Korean J Adult Nurs.  2023 Aug;35(3):245-253. 10.7475/kjan.2023.35.3.245.

The influence of Critical Reflection Competency, Nursing Work Environment and Job Crafting on Person-Centered Care in Tertiary Hospital Nurses: A Cross-sectional Study

• Hwang J
• Shin S

• KMID: 2545838
• DOI: http://doi.org/10.7475/kjan.2023.35.3.245

Abstract

Purpose
This study was conducted to provide fundamental data for improving the quality of care by investigating the relationships of critical reflection competency, nursing practice environment, job crafting, and person-centered care among tertiary hospital nurses. Additionally, the study sought to identify the factors influencing person-centered care.
Methods
Data were collected from 132 tertiary hospital nurses with at least 1 year of work experience via an online survey conducted in January 2023.
Results
Person-centered care varied significantly according to age, clinical experience, and department. Significant correlations of person-centered care with critical reflection competency (r=.77, p<.001), nursing practice environment (r=.46, p<.001), and job crafting (r=.71, p<.001) were observed. Factors contributing to person-centered care among tertiary hospital nurses included critical reflection competency (β=.46, p<.001) and job crafting (β=.40, p<.001), with an explanatory power of 70.2%.
Conclusion
To provide ethically enhanced person-centered care in tertiary hospitals, various training programs must be developed to strengthen nurses' critical reflection competency and job crafting skills.

Keyword

Change management; Critical thinking; Nurses; Person-centered care; Working conditions