Purpose: The aim of this study was to examine the factors that affect nurses' communication. Methods: This study employed a descriptive survey design. The sample of this study consisted of 174 nurses at hospital in Korea from June 1st to 18th, 2009. The data were analyzed SPSS/WIN 17.0 program and factors affecting nurses' communication were analyzed by multiple regression. Results: 1) Level of nurses' communication was average of 3.44, ego strength 0.36, self-image 3.53, ego distribution 2.92, interpersonal relations 3.52, and family function 3.39. 2) Nurses' communication had significant positive correlation with interpersonal relations, self-image, family function, and ego strength. On the other hand, it had not significant correlation with ego distribution. 3) Interpersonal relations (t=9.68, p<.001), ego strength (t=3.11, p=.002), and family function (t=2.26, p=.025) significantly predicted the level of nurses' communication (Adjusted $R^2$=.418, p<.001). Conclusion: The study finding suggested to develop hospitals' management program for increasing nurses' communication.
함께 느낌을 나누고 함께 의견을 교환하는 것으로 서로를 이해하게 하고 나아가서 사회를 공동사회로 만드는 상호관계적인 의미를 포함하는 중요한 정신적 개념이다
의사소통(communication)이라는 말은 공통이나 공유를 의미하는 희랍어가 어원으로 둘 이상의 사람사이에서 서로 공통성을 만들어 가는 과정이다. 따라서 의사소통은 함께 느낌을 나누고 함께 의견을 교환하는 것으로 서로를 이해하게 하고 나아가서 사회를 공동사회로 만드는 상호관계적인 의미를 포함하는 중요한 정신적 개념이다(Lee, 2003). 따라서 의사소통은 어느 한 사람이 타인에게 영향을 주고 타인을 이해하는 데 사용되는 모든 수단이 된다고 말할 수 있다.
그런데 간호사는 대상자와 건강문제 해결이라는 특별한 목적을 갖는 관계이므로 다른 어떤 사회적 관계보다도 의사소통이 필요하다. 특히 간호대상자와 면대면의 돌봄을 하는 간호활동의 특수성으로 인해 간호사 자신의 의사소통이 인격을 대변하는 모든 상황에서 필수적인 도구(Arranz, Ulla, Ramos, Rincon, & Lopez-Fando, 2005)이며, 간호사는 끊임없이 대상자의 반응에 관심을 갖고 대상자의 관점과 가치에 의해 의료서비스가 제공되어야 한다.
간호사의 의사소통에 대한 연구는 궁극적으로 무엇을 개발하고 무엇을 향상시키는 기초자료로 활용하고 자 하나요?
궁극적으로 간호사의 효과적인 의사소통 향상 프로그램을 개발하고 간호의 질을 향상시키는 기초자료로 활용하고자 한다.
이렇듯 간호사의 전문성과 효과적 간호행위의 중요한 도구인 간호사의 의사소통을 예측할 수 있는 선행 연구들이 부족한 실정이므로 본 연구는 간호사가 실무현장에서 전문적 역량을 발휘하고, 대상자의 욕구를 충족시키는 역할수행에 영향을 미치는 간호사의 의사소통에 대한 영향요인을 규명하는 연구를 하고자 한다. 이는 궁극적으로 간호사의 효과적인 의사소통 향상 프로그램을 개발하고 간호의 질을 향상시키는 기초자료로 활용하고자 한다.
Arranz, P., Ulla, S. M., Ramos, J. L., Rincon, C., & Lopez-Fando, T. (2005). Evaluation of counselling training program for nursing staff. Journal of Patient Education and Counselling, 56, 233-239.
Barron, R. M. (1953). An ego-strength scale which response to psychotherapy. Journal of Consult Psychology, 17, 327-333.
Cho, H. J., & Bang, H. J. (2004). Self positive bias or gender stereotype which is primary for women? The Korean Journal of Woman Psychology, 9(1), 181-201.
Che, S. Y. (2007). A study on effects of self-differentiation and family communication on interpersonal relations. Unpublished master's thesis, Soong Sil University, Seoul.
Go, G. Y., & Jung, M. J. (2007). Family functioning, communication, and adolescent self-efficacy. Journal of Korean Family Therapy, 15, 301-320.
