Factors associated with Person-centered Care for Elderly in Longterm Care Hospital Nurses

So Bun Kim; Youngrye Park

doi:10.7475/kjan.2019.31.6.618

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

Original Article

Korean J Adult Nurs 2019;31(6):618-627.

Published online: 21 December 2019

DOI: https://doi.org/10.7475/kjan.2019.31.6.618

Factors associated with Person-centered Care for Elderly in Longterm Care Hospital Nurses

So Bun Kim¹, Youngrye Park^2,

¹Nurse, Emergency Center, Donggunsan Hospital, Gunsan, Korea

²Professor, Department of Nursing, Kunsan National University, Gunsan, Korea

Corresponding author: Park, Youngrye https://orcid.org/0000-0002-1667-8129 Department of Nursing, Kunsan National University, 558 Daehak-ro, Gunsan 54150, Korea. Tel: +82-63-469-1992, Fax: +82-63-469-7429, E-mail: yrpark@kunsan.ac.kr

Received 15 October 201931 October 2019 Accepted 25 November 2019

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Person-centered care, Longterm care, Hospital, Elderly, Nurses

REFERENCES

1. Statistics Korea. Future population special estimation [Internet]. Seoul: Statistics Korea;2019. [cited 2019 September 6]. Available from:. http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board.

2. Choi JU. Effects of job stress and social support among nurses caring for elderly patients on organizational effectiveness [dissertation]. Asan: Hoseo University;2013.

3. Lee GH, Lee JM. Impact of facility managers' characteristics on their intention to introduce a unit care system. Health and Social Welfare Review. 2012; 32(4):94–122.

4. Seok J. A study on the concept and improvement plan of longterm care service quality -the voice of service field for 'Good Care'-. Korean Journal of Social Welfare. 2014; 66(1):221–49.

5. Yoon JY, Roberts T, Bower BJ, Lee JY. A review of person-cen-tered care in nursing homes. Journal of the Korean Gerontologi-cal Society. 2012; 32(3):729–45.

6. Park EM. The influence of moral sensitivity and nursing por-actice environment on person-centered care in longterm care hospital nurses [master's thesis]. Daegu: Daegu Catholic University;;2017.

7. Edvardsson D, Watt E, Pearce F. Patient experiences of caring and person-centredness are associated with perceived nursing care quality. Journal of Advanced Nursing. 2017; 73(1):217–27. https://doi.org/10.1111/jan.13105.

8. Morgan S, Yoder LH. A concept analysis of person-centered care. Journal of Holistic Nursing. 2012; 30(1):6–15. https://doi.org/10.1177/0898010111412189.

9. Brownie S, Nancarrow S. Effects of person-centered care on residents and staff in aged-care facilities: a systematic review. Clinical Interventions in Aging. 2013; 8:1–10. https://doi.org/10.2147/CIA.S38589.

10. Suk JW, Koh MS. Development of nursing workplace spirituality instrument: confirmatory factor analysis. Journal of Korean Academy of Nursing Administration. 2016; 22(1):99–108. https://doi.org/10.11111/jkana.2016.22.1.99.

11. Suh YW, Rho SC. The five-factor model of workplace spirituality: a conceptualization and scale development. Korean Journal of Industrial and Organizational Psychology. 2014; 27(2):419–47.

12. Kumar T, Pragadeeswaran S. Effects of occupational stress on spiritual quotient among executives. International Journal of Trade, Economics and Finance. 2011; 2(4):288–92.

13. Mueller C, Burger S, Rader J, Carter D. Nurse competencies for person-directed care in nursing homes. Geriatric Nursing. 2013; 34(2):101–4. https://doi.org/10.1016/j.gerinurse.2012.09.009.

14. Yoo M-S. The influences of workplace spirituality and emotional intelligence on the organizational citizenship behavior for clinical nurses. The Korean Journal of Health Service Management. 2016; 10(2):59–70. https://doi.org/10.12811/kshsm.2016.10.2.059.

15. Kim MJ, Gu MO. The development of the stresses measurement tool for staff nurses working in the hospital. Journal of Korean Academy of Nursing. 1984; 14(2):28–37.

16. Lee JY, Nam ES, Son EJ, Hwang JH, Nam HR. Influence of nurses's stress related to geriatric nursing in nursing practice for older patients in hospital. Journal of Korean Gerontologi-cal Nursing. 2016; 18(2):53–61. https://doi.org/10.17079/jkgn.2016.18.2.53.

