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Person-centered Care and Nursing Service Quality of Nurses in Long-term Care Hospitals

Article information

Res Community Public Health Nurs. 2016;27(4):309-318
Publication date (electronic) : 2016 December 31
doi : https://doi.org/10.12799/jkachn.2016.27.4.309
Hae Sagong1, Ga Eon Lee2
1Gwangan Chamsarang Long-term Care Hospital, Busan, Korea.
2Department of Nursing, Dong-A University, Busan, Korea.
Corresponding author: Lee, Ga Eon. Department of Nursing, Dong-A University, 32 Daesingongwon-ro, Seo-gu, Busan 49201, Korea. Tel: +82-51-240-2885, Fax: +82-51-240-2920, gelee@dau.ac.kr
Received 2016 May 30; Revised 2016 October 27; Accepted 2016 October 29.

Abstract

Purpose

This study investigated the correlation between person-centered care (PCC) and nursing service quality of nurses in long-term care hospitals.

Methods

The subjects were 114 nurses working in 8 long-term care hospitals. Instruments for evaluating PCC and nursing service quality were used. The data were analyzed by descriptive statistics, two samples-test, one-way ANOVA, Pearson's correlation and Multiple regression.

Results

The mean of PCC was 3.25±0.45 out of 5 and the nursing service quality was 3.87±0.40. There were significant differences in PCC in terms of age and income satisfaction, the application of their opinions, the satisfaction of hospital managers, administrators and nurse managers. There were significant differences in nursing service quality according to age, position, the satisfaction of hospital managers, administrators and nurse managers. Nurses' PCC showed a significant positive correlation with nursing service quality. Factors influencing nursing service quality included PCC, their position and age and the most influencing one was PCC.

Conclusion

This study suggests that the PCC is the strongest affecting element to the quality of nursing service in long-term care hospitals. Therefore, the strategies to improve the practice of person-centered care should be carried out to enhance the quality of nursing service.

Keywords: Long-term care; Patient-centered care; Nursing services; Quality of health care

Notes

This article is a revision of the first author's master's thesis from Dong-A University.

References

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Article information Continued

© 2016 Korean Academy of Community Health Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Table 1

Person-centered Care of Participants

Factors Items M±SD (Sum±SD)
Personalizing care ․ We often discuss how to give person-centered care 3.61±0.78
․ We have formal team meetings to discuss resident’s care 2.49±1.07
․ The life history of the residents is formally used in the care plans we use 3.27±0.84
․ The quality of the interaction between staff and residents is more important than getting the tasks done 3.37±0.74
․ We are free to alter work routines based on residents’ preferences 3.55±0.74
․ Residents are offered the opportunity to be involved in individualized everyday activities 2.95±0.84
․ Assessment of residents’ needs is undertaken on a daily basis 3.41±0.80
Subtotal 3.24±0.54 (22.66±3.81)
Organization and environmental support ․ I simply do not have the time to provide person-centered care† 3.37±0.80
․ The environment feels chaotic† 3.69±0.82
․ We have to get the work done before we can worry about a homelike environment† 3.19±0.83
․ This organization prevents me from providing person-centered care† 3.30±0.95
․ It is hard for residents in this facility to find their way around† 3.58±0.93
․ Residents are able to access outside space as they wish 2.53±1.04
Subtotal 3.28±0.54 (19.66±3.25)
Total 3.25±0.45 (42.32±5.86)

†Reverse coding.

Table 2

Nursing Service Quality of Participants

Factors Items M±SD
Tangibility ․ Concerning about hygiene of the pt's room 4.00±0.58
․ Providing comfortable environment at resting 3.54±0.71
․ Providing nursing service in good facilities 3.11±0.85
․ Providing good feeling by nurse's good-looking 3.73±0.61
Subtotal 3.59±0.51
Reliability 3.72±0.56
․ Giving information & getting permission 3.88±0.63
․ Giving concern & solving pt's problems 4.00±0.58
․ Being reliable as nurse 3.87±0.51
Subtotal 3.87±0.45
Responsiveness ․ Immediately correcting environment problem of pt's room 3.97±0.57
․ Helping pt willingly whenever help is needed 4.09±0.54
․ Providing nursing service immediately even if too much busy 3.84±0.63
․ Providing medication & treatment at correct time 4.23±0.52
Subtotal 4.03±0.45
Assurance ․ Possessing nursing knowledge as performing own job 3.79±0.62
․ Giving information about hospitalization 3.89±0.56
․ Giving assurance about reliable nursing care 3.95±0.55
․ Providing nursing service with a sense of duty 3.96±0.66
Subtotal 3.89±0.48
Empathy 3.97±0.54
․ Respecting pt's personality 4.08±0.50
․ Listening pt's complaints 3.99±0.51
․ Providing courage & hope 3.82±0.66
Subtotal 3.96±0.47
Total 3.87±0.40

Table 3

Person-centered Care and Nursing Service Quality according to Participants' Characteristics

