중환자실 간호사의 역할갈등, 간호조직문화, 긍정심리자본이인간중심간호에 미치는 영향

초록

Purpose: This study examined the levels of person-centered care (PCC), role conflict, nursing organizational culture, andpositive psychological capital among intensive care unit (ICU) nurses, and identified factors associated with PCC. Methods:Participants comprised 194 ICU nurses with≥6 months of ICU experience who provided direct patient care at threehospitals with ≥300 beds in Gangwon Province, South Korea. From June 15 to September 30, 2022, data were collectedusing structured questionnaires and analyzed with SPSS 24.0. Analyses included descriptive statistics, independent t-test,one-way analysis of variance, Scheffé post-hoc test, Pearson’s correlation, and multiple regression. Results: PCC waspositively correlated with positive psychological capital, relation-oriented, innovation-oriented, and task-oriented culture. Multiple regression analysis showed that higher positive psychological capital, a more relation-oriented organizationalculture, and employment at a 300~<500 bed hospital (vs. 500~<800 beds) were independently associated with higherPCC. Conclusion: Enhancing ICU nurses’ positive psychological capital and fostering a relationship-oriented culture mayhelp improve PCC. The association between hospital size and PCC may reflect structural characteristics of care environments; however, given the study’s cross-sectional design, limited sample size, and low reliability in one organizationalculture subscale, this finding should be interpreted cautiously and validated in more diverse settings.

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