노인요양병원 간호사의 촉진적 의사소통능력, 노인돌봄태도와 노인간호실천과의 관계에서 도덕적 민감성의 매개효과

Abstract

Purpose : The purpose of this study was to investigate moral sensitivity and their mediating effects on the relationship among facilitative communication, attitude toward caring and performing older adult care in geriatric hospital nurses.
 Method : In total, 202 individuals participated in the cross-sectional study. Data were collected from August to October 2022 using structured questionnaires. The data were analyzed using multiple regression and a simple mediation model applying the PROCESS Macro with 95% bias-corrected bootstrap confidence interval( 5,000 bootstrap resampling).
 Result : Older adult care performance was significantly associated with facilitative communication (r＝.88, p＜.001), attitude toward caring (r＝.76, p＜.001), and moral sensitivity (r＝.68, p＜.001). Using PROCESS Macro Model 4, care performance was found to be directly affected by facilitative communication (β＝.88, p＜.001) and attitude toward caring (β＝.76, p＜.001). Moral sensitivity was directly affected by facilitative communication (β＝.67, p＜.001) and attitude toward caring (β＝.75, p＜.001). The partial mediating effects of moral sensitivity (β＝.76, p＜.001, 95% confidence interval 0.06∼0.19) in facilitative communication’s impact on care performance and (β＝.57, p＜.001, 95% confidence interval 0.11∼0.38) on the impact of attitude toward caring on older adult care performance were confirmed.
 Conclusion : The findings indicate that education strategies that can simultaneously increase facilitative communication, attitude toward caring and moral sensitivity are more effective when developing education programs that enhance the care performance of geriatric hospital nurses. Cultivating moral sensitivity will further promote geriatric hospital nurses' older adult care performance.