본 연구는 입원병동 간호사의 낙상예방활동에 대한 영향요인을 확인하고 이들 요인으로 구성된 가설적 모형이 낙상예방활동을 설명하고 예측하는데 타당한지 검증하고자 실시되었다. 본 연구의 이론적 틀은 계획행동이론(Theory of Planned Behavior)을 토대로 구성되었으며, 본 연구 측정변수는 낙상에 대한 태도(Attitude toward fall), 낙상예방 주관적규범(Fall prevention subjective norm), 낙상에 대한 지식(Knowledge toward fall), ...
본 연구는 입원병동 간호사의 낙상예방활동에 대한 영향요인을 확인하고 이들 요인으로 구성된 가설적 모형이 낙상예방활동을 설명하고 예측하는데 타당한지 검증하고자 실시되었다. 본 연구의 이론적 틀은 계획행동이론(Theory of Planned Behavior)을 토대로 구성되었으며, 본 연구 측정변수는 낙상에 대한 태도(Attitude toward fall), 낙상예방 주관적규범(Fall prevention subjective norm), 낙상에 대한 지식(Knowledge toward fall), 낙상예방 자기효능감(Fall prevention self-efficacy), 낙상예방의도(Fall prevention intention), 낙상예방활동(Fall prevention behavior)으로 구성되었다. 자료 수집은 2017년 8월 24일부터 2017년 8월 31일까지 S시에 소재한 K대학병원 입원병동에 근무하는 간호사를 대상으로 시행하였다. 구조화된 설문지 175부를 직접 배부하였고 이 중 149부의 설문지가 최종 분석에 이용되었다. 자료분석은 IBM SPSS statistics 23.0을 이용하여 대상자의 일반적 특성, 낙상관련 특성, 측정 변수의 서술적 통계, 일반적 특성에 따른 측정 변수의 차이, 측정 변수 간의 상관관계를 분석하였고, IBM SPSS AMOS 23.0 Program을 이용하여 경로분석을 통해 모형적합도와 가설을 검증을 하였다.
본 연구는 입원병동 간호사의 낙상예방활동에 대한 영향요인을 확인하고 이들 요인으로 구성된 가설적 모형이 낙상예방활동을 설명하고 예측하는데 타당한지 검증하고자 실시되었다. 본 연구의 이론적 틀은 계획행동이론(Theory of Planned Behavior)을 토대로 구성되었으며, 본 연구 측정변수는 낙상에 대한 태도(Attitude toward fall), 낙상예방 주관적규범(Fall prevention subjective norm), 낙상에 대한 지식(Knowledge toward fall), 낙상예방 자기효능감(Fall prevention self-efficacy), 낙상예방의도(Fall prevention intention), 낙상예방활동(Fall prevention behavior)으로 구성되었다. 자료 수집은 2017년 8월 24일부터 2017년 8월 31일까지 S시에 소재한 K대학병원 입원병동에 근무하는 간호사를 대상으로 시행하였다. 구조화된 설문지 175부를 직접 배부하였고 이 중 149부의 설문지가 최종 분석에 이용되었다. 자료분석은 IBM SPSS statistics 23.0을 이용하여 대상자의 일반적 특성, 낙상관련 특성, 측정 변수의 서술적 통계, 일반적 특성에 따른 측정 변수의 차이, 측정 변수 간의 상관관계를 분석하였고, IBM SPSS AMOS 23.0 Program을 이용하여 경로분석을 통해 모형적합도와 가설을 검증을 하였다.
Purpose The aim of this study is to analyze significant variables affecting nurses’ fall prevention behavior based upon the Theory of planned behavior, establish a path model consisting of the variables and verify whether it is suitable to explain fall prevention behavior. Method...
Purpose The aim of this study is to analyze significant variables affecting nurses’ fall prevention behavior based upon the Theory of planned behavior, establish a path model consisting of the variables and verify whether it is suitable to explain fall prevention behavior. Method Data were collected from 149 clinical nurses who worked in K. university medical center in Seoul, from August 24, 2017 to August 31, 2017 after receiving approval from IRB(Institutional Review Board: No. 2016-09-005-032) of K. University medical center. Six factors were analyzed: Attitude toward fall, Fall prevention subjective norms, Knowledge toward fall, Fall prevention self-efficacy, Fall prevention intention, and Fall prevention behavior, which are all elements centered on the Theory of planned behavior(Version 2). Fitness of the model was verified based on overall goodness of fit index, such as χ 2 , χ 2 /df, GFI, RMSEA, CFI, TLI, and SRMR. Data analysis was completed using the IBM SPSS 23.0 program for descriptive statistics and the IBM AMOS 23.0 program for Path analysis.Results 1. The average age of the participants was 32.56±9.08 and they had been working for an average of 9.62±9.02 years. A total 77.9% of participants were university graduates. Participating wards consisted of surgical(43.6%), medical (35.6%), Korean-oriental medicine(12.8%) and etc(8.1%). 2. The mean score of elements were 3.50±0.35 for Attitude toward fall, 16.35±3.82 for Fall prevention subjective norms, 29.03±6.30 for Knowledge toward fall, 3.78±0.50 for Fall prevention self-efficacy, 4.06±0.59 for Fall prevention intention and 4.17±0.41 for Fall prevention behavior, respectively. 3. There were significant differences in fall prevention subjective norms depending on age(F=3.99, p=.021) and fall prevention self-efficacy depending on educational background(F=3.81, p=.024), fall prevention intention depending on career(F=3.12, p=.028) and educational background(F=2.97, p=.054), respectively. There were no significant differences in fall prevention attitude, fall prevention knowledge and fall prevention behavior based on general characteristics. 4. There were correlations between fall prevention attitude, fall prevention subjective norms, fall prevention self-efficacy, fall prevention intention, and fall prevention behavior, excluding fall prevention knowledge. 5. The overall fitness of path model was acceptable in general. The fitness of indices were χ 2 =7.075(p=.070), χ 2 /df=2.358, GFI=.985, RMSEA=.096, CFI=.985, TLI=.925, and SRMR=.044. Conclusion The variance of fall prevention intention by predictor variables was 39.8%, while the variance of fall prevention behavior was 51.3%. Fall prevention behavior was affected by Attitude toward fall(β=.120, p<.01), fall prevention intention(β=.448, p<.01), and fall prevention self-efficacy(β=.549, p<.01). Fall prevention self-efficacy was found to be the most important variable to improve fall prevention behavior than any other variables. Therefore, greater focus is needed on improving fall prevention self-efficacy in order to develop intervention programs for clinical nurses.
