Bong Hyun Ju, Lee Mikyoung
Department of Nursing, Seoyeong University, Gwangju, South Korea.
Department of Nursing, Dongshin University, 67 Dongshindae-gil, Naju-si, Jeollanam- do, 58245, South Korea.
BMC Nurs. 2024 May 24;23(1):351. doi: 10.1186/s12912-024-02013-9.
By incorporating socio-cognitive mindfulness which has been under-examined in the nursing field, this study investigated the relationships between socio-cognitive mindfulness, moral sensitivity, dementia communication behaviors, and dementia nursing performance of nurses in long-term care hospitals. This study also examined the factors influencing nurses' dementia nursing performance.
A cross-sectional study was conducted with 209 nurses from long-term care hospitals in Korea. Data were collected between August 1 and August 31, 2022. Participants completed the questionnaire assessing their socio-cognitive mindfulness, moral sensitivity, dementia communication behaviors, and dementia nursing performance. Pearson's correlation and hierarchical multiple regression analysis were performed for data analysis.
Dementia nursing performance of the nurses in long-term care hospitals was positively related to their socio-cognitive mindfulness, moral sensitivity, and dementia communication behaviors. Furthermore, nurses' dementia communication behaviors, moral sensitivity, and total clinical career, in that order, were found to be the factors influencing their dementia nursing performance.
The findings indicate that the higher socio-cognitive mindfulness, moral sensitivity, and dementia communication behaviors, the higher dementia nursing performance, and that higher dementia nursing performance is associated with better dementia communication behaviors, greater moral sensitivity, and more extensive clinical experiences. This study provides a foundation for developing effective interventions to enhance dementia nursing performance in the future. To improve dementia nursing performance of nurses in long-term care hospitals, it is necessary to improve dementia communication behaviors and moral sensitivity, and prepare multilateral countermeasures to maintain nurses' clinical careers.
本研究纳入了护理领域研究较少的社会认知正念，调查了长期护理医院护士的社会认知正念、道德敏感性、痴呆症沟通行为和痴呆症护理表现之间的关系。本研究还考察了影响护士痴呆症护理表现的因素。
对韩国长期护理医院的209名护士进行了横断面研究。数据收集于2022年8月1日至8月31日之间。参与者完成了评估其社会认知正念、道德敏感性、痴呆症沟通行为和痴呆症护理表现的问卷。采用Pearson相关性分析和分层多元回归分析进行数据分析。
长期护理医院护士的痴呆症护理表现与他们的社会认知正念、道德敏感性和痴呆症沟通行为呈正相关。此外，护士的痴呆症沟通行为、道德敏感性和总的临床工作年限依次被发现是影响其痴呆症护理表现的因素。
研究结果表明，社会认知正念、道德敏感性和痴呆症沟通行为越高，痴呆症护理表现越高，且较高的痴呆症护理表现与更好的痴呆症沟通行为、更高的道德敏感性和更丰富的临床经验相关。本研究为未来开发提高痴呆症护理表现的有效干预措施奠定了基础。为提高长期护理医院护士的痴呆症护理表现，有必要改善痴呆症沟通行为和道德敏感性，并制定多边对策以维持护士的临床工作年限。
