간호사의 공감능력, 헬스 리터러시 역량, 간호사와 의사 협력이 환자중심간호에 미치는 영향 = Influence of empathy, health literacy competencies, and nurse-physician collaboration on patient-centered care among nurses

다국어 초록 (Multilingual Abstract)

Purpose: Patient-centered care is a core role of nurses for providing high-quality care to patients. The purposes of this study were to understand the relationship between empathy, health literacy competencies, nurse-physician collaboration, and patient-centered care among nurses, and to identify factors affecting patient centered care.

Methods: This descriptive cross-sectional study was conducted with 129 nurses working at a university hospital. Data were collected using a structured self-report questionnaire that included items on general characteristics, empathy, health literacy competencies, nurse-physician collaboration, and patient-centered nursing. Data were analyzed using descriptive statistics, t-tests, ANOVA, Mann-Whitney U tests, Kruskal-Wallis H tests, Pearson correlation analyses, and multiple regression analysis.

Results: There were statistically significant positive relationship between empathy, health literacy competencies, nurse-physician collaboration and patient-centered care. The regression model for this study explained 55% of variance of patient-centered care among nurses, Moreover, factors influencing patient-centered care among nurses were idnetified as nurse- physician collaboration, health literacy competencies, working in an emergency department, and experience with patient-centered care education.

Conclusion: This study identified that nurses’ health literacy competencies and nurse–physician collaboration were important factor to explain patient-centered care among nurses. Interprofessional collaboration programs should be emphasized for nursing education and continuing education to improve patient-centered care. Moreover, nurses’ health literacy competencies need to be developed to improve patient-centered care.

Keywords: patient-centered care, empathy, health literacy, physician-nurse relations

목차 (Table of Contents)

• I. 서론 1
• A. 연구 필요성 1
• B. 연구 목적 4
• C. 용어 정리 4
• II. 연구 방법 6
• A. 연구 설계 6
• B. 연구 대상 6
• C. 연구 도구 6
• D. 자료수집 방법 및 절차 9
• E. 윤리적 고려 9
• F. 자료분석 방법 10
• III. 연구 결과 11
• A. 대상자의 일반적 특성 11
• B. 대상자의 공감능력, 헬스 리터러시 역량, 간호사와 의사 협력과 환자중심간호 정도 13
• C. 대상자의 일반적 특성에 따른 환자중심간호의 차이 13
• D. 대상자의 공감능력, 헬스 리터러시 역량, 간호사와 의사 협력, 환자중심간호의 상관관계 15
• E. 대상자의 환자중심간호 영향 요인 16
• IV. 논의 18
• V. 결론 24
• 참고문헌 26
• 부록 37