임상간호사의 간호전문직관, 감정노동이 환자중심간호에 미치는 영향

Abstract

Purpose The purpose of this study was investigating correlation among clinical nurses’ nursing professionalism, emotional labor, and degree of patient-centered care. This study evaluated influencing factors of patient-centered care, so the basic data for development of strategies was provided for increasing degrees of patient-centered care.

Method Subject of this study was clinical nurses who working more than 6 months in four kinds of general hospitals over 300 beds in U metropolitan city, except emergency department nurses from January 4th 2019 to January 18th 2019. This subject research used total 218 data at final analysis. For the analysis, the study used a nursing professionalism measuring tool developed by Yeun et al (2005), emotional labor measuring tool developed by Brotheridge & Lee (2003) and translated tool from Seo (2013), the patient-centered care’s measuring tool developed by Suhonen (2010) and translated tool from Yang (2008). The collected data were analyzed by frequency, mean, standard deviation, independent t-test, ANOVA, scheffe’ test, Pearson’s correlation coefficient and multiple regression analysis by SPSS/ WIN 24.0 program.

Results 1. The mean of clinical nurses’ nursing professionalism score was 3.40 out of 5.0 points. The average of emotional labor score was 3.05 out of 5.0 points. The average of patient-centered care score was 3.45 out of 5.0 points on the scale. 2. Regarding the general sample characteristics, patient-centered care showed significant differences according to marital status(t=-1.99, p=.048), current position (F=4.12, p=.018), total clinical career(F=3.37, p=.036) and career in current department(F=3.11, p=.047). 3. Patient-centered care of clinical nurses’ were showed significant positive correlations with nursing professionalism(r=.37, p<.001) and emotional labor(r=.23, p<.001). 4. It was found that factors influencing the patient-centered care of characteristics were as follows: nursing professionalism(ß=.21, p=.029) and emotional labor(ß=.15, p=.005). The explanatory power was 22.6%.

Conclusion This of result shown that high degree of nursing professionalism and emotional labor are related to high levels of patient-centered care, the most factors for patient-centered care were nursing professionalism, followed by emotional labor. Thus, for improving the level of patient-centered care, we should try to develop and apply the strategies for establishment of positive, high nursing professionalism and emotional labor.