Purpose The aim of this study is to analyze significant variables affecting nurses’ fall prevention behavior based upon the Theory of planned behavior, establish a path model consisting of the variables and verify whether it is suitable to explain fall prevention behavior. Method Data were collected from 149 clinical nurses who worked in K. university medical center in Seoul, from August 24, 2017 to August 31, 2017 after receiving approval from IRB(Institutional Review Board: No. 2016-09-005-032) of K. University medical center. Six factors were analyzed: Attitude toward fall, Fall prevention subjective norms, Knowledge toward fall, Fall prevention self-efficacy, Fall prevention intention, and Fall prevention behavior, which are all elements centered on the Theory of planned behavior(Version 2). Fitness of the model was verified based on overall goodness of fit index, such as χ 2 , χ 2 /df, GFI, RMSEA, CFI, TLI, and SRMR. Data analysis was completed using the IBM SPSS 23.0 program for descriptive statistics and the IBM AMOS 23.0 program for Path analysis.Results 1. The average age of the participants was 32.56±9.08 and they had been working for an average of 9.62±9.02 years. A total 77.9% of participants were university graduates. Participating wards consisted of surgical(43.6%), medical (35.6%), Korean-oriental medicine(12.8%) and etc(8.1%). 2. The mean score of elements were 3.50±0.35 for Attitude toward fall, 16.35±3.82 for Fall prevention subjective norms, 29.03±6.30 for Knowledge toward fall, 3.78±0.50 for Fall prevention self-efficacy, 4.06±0.59 for Fall prevention intention and 4.17±0.41 for Fall prevention behavior, respectively. 3. There were significant differences in fall prevention subjective norms depending on age(F=3.99, p=.021) and fall prevention self-efficacy depending on educational background(F=3.81, p=.024), fall prevention intention depending on career(F=3.12, p=.028) and educational background(F=2.97, p=.054), respectively. There were no significant differences in fall prevention attitude, fall prevention knowledge and fall prevention behavior based on general characteristics. 4. There were correlations between fall prevention attitude, fall prevention subjective norms, fall prevention self-efficacy, fall prevention intention, and fall prevention behavior, excluding fall prevention knowledge. 5. The overall fitness of path model was acceptable in general. The fitness of indices were χ 2 =7.075(p=.070), χ 2 /df=2.358, GFI=.985, RMSEA=.096, CFI=.985, TLI=.925, and SRMR=.044. Conclusion The variance of fall prevention intention by predictor variables was 39.8%, while the variance of fall prevention behavior was 51.3%. Fall prevention behavior was affected by Attitude toward fall(β=.120, p<.01), fall prevention intention(β=.448, p<.01), and fall prevention self-efficacy(β=.549, p<.01). Fall prevention self-efficacy was found to be the most important variable to improve fall prevention behavior than any other variables. Therefore, greater focus is needed on improving fall prevention self-efficacy in order to develop intervention programs for clinical nurses.
주제어
#낙상에 대한 태도, 낙상예방 주관적 규범, 낙상에 대한 지식, 낙상예방 자기효능감, 낙상예방의도, 낙상예방활동Fall Prevention Behavior, Attitude toward fall, Fall Prevention Subjective Norm, Knowledge toward fall, Fall Prevention Self-efficacy, Fall Prevention
학위논문 정보
저자
황명희
학위수여기관
경희대학교 공공대학원
학위구분
국내석사
학과
의료관리학과
지도교수
윤은경
발행연도
2019
총페이지
v, 76 p.
키워드
낙상에 대한 태도, 낙상예방 주관적 규범, 낙상에 대한 지식, 낙상예방 자기효능감, 낙상예방의도, 낙상예방활동Fall Prevention Behavior, Attitude toward fall, Fall Prevention Subjective Norm, Knowledge toward fall, Fall Prevention Self-efficacy, Fall Prevention
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