Journal List > Korean J Adult Nurs > v.31(6) > 1139713

Kim and Park: Factors associated with Person-centered Care for Elderly in Longterm Care Hospital Nurses

Abstract

Purpose

The purposes of this study were to examine the relationships between person-centered care, nursing workplace spirituality, stress for elderly care, and nursing practice environment and to identify factors associated with person-centered care in longterm care hospital nurses.

Methods

The participants of this study were nurses at longterm care hospitals in Jeollabuk-do and Chungcheongnan-do. Data was collected between July 20 and August 20, 2018 from questionnaire responses received 171 nurses. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and enter multiple regression with SPSS/ WIN 22.0 program.

Results

The mean score of person-centered care was 2.98±0.55 out of 5 points, nursing workplace spirituality scored 4.83±0.78 out of 7 points, stress for elderly care scored 2.96±0.37 out of 4 points, and nursing practice environment scored 2.40±0.42 out of 4 points. Person-centered care showed statistically significant positive correlations with nursing workplace spirituality(r=.51, p<.001) and nursing practice environment (r=.63, p<.001). Nursing practice environment showed a significant positive correlation with nursing workplace spirituality(r=.49, p<.001). Nursing practice environment, nursing workplace spirituality, and years of experience as nurse were significantly associated with person-centered care in longterm care hospital nurses.

Conclusion

Based on the results of this study, strategies are needed to improve the nursing practice environment and nursing workplace spirituality in order to enhance the person-centered care of longterm care hospital nurses. Moreover, it is necessary to explore educational measures to strengthen the person-centered care skills according to nursing career.

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Table 1.
Sociodemographic Characteristics of Participants (N=171)
Characteristics Categories n (%) or Mean± SD
Age (year) ≤39 55 (32.2)
40~49 63 (36.8)
≥50 53 (31.0)
44.49±10.23
Gender Men 3 (1.8)
Women 168 (98.2)
Marital status Unmarried 38 (22.2)
Married 133 (77.8)
Education College 105 (61.4)
≥ Bachelor 66 (38.6)
Religion Yes 115 (67.3)
No 56 (32.7)
Position Staff nurse 130 (76.1)
Charge nurse 10 (5.8)
Head nurse 26 (15.2)
Etc. 5 (2.9)
Years of experience as nurse (year) 1~4 25 (14.6)
5~9 27 (15.8)
10~19 65 (38.0)
≥20 54 (31.6)
14.95±9.10
Clinical experiences in LTCH (year) 1 14 (8.1)
1~4 75 (43.9)
5~9 55 (32.2)
≥10 27 (15.8)
5.11±3.57
Experience of living with elderly Yes 114 (66.7)
No 57 (33.3)

LTCH=long– term care hospital; SD=standard deviation.

Table 2.
Level of Patient-centered Care, Nursing Workplace Spirituality, Stress for Elderly Care, and Nursing Practice Environment of Participants (N=171)
Variables Range Min Max Mean± SD
Patient-centered care 1~5 1.15 4.54 2.98±0.55
 Extent of personalizing care 1.00 5.00 2.86±0.66
 Organization and environment support 1.00 4.67 3.12±0.60
Nursing workplace spirituality 1~7 2.88 6.59 4.83±0.78
 Interaction with job environment 1.00 6.50 3.67±1.34
 Meaning of nursing 3.25 6.88 5.36±0.83
 Inner self 1.83 6.83 4.90±1.04
 Relationship with colleagues 2.83 7.00 5.15±0.84
 Harmony between workplace and individual 1.33 7.00 4.73±1.07
 Transcendence through nursing 1.60 7.00 4.48±1.02
Stress for elderly care 1~4 1.71 4.00 2.96±0.37
 Task stress 1.80 4.00 2.84±0.45
 Patient stress 1.33 4.00 2.90±0.47
 Caregiver stress 1.83 4.00 3.12±0.45
Nursing practice environment 1~4 1.21 3.62 2.40±0.42
 Nurse participation in hospital affairs 1.22 3.78 2.31±0.49
 Nursing foundations for quality of care 1.00 3.78 2.36±0.46
 Nurse manager ability, leadership, and support of nurses 1.00 3.75 2.59±0.54
 Staffing and resource adequacy 1.00 3.75 2.17±0.55
 Collegial nurse-physician relations 1.00 4.00 2.83±0.59

SD=standard deviation.

Table 3.
Differences in Patient-centered Care according to Sociodemographic Characteristics (N=171)
Characteristics Categories Mean± SD t or U or F p (Scheffé)
Age (year) ≤39 3.00±0.49 0.09 .916
40~49 2.97±0.43
≥50 2.96±0.71
Gender Men 3.18±0.60 216.00 .671
Women 2.97±0.55
Marital status Unmarried 3.10±0.42 1.55 .123
Married 2.94±0.57
Education College 2.91±0.50 1.87 .064
≥ Bachelor 3.07±0.60
Religion Yes 2.97±0.52 0.10 .921
No 2.98±0.60
Position Staff nurse 2.94±0.55 2.23 .087
Charge nurse 3.39±0.57
Head nurse 2.99±0.45
Etc. 3.09±0.57
Years of experience as nurse (year) 1~4 a 3.31±0.49 4.51 .005
5~9 b 2.98±0.38 (a> b, c> d)
10~19 c 2.96±0.50
≥20 d 2.84±0.64
Clinical experiences in LTCH (year) 1 3.26±0.59 1.42 .238
1~4 2.93±0.50
5~9 2.97±0.55
≥10 2.96±0.62
Experience of living with elderly Yes 3.02±0.59 1.57 .119
No 2.89±0.43

LTCH=long– term care hospital; SD=standard deviation;

Mann-Whitney U test.

Table 4.
Correlation among Patient-centered Care, Nursing Workplace Spirituality, Stress for Elderly Care, and Nursing Practice Environment (N=171)
Variables Patient-centered care Nursing workplace spirituality Stress for elderly care
r (p) r (p) r (p)
Nursing workplace spirituality .51 (<.001) 1
Stress for elderly care -.09 (.260) .05 (.492) 1
Nursing practice environment .63 (<.001) .49 (<.001) -.02 (.767)
Table 5.
Factors Influencing Patient-centered Care of Participants (N=171)
Variables B SE β t p 95% CI
(Constant) 1.11 0.33 3.32 .001 0.45~1.76
Years of experience as nurse (reference=5)
 5~9 -0.26 0.11 -.17 -2.35 .020 -0.47~-0.04
 10~19 -0.19 0.09 -.17 -2.01 .047 -0.37~-0.03
 ≥20 -0.35 0.10 -.30 -3.37 .001 -0.54~-0.16
Nursing workplace spirituality 0.20 0.05 .29 4.48 .001 0.11~0.29
Nursing practice environment 0.61 0.08 .47 7.24 .001 0.44~0.77
R2=.50, Adjusted R2=.49, F=27.81, p<.001

SE=stand error; CI=confidence interval.

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