College of Nursing, Eulji University, 712, Dongil-ro, Uijeongbu-si 11759, Gyeonggi-do, South Korea.
Nursing Department, College of Health and Welfare, Woosong University, Dong-gu 34606, Daejeon, South Korea.
Intensive Crit Care Nurs. 2022 Dec;73:103293. doi: 10.1016/j.iccn.2022.103293. Epub 2022 Jul 21.
Practising person-centred care is crucial for nurses in the intensive care unit, as patients have high physical and psychological care needs. We aimed to identify the predictors of person-centred care among nurses working in intensive care settings.
In this cross-sectional study, 188 intensive care unit nurses at four tertiary hospitals in two cities of South Korea were included. They completed self-reported questionnaires on emotional intelligence, compassion satisfaction, secondary traumatic stress, burnout, and person-centred care. Emotional intelligence was measured using the Korean version of the Wong and Law's emotional intelligence scale. Compassion satisfaction, secondary traumatic stress, and burnout were measured by the Professional Quality of Life questionnaire (version 5). Person-centred care was measured using the person-centred critical care nursing scale.
Multiple regression identified compassion satisfaction (β = 0.49, p <.001) as the most powerful predictor of person-centred care, followed by emotional intelligence (β = 0.21, p =.004) and intensive care unit career length (β = 0.17, p =.021). These three variables accounted for 31.0 % of the variance in person-centred care.
This study highlights the importance of career length, emotional intelligence, and compassion satisfaction in the promotion of person-centred care among intensive care unit nurses. Nursing management should contemplate specific measures to reduce turnover among experienced intensive care unit nurses and to enhance the factors that promote person-centred care, such as compassion satisfaction and emotional intelligence.
在重症监护病房中,实践以患者为中心的护理至关重要,因为患者有较高的身体和心理护理需求。我们旨在确定在重症监护环境中工作的护士实施以患者为中心的护理的预测因素。
在这项横断面研究中,纳入了韩国两个城市的四家三级医院的 188 名重症监护病房护士。他们完成了关于情绪智力、同情满足感、二次创伤应激、倦怠和以患者为中心的护理的自我报告问卷。情绪智力使用 Wong 和 Law 的情绪智力量表的韩语版本进行测量。同情满足感、二次创伤应激和倦怠通过职业生活质量问卷(第 5 版)进行测量。以患者为中心的护理通过以患者为中心的重症监护护理量表进行测量。
多元回归确定同情满足感(β=0.49,p<.001)是预测以患者为中心的护理的最有力因素,其次是情绪智力(β=0.21,p=.004)和重症监护病房工作年限(β=0.17,p=.021)。这三个变量解释了以患者为中心的护理的 31.0%的变异性。
本研究强调了重症监护病房护士工作年限、情绪智力和同情满足感在促进以患者为中心的护理中的重要性。护理管理应该考虑具体措施来减少经验丰富的重症监护病房护士的离职率,并增强促进以患者为中心的护理的因素,如同情满足感和情绪智力。