Journal of East-West Nursing Research (동서간호학연구지)

East-west Nursing Research Institute, Kyung Hee University (경희대학교 동서간호학연구소)
권호 표지
DOI QR코드

DOI QR Code

Factors Influencing Person-Centered Nursing of Delivery Room Nurses

분만실 간호사의 인간중심간호에 영향을 미치는 요인

  • Received : 2025.09.25
  • Accepted : 2025.11.09
  • Published : 2025.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Person-centered nursing (PCN) is fundamental to providing high-quality, holistic care in labor and delivery settings. Understanding the factors that influence PCN among labor and delivery nurses is essential for enhancing nursing practice and maternal outcomes. Purpose: This study aimed to identify factors influencing PCN among labor and delivery nurses. Methods: A descriptive cross-sectional study was conducted with 202 nurses from secondary and tertiary hospitals in South Korea. Data were collected from August 13-18, 2024, using structured questionnaires and analyzed with SPSS/WIN 28.0 for descriptive statistics, t-tests, one-way ANOVA, Pearson's correlation, and multiple regression analyses. Results: The mean scores were 4.43±0.34 for PCN, 4.25±0.39 for nursing professional values, and 4.13±0.57 for work environment. Person-centered nursing differed significantly by academic background, work experience, and hospital size. Person-centered nursing was positively correlated with nursing professional values and work environment. Multiple regression analysis identified nursing professional values and work environment as significant predictors, explaining 41.3% of the variance. Conclusion: Labor and delivery nurses with stronger professional values and more favorable perceptions of their work environment are more likely to practice PCN. Interventions and organizational strategies that strengthen professional values and optimize the work environment are recommended to foster PCN in labor and delivery settings.

