Influence of Moral Sensitivity and Nursing Practice Environment in Person-centered Care in Long-term Care Hospital Nurses

Abstract

The aim of this study was to examine effects of moral sensitivity and nursing practice environment on person-centered care by nurses in long-term care hospitals. Methods: Participants in this study were 118 nurses, with a least 4 months experience working in a long-term care hospital in Daegu City or North Gyeongsang Province. Data were collected from March 17 to 28, 2017 using questionnaires about general characteristics, the Korean Version Person-centered Care Assessment Tool, the Korean Moral Sensitivity Questionnaire, and the Korean Version of the Practice Environment Scale of Nursing Work Index. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation and hierarchial multiple regression analysis with the IBM SPSS statistics 19.0 Program. Results: Person-centered care showed significantly positive correlations with moral sensitivity (r=.21, p=.024) and nursing practice environment (r=.62, p<.001). In the hierarchial regression analysis, moral sensitivity explained 4% (F=5.24, p=.024) of the variance in person-centered care and nursing practice environment accounted for 38% (F=35.15, p<.001) of the variance in person-centered care. Conclusion: Findings indicate that improvements in person-centered care should be developed to provide a good nursing practice environment in long-term care hospitals.

The Effects of the Nursing Practice Environment and Self-leadership on Person-centered Care Provided by Oncology Nurses

“…Nurses with more positive perceptions of the work environ- In addition, nurses who reported higher levels of personcentered care tended to perceive more positive perceptions about the nursing practice environment (r=0.27, P=0.007) and greater self-leadership (r=0.40, P＜0.001). These findings are consistent with previous evidence that the work environment or nursing practice (e.g., organizational structure and teamwork for nursing practice) are related to autonomous activities and compassion of nurses, which are essential components for person-centered care [10,13,19].…”

“…These findings emphasize the critical significance of a supportive environment for nursing practice and self-leadership to improve person-centered care, as highlighted by previous results from various nursing units (e.g., in internal medicine or surgical units of tertiary hospitals, the ICU, or the emergency room) [10,19,23,26]. Furthermore, this study indicates that the nursing practice environment and self-leadership are essential determinants of person-centered care in oncology nurses, who have multiple responsibilities in caring for cancer patients.…”

“…The number of participants required for this study was calculated using G*Power version 3.1.9.4. With the conditions of a medium effect size (0.15) for multiple regression analysis, 13 predictors at a 0.05 significance level, and statistical power of 0.80 based on a previous study about person-centered care [19], a minimum of 131 participants was required. Considering the fact that self-administered surveys are often accompanied by missing data, the number of target samples was determined as 145 by adding a 10% incompletion rate.…”

Structural Equation Model for Developing Person-Centered Care Competency among Senior Nursing Students

“…The clinical learning environment was the last factor affecting PCCC; thus, supporting previous studies that showed a significant correlation between PCCC and the environment [46][47][48]. We, thus, infer that supportive cultures should be maintained through the establishment of mutually cooperative relationships among many interacting clinical professionals, such as clinical practice professors, practice instructors, and heads of institutions.…”

Effects of clinical practice stress and moral sensitivity on clinical competency in nursing students

“…도덕 적 민감성은 실제 상황에서 도덕적 문제의 존재를 인식할 수 있는 능력 (Lutzen & Nordin, 1994) (Jo & Kim, 2013) (Do & Kang, 2019). 또한 요양병원 간호사의 도덕적 민감성이 인간 중심 돌봄에 유의한 영향을 주는 변수였다 (Park, 2017). 간호학에서 '돌봄'은 의학과 간호학을 구별하는 요소로 간 호제공자가 가져야 할 구체적 행위이다 (Watson, 2006 .…”