 73-84, 2019

    2 강지연 ; 신은자, "The relationship between person-centered nursing and family satisfaction in ICUs" 12 (12): 1-12, 2019

    3 강혜숙 ; 서민정, "The factors affecting person-centered care nursing in intensive care unit Nurses" 14 (14): 14-25, 2021

    4 Lee SM, "The effect of ethical nursing competence and social intelligence on attitudes towards brain death organ donation:focused on the intensive care unit nurses" Eulji University 2023

    5 Scholtz S, "The culture of nurses in a critical care unit" 3 : 2333393615625996-, 2016

    6 Tzeng HM, "Relationship of nurses' assessment of organizational culture, job satisfaction, and patient satisfaction with nursing care" 39 (39): 79-84, 2002

    7 Freund RJ, "Regression analysis" Elsevier 85-96, 2006

    8 Luxford K, "Promoting patient-centered care : a qualitative study of facilitators and barriers in healthcare organizations with a reputation for improving the patient experience" 23 (23): 510-515, 2011

    9 주영신 ; 장연수, "Predictors of person-centered care among nurses in adult intensive care units" 28 (28): 34-44, 2022

    10 이혜란 ; 양남영, "Influence of ethical sensitivity and personenvironment fit on person-centered care of nurses in longterm care hospitals" 29 (29): 175-182, 2022

    11 Santana MJ, "How to practice person-centred care : A conceptual framework" 21 (21): 429-440, 2018

    12 Maluwa V, "Factors that influence ethical competence among nurses in health facilities in Malawi" 33 : 40-45, 2021

    13 Cha CY, "Factors related to nursing performance in South Korean intensive care units" 26 (26): e12874-, 2020

    14 신소미 ; 문희, "Factors influencing on person-centered nursing in general hospital nurses by resilience, patient-centered communication competence, and positive nursing organizational culture" 7 (7): 509-536, 2023

    15 Mo MR, "Factors associated with nurses' intention to care for patients with COVID-19 in hospitals dedicated to infectious diseases: the moderating effect of ethical nursing competence" Ulsan University 2023

    16 최승혜, "Factors affecting to the person-centered care among critical care nurses" 13 (13): 36-44, 2020

    17 이재숙 ; 김근면 ; 김은주 ; 장수정, "Factors affecting patientcentered nursing in regional public hospital" 26 (26): 185-195, 2020

    18 신자현 ; 정석희 ; 이명하 ; 양영란, "Experiences of ethical issues and needs for ethics education in clinical nurses" 21 (21): 327-339, 2015

    19 Hoskins K, "Ethics education in nursing : instruction for future generations of nurses" 23 (23): 1-11, 2018

    20 Lechasseur K, "Ethical competence : an integrative review" 25 (25): 694-706, 2018

    21 이선희 ; 유미, "Effects of positive nursing organizational culture and organizational communication on nurses' job embeddedness : mediating effect of organizational communication" 63 : 45-66, 2023

    22 Brownie S, "Effects of person-centered care on residents and staff in aged-care facilities : a systematic review" 8 : 1-10, 2013

    23 허순영, "Effect of social desirability on survey responses : based on a question from statistics Korea's social survey" 32 (32): 969-981, 2021

    24 강보라 ; 오희영, "Development of ethical nursing competence self-rating scale for clinical nurses" 32 (32): 482-493, 2020

    25 김미정 ; 김종경, "Development of a positive nursing organizational culture measurement tool" 51 (51): 305-319, 2021

    26 강지연 ; 조영신 ; 정연진 ; 김수경 ; 윤선영 ; 심미영, "Development and validation of a measurement to assess personcentered critical care nursing" 48 (48): 323-334, 2018

    27 정재연 ; 장수진 ; 조선미 ; 이선희, "Delirium experience of the intensive care unit patients" 52 (52): 134-143, 2022

    28 강지연 ; 원윤희, "Concept analysis of post intensive care syndrome" 8 (8): 55-65, 2015

    29 염영희 ; 노상미 ; 김경희, "Clinical nurses' experience of positive organizational culture" 20 (20): 469-480, 2014

    30 홍희진 ; 강지연, "A qualitative content analysis of the person-centered care experienced by critical care patients" 11 (11): 21-33, 2018

    31 Ha KH, "A need analysis on ethical competence among nurses" Hallym University 2021

    32 전꽃비 ; 박미현, "A concept analysis of person-centered care in intensive care units" 11 (11): 129-176, 2021

    33 Lusk JM, "A concept analysis of patient-centered care" 48 (48): 89-98, 2013

    34 Jakimowicz S, "A concept analysis of patient-cantered nursing in the intensive care unit" 71 (71): 1499-1517, 2015

    35 윤혜선 ; 정영선, "A case of clinical ethics education for nurses in a tertiary hospital" 1 (1): 33-41, 2021

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