Keywords

References

  1. Statistics Korea. Birth Statistics in 2023. Daejeon (Korea): Statistics Korea; 2024. https://kostat.go.kr/attachPreview.es?bid=204&list_no=432388&seq=1
  2. Tambvekar SE, Adki S, Sheriar NK. Pregnancies in elderly mothers over 40 years: What to expect from the rising new age high-risk cohort? J Obstet Gynaecol India. 2023;73(4):358-62. https://doi.org/10.1007/s13224-022-01701-3
  3. Kim H, Choi J, Park S, Park S, Kim H, Kim H et al. Analysis of activities and services of delivery room nurses based on DACUM technique. J Korean Clin Nurs Res. 2015;21(3):319-34.
  4. Horton R, Astudillo O. The power of midwifery. Lancet. 2014;384(9948):1075-6. https://doi.org/10.1016/S0140-6736(14)60855-2
  5. Ahn Y, Cho H. Hospital system model for personalized medical service. J Korea Converg Soc. 2017;8(12):77-84. https://doi.org/10.15207/JKCS.2017.8.12.077
  6. Joo YS, Jang Y. Predictors of person-centered care among nurses in adult intensive care units. J Korean Clin Nurs Res. 2022; 28(1): 34-44. https://doi.org/10.22650/JKCNR.2022.28.1.34
  7. McCormack B, McCance T. Person-centered nursing: Theory and practice. Chichester (UK): Wiley-Blackwell; 2010.
  8. Charmel PA, Frampton SB. Building the business case for patient-centered care. Healthc Financ Manage. 2008;62(3):80-5.
  9. van Belle E, Giesen J, Conroy T, van Mierlo M, Vermeulen H, Huisman-de Waal G et al. Exploring person-centred fundamental nursing care in hospital wards: A multi-site ethnography. J Clin Nurs. 2020;29(11-12):1933-44. https://doi.org/10.1111/jocn.15024
  10. Rayburn WF, Xierali IM. Complexities of the Obstetrician-Gynecologist Supply and Demand. Obstet Gynecol Clin North Am. 2025;52(4):599-614. https://doi.org/10.1016/j.ogc.2025.07.001
  11. Lee YJ. Work experiences of delivery room nurses: A phenomenological study. Korean J Women Health Nurs. 2017;23(2):78-88. https://doi.org/10.4069/kjwhn.2017.23.2.78
  12. Park S-H. Changes in job-adaptation trajectories and influencing factors among new graduate nurses [Doctoral dissertation]. Suwon: Ajou University; 2023.
  13. Kang J, Lim YM. The relationship between the work environment and person-centered critical care nursing for intensive care nurses. J Korean Crit Care Nurs. 2019;12(2):73-84. https://doi.org/10.34250/jkccn.2019.12.2.73
  14. Ahn J, Young E. The effect of nursing competence on patient-centered care among nurses caring for patients with chronic disease: The mediating effect of burnout and the moderating effect of nursing work environment. Korean J Adult Nurs. 2021;33(2):134-44. https://doi.org/10.7475/kjan.2021.33.2.134
  15. Gupta KK, Attri JP, Singh A, Kaur H, Kaur G. Basic concepts for sample size calculation: Critical step for any clinical trials! Saudi J Anaesth. 2016;10(3):328-31. https://doi.org/10.4103/1658-354X.174918
  16. Lee J-J. Development of a person-centered nursing measurement tool [Doctoral dissertation]. Gyeongsan: Daegu Catholic University; 2018.
  17. Han S-S, Kim M, Woon E. Factors affecting nursing professionalism. 2008;14(1):73-9.
  18. Park S, KangJ. Development and psychometric evaluation of the Korean Nursing Work Environment Scale. J Korean Crit Care Nur. 2015;8(1):50-61.
  19. Jung TM, Kim, KA. The influence of nursing professionalism, communication competence and nursing work environment of dedicated COVID-19 hospital nurse on person-centered care. J Korean Acad Soc Home Care Nurs. 2022;29(2):165-74. https://doi.org/10.22705/jkashcn.2022.29.2.165
  20. Nguyen KH. Patient-centered language during peripartum bedside reports. 2024.
  21. Dehbarez NT, Lou S, Uldbjerg N, Møller A, Gyrd-Hansen D, Søgaard R. Pregnant women's choice of birthing hospital: A qualitative study on individuals' preferences. Women Birth. 2018;31(6):e389-94. https://doi.org/10.1016/j.wombi.2017.11.006
  22. Cho K, Kim M. Effects of nursing professionalism, job stress and nursing work environment of clinical nurses on person-centered care. J Muscle Joint Health. 2022;29(3):176-84. https://doi.org/10.5953/JMJH.2022.29.3.176
  23. Lee M-A, Kang SJ, Hyun HS. Relationship among nursing professionalism, nursing work environment, and patient safety nursing activities in general hospital nurses. J Korean Acad Nurs Adm. 2019;25(4):317-28. https://doi.org/10.11111/jkana.2019.25.4.317
  24. Jeong EH, Han SJ. Communication competence, nursing professionalism and job performance among home healthcare nurses. J Korean Acad Nurs Adm. 2020;26(4):409-18. https://doi.org/10.11111/jkana.2020.26.4.409
  25. Woon H, Lee JC, Lee E-Y, Lee H, Park M. Effects of decision making competency, nursing professionalism and job satisfaction on turnover impulse among nurses. J Korean Acad Nurs Adm. 2013;19(5):658-67. https://doi.org/10.11111/jkana.2013.19.5.658
  26. Jung H, Kim SY. Effects of nursing professionalism and job involvement on turnover intention among new graduate nurses. J Korean Acad Nurs Adm. 2016;22(5):531-9. https://doi.org/10.11111/jkana.2016.22.5.531
  27. Shin S-N. Effects of nursing work environment and self-leadership on person-centered nursing among nurses in cancer wards [Master's thesis]. Daejeon: Chungnam National University; 2021.
  28. Jung SR, Hae YM. The influence of moral distress, empowerment and nursing practice environment on nurses' person-centered care in long term care hospitals: A cross-sectional study. J Korean Gerontol Nurs. 2022;24(3):291-300. https://doi.org/10.17079/jkgn.2022.24.3.291
  29. Noh C, Kim K, Lee C, Lee J, Kim S, Song K. Nurse's perception of technological development, caring attributes and professional self-concept in YanBian. J Korean Acad Nurs. 2003;33(4):356-64.
  30. Boyraz Yanık HG, Akın Ö, Erbil N. The relationship between professional values of nursing students and respectful maternity care: A descriptive and correlational study. Nurse Educ Pract. 2025;82:104244. https://doi.org/10.1016/j.nepr.2024.104244
  31. Rodríguez-García MC, Martos-López IM, Casas-López G, Márquez Hernández VV, Aguilera-Manrique G, Gutiérrez-Puertas L. Exploring the relationship between midwives' work environment, women's safety culture, and intent to stay. Women Birth. 2023;36(1):e10-6. https://doi.org/10.1016/j.wombi.2022.04.002
  32. Kim HO, Lee I, Lee BS. Nursing leaders' perceptions of the state of nursing leadership and the need for nursing leadership education reform: A qualitative content analysis from South Korea. J Nurs Manag. 2022;30(7):2216-26. https://doi.org/10.1111/jonm.13596
  33. de Abreu Pereira SC, Ribeiro OMPL, Fassarella CS, Santos EJF. The impact of nursing practice environments on patient safety culture in primary health care: A scoping review. BJGP Open. 2024;8(1):BJGPO.2023.0062. https://doi.org/10.3399/BJGPO.2023.0062