본 연구는 AIDS환자 간호의도에 영향을 미치는 요인들, 즉 지식, 낙인, 편견, AIDS환자 간호에 대한 태도, 사회적 상호작용 간의 인과관계를 확인하고자 시도하였다. 대상자는 서울 및 경기도에 소재한 300병상 이상규모 3개의 종합병원에 근무하고 있는 간호사268명이었고 자료수집 기간은 2012년 6월 20일부터 8월 10일까지였다. AIDS환자 간호의도 가설적 모형에 대한 경로분석을 위해 수집된 자료는 SPSS Window18.0과 AMOS19.0을 이용하여 전산처리하였다. 본 연구에서 지식, 편견, 낙인, AIDS 환자간호에 대한 태도, 사회적 상호작용이 AIDS환자 간호의도 41%를 설명하였다. 간호의도에 직접적으로 영향을 주는 요인은 사회적 상호작용과 AIDS 환자간호에 대한 태도로 확인되었으며 그 중 사회적 상호작용이 가장 큰 직접효과를 주는 것으로 나타났다. 이상의 결과를 종합하여 볼 때 간호의도 제고를 위하여 사회적 상호작용 가능성을 높이고 AIDS 환자간호에 대한 태도를 긍정적으로 변화시키는 방안이 가장 효과적이라고 할 수 있다.
본 연구는 AIDS환자 간호의도에 영향을 미치는 요인들, 즉 지식, 낙인, 편견, AIDS환자 간호에 대한 태도, 사회적 상호작용 간의 인과관계를 확인하고자 시도하였다. 대상자는 서울 및 경기도에 소재한 300병상 이상규모 3개의 종합병원에 근무하고 있는 간호사268명이었고 자료수집 기간은 2012년 6월 20일부터 8월 10일까지였다. AIDS환자 간호의도 가설적 모형에 대한 경로분석을 위해 수집된 자료는 SPSS Window18.0과 AMOS19.0을 이용하여 전산처리하였다. 본 연구에서 지식, 편견, 낙인, AIDS 환자간호에 대한 태도, 사회적 상호작용이 AIDS환자 간호의도 41%를 설명하였다. 간호의도에 직접적으로 영향을 주는 요인은 사회적 상호작용과 AIDS 환자간호에 대한 태도로 확인되었으며 그 중 사회적 상호작용이 가장 큰 직접효과를 주는 것으로 나타났다. 이상의 결과를 종합하여 볼 때 간호의도 제고를 위하여 사회적 상호작용 가능성을 높이고 AIDS 환자간호에 대한 태도를 긍정적으로 변화시키는 방안이 가장 효과적이라고 할 수 있다.
Purpose : This study aimed to examine the causal relationships among knowledge, stigma prejudice, attitude, social interaction which are factors affecting the Nursing Intention for AIDS patients. Method : Data were collected from June 20 to August 10, 2012, 268 nurses in general hospital located in ...
Purpose : This study aimed to examine the causal relationships among knowledge, stigma prejudice, attitude, social interaction which are factors affecting the Nursing Intention for AIDS patients. Method : Data were collected from June 20 to August 10, 2012, 268 nurses in general hospital located in and outside of Seoul, who were selected using convenience sampling. For hypothesis testing, the collected data were analyzed using AMOS 19. Results : Analysis of the path coefficients in this study showed that 41% of the variation in Nursing Intention could be explained by variation in the model. Social Interaction and Attitude directly affected the Nursing Intention. Social Interaction was found to be the most important predictive factor to explain Nursing Intention. Conclusion : This study found that there are need to increase possibility of social interaction and make positive changes in attitude toward AIDS patient care in order to improve Nursing Intention.
Purpose : This study aimed to examine the causal relationships among knowledge, stigma prejudice, attitude, social interaction which are factors affecting the Nursing Intention for AIDS patients. Method : Data were collected from June 20 to August 10, 2012, 268 nurses in general hospital located in and outside of Seoul, who were selected using convenience sampling. For hypothesis testing, the collected data were analyzed using AMOS 19. Results : Analysis of the path coefficients in this study showed that 41% of the variation in Nursing Intention could be explained by variation in the model. Social Interaction and Attitude directly affected the Nursing Intention. Social Interaction was found to be the most important predictive factor to explain Nursing Intention. Conclusion : This study found that there are need to increase possibility of social interaction and make positive changes in attitude toward AIDS patient care in order to improve Nursing Intention.
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문제 정의
This study is a cross-sectional research on path analysis, where a hypothetical model of AIDS patient nursing intention was established to investigate the causal relationship between factors.
제안 방법
Among these indices, the RMSEA failed to reach the recommended level. As a result, the model was revised in consideration of modification index, which is one of the diagnostic indices of the AMOS, and theoretical background. Goodness-of-fit indexes of the modified model were measured at GFI= .
First, descriptive statistics were used to analyze the demographic characteristics of the study subjects, and Cronbach's α was used to analyze the reliability of study tool.
Fourth, goodness-of-fit index (GFI), comparative fit index (CFI), normed fit index (NFI), and root mean square error of approximation (RMSEA) were used to measure the suitability of the model. Ideal scores for GFI, CFI and NFI were 〉.
