Korean J Adult Nurs.  2021 Apr;33(2):134-144. 10.7475/kjan.2021.33.2.134.

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

  • 1Nurse, Gyeongsang National University Changwon Hospital, Changwon, Korea
  • 2Professor, College of Nursing ․ Institute of Health Sciences, Gyeongsang National University, Jinju, Korea


This study aims to explore the mediating effect of burnout and the moderating effect of nursing work environment in the relationship between nursing competence and patient-centered care among nurses caring for patients with chronic disease.
This study uses a cross-sectional descriptive research design. The participants were 150 nurses at a general hospital. The data were collected from February 10 to May 10, 2020. The questionnaire consisted of measuring tools for general characteristics, patient-centered care, nursing competency, nursing work environment, and burnout. The SPSS/25.0 program was used to analyze the data using descriptive statistics, Pearson's correlation coefficient, independent t-test, one-way ANOVA, Scheffé test, and hierarchical multiple regression.
The average score of patient-centered care was found to be 3.75±0.44. Nursing competency had a mean score of 3.64±0.44, nursing work environment of 3.04±0.43, and burnout of 2.91±0.68. Patient-centered care was significantly associated with nursing competency, nursing work environment, and burnout. In the relationship between nursing competency and patient-centered care, burnout had a partial mediating effect. The relationship between nursing competency and patient-centered care showed that nursing work environment had no moderating effect.
The results revealed that patient-centered care was performed well if nursing competency was high. It is necessary to lower burnout and increase nursing competency such that patient-centered care can be performed better. In addition, since nursing work environment has a significant effect on nursing competency and patient-centered care, it is necessary to improve nursing work environment to improve nursing competency and patient-centered care performance.


Patient-centered care; Clinical competence; Nursing work environment; Burnout; Nurses
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