요양병원 간호사의 간호근무환경, 도덕적 고뇌가 인간중심돌봄에 미치는 영향

Nursing Practice Environment and Moral Distress Impact on Person-centered Care of Long-term Care Hospital Nurses

본 연구는 요양병원 간호사의 간호근무환경, 도덕적 고뇌가 인간중심돌봄의 관계를 확인하고, 인간중심돌봄에 미치는 영향을 파악하기 위한 서술적 조사연구이다. D시와 G도 소재 요양병원에서 현재 근무하는 간호사를 대상으로 시행되었다. 자료수집은 2020년 5월 1일부터 31일까지로 총 154명을 SPSS 25.0로 분석하였다. 간호근무환경은 2.42점, 도덕적 고뇌는 3.27점, 인간중심돌봄은 3.60점이었다. 인간중 심돌봄의 영향요인은 간호근무환경, 도덕적 고뇌로 나타났다. 이는 요양병원 간호사의 인간중심돌봄을 증진시키기 위한 방안으로 관리자들의 지속적인 관심으로 요양병원 간호사의 근무환경 개선과 도덕적 고뇌의 감소를 위한 실질적인 방안 마련이 필요해 보인다.

This study was conducted to evaluate the nursing practice environment, moral distress, and the factors that influence person-centered care and the experience of person-centered care among nurses working in a long-term care hospitals. 154 nurses who was working in long-term care hospitals in D city and G province were evaluated. Date were collected from May 1st to 31th, 2020 and analyzed using the SPSS/WIN 25.0 program. The mean score of nursing practice environment was 2.42, the moral distress was 3.27, and person-centered care was 3.60. Person-centered care showed significantly positive correlations with moral distress(r=.53, p<.001) and showed significantly positive correlations with nursing practice environment(r=.32, p<.001). Regression analysis revealed that the factors which significantly influenced person-centered care were nursing practice environment and moral distress. Therefore, in order to increase person-centered care, nursing intervention programs that improve the nursing practice environment and reduce moral disgtress are required for nurses working in long-term care hospitals.