Characteristics Categories n (%) M±SD Person-centered care Nursing service quality
M±SD t or F (p) M±SD t or F (p)
Age (year) 23~<40 32 (28.0) 45.53±9.67 3.07±0.49a 3.92 (.023) 3.69±0.39a 6.64 (.002)
40~<50 37 (32.5) 3.30±0.35 3.86±0.34
50~62 45 (29.5) 3.34±0.47b 4.01±0.40b
Religion Have 85 (74.6) 3.30±0.45 1.85 (.067) 3.88±0.42 0.51 (.608)
None 29 (25.4) 3.12±0.44 3.84±0.31
Marital status Single 19 (16.7) 3.12±0.48 −1.34 (.182) 3.75±0.29 −1.27 (.206)
Married 95 (83.3) 3.27±0.45 3.89±0.41
Position Staff 71 (62.3) 3.28±0.41 0.67 (.507) 3.81±0.36
Charge/Head 43 (37.7) 3.22±0.51 3.97±0.44
Education Diploma 60 (52.6) 3.26±0.48 0.86 (.428) 3.86±0.38 0.13 (.882)
Bachelor 46 (40.4) 3.29±0.44 3.88±0.40
≥Master 8 (7.0) 3.06±0.34 3.93±0.51
Income/month (10,000 won) 180~<200 26 (22.8) 209.09±20.42 3.29±0.42 0.24 (.785) 3.86±0.34 0.25 (.779)
200~<210 45 (39.5) 3.27±0.51 3.84±0.48
210~270 43 (37.7) 3.22±0.41 3.90±0.34
Satisfaction of income Unsatisfied 53 (46.5) 3.13±0.41 4.32 (.016) 2.94±0.28 0.64 (.532)
Moderate 55 (48.2) 3.34±0.47 2.90±0.33
Satisfied 6 (5.3) 3.54±0.37 3.03±0.34
Duty shift Regular 90 (78.9) 3.27±0.45 0.67 (.501) 3.89±0.39 1.07 (.286)
Shift 24 (21.1) 3.20±0.48 3.79±0.40
Career of nurse (year) 0.25~<10 43 (37.7) 12.81±7.87 3.25±0.45 0.06 (.956) 3.80±0.40 1.24 (.294)
10~<15 28 (24.6) 3.27±0.59 3.90±0.44
15~37.67 43 (37.7) 3.24±0.56 3.92±0.36
Career of long-term care hospital (year) 0.08~<2 29 (25.4) 3.66±2.64 3.24±0.48 0.57 (.565) 3.88±0.38 0.43 (.655)
2~<4 36 (31.6) 3.32±0.45 3.82±0.41
4~≤13 49 (43.0) 3.22±0.44 3.90±0.39
Career of present hospital (year) 0.08~<1 39 (34.2) 1.81±1.52 3.27±0.42 0.05 (.948) 3.86±0.36 0.20 (.816)
1~<2 24 (21.1) 3.23±0.42 3.92±0.49
2~7.17 51 (44.7) 3.25±0.50 3.86±0.38
Application of opinion Difficult 54 (47.4) 3.13±0.48a 5.96 (.003) 3.82±0.39 1.21 (.302)
Moderate 50 (43.8) 3.33±0.42 3.91±0.42
Easy 10 (8.8) 3.59±0.17b 4.00±0.26
Satisfaction of hospital managers Unsatisfied 37 (32.5) 3.06±0.50a 11.09 (<.001) 3.81±0.34a 4.63 (.012)
Moderate 59 (51.8) 3.26±0.38a 3.83±0.41a
Satisfied 18 (15.7) 3.62±0.34b 4.12±0.38b
Satisfaction of administrators Unsatisfied 33 (28.9) 3.00±0.48a 10.39 (<.001) 3.77±0.30a 3.80 (.025)
Moderate 57 (50.0) 3.30±0.38b 3.86±0.43
Satisfied 24 (21.1) 3.50±0.42b 4.05±0.38b
Satisfaction of nurse manager Unsatisfied 14 (12.3) 2.88±0.47a 9.76 (<.001) 3.81±0.41a 3.97 (.022)
Moderate 45 (39.5) 3.19±0.37a 3.76±0.41a
Satisfied 55 (48.2) 3.41±0.44b 3.97±0.35b
Number of beds 195~<240 95 (83.3) 242.50±37.44 3.26±0.46 0.15 (.882) 3.87±0.40 −0.10 (.920)
240~316 19 (16.7) 3.24±0.43 3.88±0.37
Number of nurses 8~<17 52 (45.6) 16.00±5.37 3.23±0.45 −0.55 (.583) 3.90±0.39 0.61 (.546)
17~≤24 62 (54.4) 3.28±0.46 3.85±0.40

Scheffé test (a<b).

Table 4

Correlation between Person-centered Care and Nursing Service Quality of Participants

Variable Nursing service quality
Person-centered care .42 (<.001)

Table 5

Factors influencing Nursing Service Quality

Factors B SE β t p
Person-centered care 0.40 0.07 .46 5.62 <.001
Position 0.16 0.07 .19 2.34 .021
Age 0.14 0.07 .17 2.02 .046
R2=.30, Adj. R2=.28, F=15.81, p<.001