17. Aiken LH, Havens DS, Sloane DM. The magnet nursing services recognition program: a comparison of two groups of magnet hospitals. The Journal of Nursing Administration. 2009; 100(3):26–36. https://doi.org/10.1097/NNA.0b013e3181aeb469.

18. McCance T, McCormack B, Dewing J. An exploration of per-son-centeredness in practice. A Scholarly Journal of the American Nurses Association. 2011; 16(2):1–9.

19. Eaton S, Roberts S, Turner B. Delivering person centered care in long term conditions. British Medical Journal. 2015; 350:h181. https://doi.org/10.1136/bmj.h181.

20. Sohn IS, Sim KH, Kwon JS, Park DL, Han YH, Han SS. Development of an instrument to measure organizational social-ization of new clinical nurses. Journal of Korean Clinical Nursing Research. 2008; 14(1):85–97.

21. Edvardsson D, Fetherstonhaugh D, Nay R, Gibson S. Development and initial testing of the Person-centered Care Assessment Tool (P-CAT). International Psychogeriatrics. 2010; 22(1):101–8. https://doi.org/10.1017/S1041610209990688.

22. Tak YR, Woo HY, You SY, Kim JH. Validity and reliability of the person-centered care assessment tool in longterm care facilities in Korea. Journal of Korean Academy of Nursing. 2015; 45(3):412–9. https://doi.org/10.4040/jkan.2015.45.3.412.

23. Lake ET. Development of the practice environment scale of the Nursing Work Index. Research in Nursing & Health. 2002; 25(3):176–88. https://doi.org/10.1002/nur.10032.

24. Cho E, Choi M, Kim EY, Yoo IY, Lee NJ. Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. Journal of Korean Academy of Nursing. 2011; 41(3):325–32. https://doi.org/10.4040/jkan.2011.41.3.325.

25. Martínez T, Suárez-Álvarez J, Yanguas J, Muñiz J. The person centered approach in gerontology: new validity evidence of the staff assessment. International Journal of Clinical and Health Psychology. 2016; 16(2):175–85. https://doi.org/10.1016/j.ijchp.2015.12.001.

26. Sagong H, Lee GE. Person-centered care and nursing service quality of nurses in longterm care hospitals. Journal of Korean Academy of Community Health Nursing. 2016; 27(4):309–18. https://doi.org/10.12799/jkachn.2016.27.4.309.

27. Rokstad AM, Engedal K. Edvardsson D, Selbaek G. Psychometric evaluation of the Norwegian version of the person-cen-tred care assessment tool. International Journal of Nursing Practice. 2012; 18(1):99–105. https://doi.org/10.1111/j.1440-172X.2011.01998.x.

28. Sjögren K, Lindkvist M, Sandman P-O, Zingmark K, Edvardsson D. Psychometric evaluation of the Swedish version of the Person-centered Care Assessment Tool (P-CAT). International Psychogeriatrics. 2012; 24(3):406–15. https://doi.org/10.1017/s104161021100202x.

29. Jin JH, Ju HO, Kim KS, Park YM. Effects of nursing workplace spirituality on job satisfaction, burnout and turnover intention among general hospital nurses. Journal of Korean Clinical Nursing Research. 2017; 23(2):142–50. https://doi.org/10.22650/JKCNR.2017.23.2.142.

30. Noh GM, Yoo MS. Effects of workplace spirituality and organizational citizenship behavior on nursing performance. Journal of Korean Academy of Nursing Administration. 2016; 22(3):251–9. https://doi.org/10.11111/jkana.2016.22.3.251.

31. Hwang YS, Cho E. Factors influencing nurse turnover intention of senior convalescence hospitals in the metropolitan area. Korean Journal of Occupational Health Nursing. 2016; 25(3):156–67. https://doi.org/10.5807/kjohn.2016.25.3.156.

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)
Gender	Women	168 (98.2)
Marital status	Unmarried	38 (22.2)
Marital status	Married	133 (77.8)
Education	College	105 (61.4)
Education	≥ Bachelor	66 (38.6)
Religion	Yes	115 (67.3)
Religion	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)
Experience of living with elderly	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
Variables	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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