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Nurses' Perceptions of Person-Centered Care in Long-term Care Hospitals: Focus Group Study

인간중심돌봄에 대한 요양병원 간호사의 인식: 포커스 그룹 연구

  • Chang, Hee-kyung (College of Nursing, Gerontological Health Research Center in Institute of Health Sciences, Gyeongsang National University) ;
  • Gil, Cho-rong (Graduate College of Nursing, Gyeongsang National University) ;
  • Kim, Hye-jin (Graduate College of Nursing, Gyeongsang National University) ;
  • Bea, Han-ju (Graduate College of Nursing, Gyeongsang National University) ;
  • Yang, Eun-ok (Graduate College of Nursing, Gyeongsang National University) ;
  • Yoon, Mi-lim (Graduate College of Nursing, Gyeongsang National University) ;
  • Ha, Ja-hyeon (Graduate College of Nursing, Gyeongsang National University)
  • 장희경 (경상대학교 간호대학&건강과학연구원) ;
  • 길초롱 (경상대학교 간호대학) ;
  • 김혜진 (경상대학교 간호대학) ;
  • 배한주 (경상대학교 간호대학) ;
  • 양은옥 (경상대학교 간호대학) ;
  • 윤미림 (경상대학교 간호대학) ;
  • 하자현 (경상대학교 간호대학)
  • Received : 2018.08.23
  • Accepted : 2018.11.02
  • Published : 2018.11.30
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Abstract

This study was conducted to understand and describe Korean nurses' perception of person-centered care for elderly patients in long-term care hospitals. Qualitative data were collected through four focus group interviews consisting of 21 nurses working in four long-term care hospitals in Jeolla and Gyeongsang provinces. Participants completed interviews from July 19 to 30, 2018. All interviews were recorded, transcribed, and analyzed by employing the thematic analysis method. Six main themes for the attributes of person-centered care for elderly patients in the long-term care hospitals were conceptualized: respecting individual needs, walking to the end, supporting hidden dreams, becoming a family partner, helping patients live like they are at home, and changing culture. Person-centered care perceived by nurses was conducted to provide individualized nursing according to elderly's preferences and help them discover the value and meaning of life through various activity programs. Nurses also recognized person-centered care to maintain cooperative relationships with their family members and share their decision-making process, as well as to form a physical environment and organizational culture that respects the rights and autonomy of the elderly. Based on the results of this study, it is necessary to identify the diverse needs of the elderly and develop nursing intervention programs based on person-centered care.

본 연구의 목적은 인간중심돌봄에 대한 요양병원 간호사의 인식을 파악하는 것이다. 연구대상은 전라도와 경상도 내 위치한 요양병원 4곳에서 근무하고 있는 간호사 21명이며, 각 병원에 1개씩 포커스 그룹을 구성하여 총 4개의 포커스 그룹에서 면담을 수행하였다. 자료 수집 기간은 2018년 7월 19일부터 7월 30일까지였고 질적 주제분석을 이용해 자료를 분석하였다. 연구결과 인간중심돌봄에 대한 요양병원 간호사의 인식은 6개의 주제와 11개의 하위주제로 도출되었으며, 6개의 주제는 "개별 요구 존중하기", "끝까지 동행하기", "남은 꿈 지지하기", "가족과 동반자되기", "집처럼 생활하도록 돕기", "문화 변화시키기"로 나타났다. 간호사가 인식하는 인간중심돌봄은 노인의 선호도에 따라 개별화된 간호를 수행하고 다양한 활동프로그램을 통해 노인이 삶의 가치와 의미를 발견할 수 있도록 도와주는 것이었다. 또한 노인뿐만 아니라 이들의 가족 구성원과 협력적인 관계를 유지하고 의사결정을 공유하며 노인의 권리와 자율성이 존중받을 수 있는 물리적 환경 및 조직 문화를 형성하는 것을 인간중심돌봄이라고 인식하고 있었다. 본 연구결과를 토대로 향후 인간중심돌봄 문화 형성에 필요한 다각적 요구를 확인하고 인간중심돌봄을 기반으로 한 간호중재 프로그램을 개발하여 그 효과를 검증할 필요가 있다.

Keywords

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