The Influence of Attitude toward Dementia and Nursing Practice Environment on Person-centered Care in Long-term Care Hospital Nurses

Abstract

Objectives: The purpose of this study was to identify the influence of attitude toward dementia and nursing practice environment on person-centered care in long-term care hospital nurses.Methods: Data were collected from September 1 to September 30, 2021 using a structural questionnaire, which was completed by 150 nurses working in eleven long-term care hospitals in D and K city. The collected data were analyzed with descriptive statistics, t-test, ANOVA, Pearson’s correlation and stepwise multiple regression analysis using SPSS 22.0.Results: As a result of analyzing the correlation between the subject’s dementia attitude, nursing practice environment, and person-centered care, it was found that the more positively the nursing practice environment was perceived, the higher the awareness of person-centered care. The factor that had the greatest influence on person-centered care was the nursing practice environment (β= 0.48, <i>p</i>< 0.001), followed by the number of patients in charge of 20 to 39 (β= -0.28, <i>p</i>= 0.015) and more than 40 (β= -0.33, <i>p</i>= 0.004). These influencing factors were found to explain 27.0% of person-centered care.Conclusions: In order to provide high-quality nursing services in long-term care hospitals, it is necessary to improve the nursing practice environment. Through these efforts, we can expect to provide active person-centered care by nurses in long-term care hospitals.