J Korean Acad Fundam Nurs.  2024 Aug;31(3):304-314. 10.7739/jkafn.2024.31.3.304.

The Influence of Ethical Nursing Competence and Positive Nursing Organizational Culture on Person-Centered Care in Intensive Care Unit Nurses: A Cross-Sectional Survey

• Lee JE
• Jang HY

• KMID: 2558783
• DOI: http://doi.org/10.7739/jkafn.2024.31.3.304

Abstract

Purpose
The purpose of this study was to investigate the impact of ethical nursing competence and positive nursing organizational culture on person-centered care among intensive care unit (ICU) nurses.
Methods
A cross-sectional research design was adopted for this study. The participants were 156 ICU nurses working at three hospitals in Seoul City and Gyeonggi-do. The data were collected from September 8 to September 30, 2023. The questionnaire consisted of tools for general characteristics, person-centered care, ethical nursing competence, and positive nursing organizational culture.
Results
Participants had a mean age of 28.90±5.38 years, and the mean score for person-centered care was 3.65±0.46. Person-centered care was influenced by ethical nursing competence (β=.60, p<.001) and positive nursing organizational culture (β=.21, p=.004). The explanatory power was 32.4% (F=13.36, p<.001, Adj. R2=.324).
Conclusion
Based on the findings of this study, to improve the performance of person-centered nursing by ICU nurses, it is necessary to provide ongoing, systematic education focusing on ethical nursing. This educational initiative should be designed to address the specific ethical challenges encountered in ICU settings. In addition, strengthening managers’ active leadership and promoting a positive nursing organizational culture can be expected to improve person-centered nursing performance.

Keyword

Clinical competence; Intensive care units; Nursing ethics; Organizational culture; Patient-centered care; 간호역량, 중환자실, 간호윤리, 조직문화, 인간중심간호