护理实践环境和自我领导能力对肿瘤护士提供的以人为本护理的影响。

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

作者信息

Shin Sun-Ui, Yeom Hyun-E

机构信息

Chungnam National University College of Nursing, Daejeon, Korea.

出版信息

J Hosp Palliat Care. 2021 Sep 1;24(3):174-183. doi: 10.14475/jhpc.2021.24.3.174.

DOI:10.14475/jhpc.2021.24.3.174

PMID:37674562

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10180058/

Abstract

PURPOSE

This study aimed to investigate the effects of the nursing practice environment and self-leadership on person-centered care provided by oncology nurses.

METHODS

This cross-sectional study included 145 nurses who worked in oncology wards at eight university hospitals in Seoul, Daejeon, and Chungcheong Province with at least six months of experience. Data were collected using a self-administered survey and analyzed using descriptive statistics, Pearson correlation coefficients, the t-test, analysis of variance, and hierarchical multiple regression analysis in SPSS version 26.0.

RESULTS

Person-centered care was significantly correlated with the nursing practice environment (r=0.27, P<0.001) and self-leadership (r=0.40, P<0.001), and the nursing practice environment was correlated with self-leadership (r=0.380, P<0.001). Hierarchical multiple regression analysis showed that the nursing practice environment was a significant predictor of person-centered care (β=0.31, P<0.001), after adjusting for covariates including monthly salary, total clinical career, and the position of oncology nurses. Self-leadership was a significant predictor of person-centered care (β=0.34, P<0.001) after controlling for the nursing practice environment, along with covariates. The final model explained 18.7% of the variance in person-centered care.

CONCLUSION

Our findings emphasize the importance of the nursing practice environment and nurses' self-leadership for providing person-centered care in oncology care units. Educational programs to reinforce nurses' self-leadership and administrative support for nursing practice are necessary to improve oncology nurses' capability to provide person-centered care.

摘要

目的

本研究旨在探讨护理实践环境和自我领导力对肿瘤护士提供的以患者为中心护理的影响。

方法

这项横断面研究纳入了145名在首尔、大田和忠清道八所大学医院肿瘤病房工作且至少有六个月工作经验的护士。通过自填式调查问卷收集数据，并使用描述性统计、Pearson相关系数、t检验、方差分析以及SPSS 26.0版本中的分层多元回归分析进行分析。

结果

以患者为中心的护理与护理实践环境（r = 0.27，P < 0.001）和自我领导力（r = 0.40，P < 0.001）显著相关，且护理实践环境与自我领导力相关（r = 0.380，P < 0.001）。分层多元回归分析表明，在调整包括月工资、总临床工作年限和肿瘤护士职位等协变量后，护理实践环境是以患者为中心护理的显著预测因素（β = 0.31，P < 0.001）。在控制护理实践环境以及协变量后，自我领导力是以患者为中心护理的显著预测因素（β = 0.34，P < 0.001）。最终模型解释了以患者为中心护理中18.7%的方差。