노인요양시설 직원의 치매 지식, 인간중심적 태도 및 조직환경과 인간중심 치매케어와의 관련성

초록

Purpose: The aim of this study was to examine how dementia knowledge, attitude, and organizational environment are associated with person-centered dementia care among nursing home staff. Methods: Data were collected from 134 workers, including registered nurses, nursing assistants, and care workers employed at four nursing homes in Seoul and Gyeonggi Province between June and November 2019. The data were analyzed using SPSS version 25.0 with descriptive statistics, t-tests, ANOVA, Tukey’s test, Pearson’s correlation coefficients, and multiple regression analysis. Results: Univariate analyses showed that age, religion, occupation, person-centered attitude, and perception of a person-centered environment (organizational environment) were significantly associated with person-centered dementia care. In the multivariate analysis, higher age (β=.17, p=.014), being a registered nurse (compared to being a nursing assistant; β=-.19, p=.045), and greater perception of a person-centered environment (β=.53, p<.001) were significantly associated with higher levels of person-centered dementia care. Among these factors, perception of a person-centered environment had the strongest effect. Conclusion: A supportive person- entered work environment is the key to enhancing person-centered dementia care among nursing home staff. Organizational efforts to foster a person-centered environment should be prioritized to improve the quality of care in nursing homes.

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