상급종합병원 병동 간호사의 의도적 간호순회 수행에 영향을 미치는 요인

Abstract

Purpose The purpose of this study was to examine the effects of perceptions of patient rounding, self-leadership and nursing organization culture on Intentional rounding performance, and provide basic data necessary for the development of educational programs to promote Intentional rounding.

Method The participants of this study were 210 nurses who had experience of patient rounding care in the general hospital wards of B city and Y city. The data were collected from February 5, 2018 to February 22, 2018, with the approval of the Institutional Review Board of the Hospital of P University. The collected data were analyzed by descriptive statistics, χ2-test, and independent t-test using SPSS 23.0 for windows. Logistic regression analysis was performed to identify factors influencing Intentional rounding performance.

Result 1. The average patient rounding time interval per shift was 3.65±1.52 hours(in Day shift), 3.59±1.47 hours(in Evening shift), 3.75±1.45 hours(in Night shift). It was found that Intentional rounding performance was carried out by 20.0% of the Day shift worker, 18.1% of the Evening shift worker, and 19.5% of the Night shift worker. 2. There was a statistically significant difference in Intentional roundig performances according to the general characteristics of the subjects in the Caregiver residence, Recommended rounding time interval in wards, Using rounding protocol in wards, and Intentional rounding intention(p<.05). 3. There was a difference in Intentional rounding performance according to the perceptions of patient rounding degree(p<.001). 4. The significant factors influencing the Intentional rounding performance were the recommended rounding time interval in wards and the presence of using rounding protocol in wards(p<.05).

Conclusion These results suggest that factors influencing Intentional rounding performance of the general hospital ward nurse are important factors in the recommended rounding time interval in wards and the using rounding protocol in wards. Based on this, it is expected that ward nurses will be able to provide more advanced and efficient patient rounding by promising a systematic patient rounding time for the Intentional rounding and developing appropriate protocols for each ward. In addition, there are differences depending on working hours, but the factors such as caregiver residence, Intentional rounding intention, Perceptions of patient rounding, and Self-leadership are factors that may affect Intentional rounding performance. If these factors are taken into account and intervention is developed, nurses' Intentional rounding performance can be enhanced.