임상간호사의 소진과 인간중심 간호수행과의 관계에서 회복탄력성의 매개효과

The Mediating Effect on Resilience between Burnout and Patient-centered Care in Clinical Nurses

Purpose : This study was performed to determine the extent of burnout, resilience, and patient-centered care among clinical nurses and to examine the mediating effect of resilience on the relationship between burnout and patient-centered care. Methods : A total of 169 clinical nurses at a general hospital in J-do were recruited. The SPSS/WIN 23.0 program was used. The data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coeffient. PROCSS macro 3.5 version was used to examine the mediating effect and the significance of indirect effect. Results : Burnout had a mean of 2.25±0.80 out of 6, resilience had a mean of 1.66±0.68 out of 4, and patient-centered care had a mean of 4.09±0.61 out of 5. The magnitude of the direct effect of burnout on patient-centered care was -0.20, and the bootstrapping confidence interval was statistically significant from -0.31 to -0.10. The magnitude of the indirect effect of burnout on patient-centered care mediated resilience was -0.14, and the bootstrapping confidence interval was statistically significant from -0.24 to -0.07. Conclusion : Development of an individualized resilience enhancement program that includes clinical nurses’ psychological factors is required to improve patient-centered care.