Kim Se Young, Ko Young
Department of Nursing, Changwon National University, 20 Changwondaehak-ro, Uichang-gu, Changwon 51140, Republic of Korea.
Department of Nursing, College of Nursing, Gachon University, Incheon 21936, Republic of Korea.
Healthcare (Basel). 2025 Aug 22;13(17):2080. doi: 10.3390/healthcare13172080.
BACKGROUND/OBJECTIVES: This study aimed to examine the mediating role of the team effectiveness of the nursing unit on the relationship between the nursing work environment and patient-centered nursing.
This cross-sectional design enrolled 327 nurses working in general hospitals across South Korea. Data were collected using a structured questionnaire between July and October 2022. Mediation analysis was conducted using PROCESS Macro v3.5 for SPSS (Model 4), with bootstrap resampling (5000 samples) to assess the direct and indirect effects of the nursing work environment on patient-centered nursing.
The mean score for patient-centered nursing was 3.96 (maximum scored 5). Clinical experience, position, and hospital type were found to be significant general characteristics influencing patient-centered nursing. Both the nursing work environment (r = 0.522, < 0.001) and the team effectiveness of the nursing unit (r = 0.569, < 0.001) showed significant positive correlations with patient-centered nursing. Moreover, team effectiveness was found to mediate the relationship between the nursing work environment and patient-centered nursing (R = 0.39, F = 35.35, < 0.001).
These findings highlight the importance of organization-level strategies to enhance the nursing work environment and foster a team-based culture to improve patient-centered nursing.
背景/目的：本研究旨在探讨护理单元团队效能在护理工作环境与以患者为中心的护理之间关系中的中介作用。
本横断面研究纳入了韩国各地综合医院的327名护士。2022年7月至10月期间，使用结构化问卷收集数据。采用SPSS的PROCESS Macro v3.5（模型4）进行中介分析，并通过Bootstrap重抽样（5000个样本）来评估护理工作环境对以患者为中心的护理的直接和间接影响。
以患者为中心的护理平均得分为3.96（满分5分）。临床经验、职位和医院类型被发现是影响以患者为中心的护理的重要一般特征。护理工作环境（r = 0.522，P < 0.001）和护理单元的团队效能（r = 0.569，P < 0.001）均与以患者为中心的护理呈显著正相关。此外，团队效能被发现中介了护理工作环境与以患者为中心的护理之间的关系（R = 0.39，F = 35.35，P < 0.001）。
这些发现凸显了组织层面策略对于改善护理工作环境以及培养以团队为基础的文化以提升以患者为中心的护理的重要性。
