A Predictive Model on Patient-Centered Care of Hospital Nurses in Korea
10.4040/jkan.2019.49.2.191
- Author:
Hyun JEONG
1
;
Myonghwa PARK
Author Information
1. College of Nursing, Deajeon Health Institute of Technology, Daejeon, Korea.
- Publication Type:Original Article
- Keywords:
Patient-Centered Care;
Nurses;
Empathy;
Leadership;
Organizational Culture
- MeSH:
Delivery of Health Care;
Empathy;
Humans;
Korea;
Leadership;
Models, Theoretical;
Nursing;
Organizational Culture;
Patient-Centered Care
- From:Journal of Korean Academy of Nursing
2019;49(2):191-202
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Patient-centered care is a widely utilized concept in nursing and health care. However, the key components of patient-centered nursing have not yet been reported. Moreover, previous studies on patient-centered care have mostly focused on components of nursing rather than organizational factors. Therefore, a comprehensive understanding of influential factors of patient-centered care is required. METHODS: The purpose of this study was to develop a theoretical model based on person-centered care theory, and the relevant literature and to test the developed model with covariance structure analysis in order to determine the causal paths among the variables. RESULTS: The model fit indices for the hypothetical model were suitable for the recommended level (goodness of fit index=.87, standardized root mean residual=.01, root mean square error of approximation=.06, Tucker-Lewis index=.90, comparative fit index=.92, parsimonious normed fit index=.75). In this study, five of the six paths established in the initial hypothetical model were supported. The variables of teamwork, self-leadership, and empathy accounted for 56.4% of hospital nurses' patient-centered care. Among these, empathy was the strongest predictor of patient-centered care. CONCLUSION: These results suggest that it is necessary to use strategies to improve self-leadership and empathy. In addition to enhancing the personal factors of nurses, nursing organizations should strive for effective multidisciplinary cooperation with active support for patient-centered care and openness to change.
