J Korean Acad Nurs.  2019 Apr;49(2):191-202. 10.4040/jkan.2019.49.2.191.

A Predictive Model on Patient-Centered Care of Hospital Nurses in Korea

• Jeong H
• Park M

• KMID: 2444834
• DOI: http://doi.org/10.4040/jkan.2019.49.2.191

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.

Keyword

Patient-Centered Care; Nurses; Empathy; Leadership; Organizational Culture

MeSH Terms

Delivery of Health Care
Empathy
Humans
Korea*
Leadership
Models, Theoretical
Nursing
Organizational Culture
Patient-Centered Care*

Figure

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  Figure 1 Conceptual framework.

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  Figure 2 Path diagram for the hypothetical model.

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