Faul, F., Erdfelder, E., Lang, A. G., & Bunchner, A. (2007). G power 3: A flexible statistical power analysis program for social, behavioral, and biochemical sciences. Behavior Research Method, 39, 175-191.
Hyun, M. Y. (2002). The communication training needs of nurses in the University Hospital. Journal of Korean Academy Psychiatry Mental Health Nursing, 11, 443-451.
Hong, J. H. (2004). Relations among ego-strength, social support and burnout of counselors. Unpublished master's thesis, Hongik University, Seoul.
Han., J. R., & Hur, G. H. (2005). The relations of family communication patterns and offsprings' self-esteem, self-disclosure, locus of control, and communication competence. Korean Journal of Journalism & Communication Studies, 49, 202-207.
Her, J. (2006). A study on enhancement of family communication efficiency by ego distribution and self-esteem levels. Unpublished doctor's thesis, Hoseo University, Cheonam.
Her, J. C. (2008). A study the causal effect of family function on decision types. Unpublished doctor's thesis, Chosun University, GwangJu.
Im, S. B., & Kim, E. G. (2008). Interpersonal communication and difficult communication experiences of preceptor nurse. Journal of Korean Academy Psychiatric Mental Health Nursing, 17, 471-480.
Je, S. B. (1989). Relations between differentiation of self and dysfunctional behavior. Doctor's thesis, Pusan University, Busan.
Ju, J. S. (2006). The effects of communication training program for university students' communication and human relations. Unpublished master's thesis, Kyungpook University, Daegu.
Jung, S. Y. (2007). A study patient satisfactions on nurses communication style. Unpublished master's thesis, Yonsei University, Seoul.
Kim, J. Y. (2006). Ego distribution, stress level and stress coping strategies of nursing students. Journal of Korean Academy Society of Nursing Education, 12, 238-247.
Kim, S. A. (2008). The development of a communication course for rn-bsn students. Journal of Korean Academy Psychiatric Mental Health Nursing, 17, 451-460.
Lee, M. H. (2005). Effects of parent-adolecent communication and family functioning on school adjustment in middle school student. Unpublished master's thesis, Hongik University, Seoul.
Lee, H. D., & Mun, S. M. (1980). Effects of interpersonal relations program on group counseling. Journal of Gyeong Sang Academy, 19, 195-203.
Lee, G. H. (1999). Comparative study of family communication and functioning between substance-abuse adolescents and normal adolescents. Unpublished master's thesis, Kyung Hee University, Seoul.
Lee, H. S. (2003). Effects of communication training program on interpersonal relations, conflict for middle student. Unpublished master's thesis, Han Nam University, Seoul.
Lee, J. J. (2003). A study on nurses promoting communication and personal relations. Unpublished master's thesis, Jeju National University, Jeju.
Mo, E. H. (2001). The development marital group counseling program for enhancing couples self esteem and communication skills. Doctor's thesis, Han Yang University, Seoul.
Nam, S. Y. (2003). The relations between the level of ego distribution and the decision-making style on the Adolescents. Korean Journal of Youth Studies, 10, 543-558.
Navran, L. (1967). Communication and adjustment in marriage. Journal of the Family Process, 6, 173-184.
Park, J. W. (2002). A study of organizational commitment and burnout of clinical nurse. Unpublished master's thesis, Kyung Hee University, Seoul.
Park, S. W. (2003). Relations between family system and parent-adolescent communication. Unpublished master's thesis, Yonsei University, Seoul.
Park, J. W., & Che, M. S. (2009). A study on self conscciouness, communication competence, and interpersonal relation disposition of nursing students. Journal of Korean Academy Psychiatry Mental Health Nursing, 18, 351-360.
Sin, M. S. (1984). The manifestation and control of the primary process thinking on the responses with relation to ego strength strong-weak and field dependence-independence. Unpublished master's thesis, Seoul University, Seoul.
Sin, H. W., & Kim, J. H. (1992). Standardization study of Barron's ego-strength scale. Journal of Mental Health Research, 6(11), 187-214.
Wright, H. N. (2005) Improving your self-image (Rev. ed). Seoul NACHIPVAN publishing company, 203-206.
이 논문을 인용한 문헌 (1)
1. 유미,, 박성희,, 박광옥, 2014. "A Review Literature on Communication in Nurses" 의료커뮤니케이션 = Health Communication, The Official Journal of Korean Academy on Communication in Healthcare, 9(2): 99~108