Hence, this study intended to provide the basic data for AIDS education program that aimed at improving AIDS patient nursing intention among nurses as path analysis in the hypothetical model of AIDS patient nursing intention, which was established based on the previous study results, was analyzed to examine the degree and path of influence that factors had on nursing intention.
In this study, literature review was conducted to form a conceptual frame and establish a hypothetical model. Since there was no previous study that comprehensively investigated the relationship of multiple factors that influenced nursing intention, the hypothetical model in this study was established based on the analysis of relations between individual variables that were suggested in many studies conducted home and abroad (Figure 1).
Nursing Intention means the willingness of how much voluntarily nursing is performed for AIDS patients. In this study, the nursing care willingness questionnaire that was developed by Kemppainen et al. (1992) and was revised and modified by Lee (2001). The questionnaire consisted of 13 questions including the ones related to various nursing services for AIDS patients.
Second, variables that influence AIDS patient nursing intention are examined, and both direct and indirect paths between the variables are investigated.
In this study, literature review was conducted to form a conceptual frame and establish a hypothetical model. Since there was no previous study that comprehensively investigated the relationship of multiple factors that influenced nursing intention, the hypothetical model in this study was established based on the analysis of relations between individual variables that were suggested in many studies conducted home and abroad (Figure 1).
The purpose of this study was to provide the basic data that was required to enhance AIDS patient nursing intention as this study examined the causal relationship between factors that influenced AIDS patient nursing intention. Details of the study purpose are as follow.
The questionnaire as a measurement tool for this study consisted of 6 questions on general characteristics, 22 questions on knowledge on HIV/AIDS, 16 questions on attitude toward HIV/AIDS patient nursing, 3 questions on AIDS stigma, 12 questions on prejudice against HIV/AIDS patients, 7 questions on social interaction related to HIV/AIDS patients, and 13 questions on patient nursing intention.
Researcher obtained the written consent form for research participation that was signed by the study subjects who agreed to participate in the study. Then, researcher distributed self-administered questionnaires. Even though the researcher handed out the questionnaires to 300 nurses in total, they collected the questionnaires filled out by 290 nurses in the process of data collection.
Third, the variance inflation factor (VIF) was examined to verify the multicollinearity between variables.
대상 데이터
A convenient sampling was to recruit 290 nurses from 3 general hospitals with 300 beds or more that were located in Seoul or Gyeonggi Province of South Korea.
Even though the researcher handed out the questionnaires to 300 nurses in total, they collected the questionnaires filled out by 290 nurses in the process of data collection. After excluding the questionnaires with incomplete answers that were filled out by 22 nurses, the researchers used the questionnaires from 268 nurses to make analysis eventually.
Then, researcher distributed self-administered questionnaires. Even though the researcher handed out the questionnaires to 300 nurses in total, they collected the questionnaires filled out by 290 nurses in the process of data collection. After excluding the questionnaires with incomplete answers that were filled out by 22 nurses, the researchers used the questionnaires from 268 nurses to make analysis eventually.
이론/모형
For measurement, this study used the relevant parts of attitude toward HIV/AIDS and a person with HIV/AIDS that were developed by Held (1993) and were used by Suominen, Karanja-Pernu, Kylma, Houtsonen, and Valimaki (2011). The questionnaire was translated into Korean and reverse translated into English by bilinguial professionals.
The tool in this study was the one used by Sohn, Mun, Shin, Chun, and Kim (2008). The measurement tool consisted of three questions.
This study used the tool of 22 questions that was developed by Shin and Hong (1994). When the answer was correct, one point was scored.
성능/효과
The current study attempted to examine the factors affecting to nursing care intention. Analysis of the various path coefficient revealed that knowledge, stigma, prejudice, social interaction, and attitude could explain and predict nursing care intention. First, knowledge was found to have the direct influence on social interaction.
Finally, results from this study indicate that the most effect strategy to improve nursing care intention is to increase possibility of social interaction and make positive changes in attitude toward AIDS patient care.
(2013) who confirmed that stigma influenced nurses’ability to provide care for AIDS patient. Fourth, social interaction and attitude toward HIV/AIDS patient nursing were confirmed to be the factors that had the direct influence on nursing care intention. This result is partially in accordance with the results of the study by Han et al.
In addition, it was found that stigma had the direct influence on attitude toward HIV/AIDS patient care. It was also confirmed that the parameters social interaction and attitude toward HIV/AIDS patient care had the indirect influence on nursing intention. This result supports the report by Mill et al.
(2012) and Yoo (1997) who stated that attitude was the factor that influenced nursing intention. Moreover, this study demonstrated that knowledge, prejudice, stigma, attitude toward HIV/AIDS patient nursing, and social interaction explained 41% of the variation for nursing care intention, and that social interaction was the major factor that had the direct influence. These results were in accordance with the results of the study by Lee (2001) who reported that social interaction was the most important influence that explained 33.
However, this study is meaningful in that parameters were used to confirm that knowledge had the indirect influence on nursing care intention. Second, it was found that prejudice had the direct influence on social interaction and attitude toward HIV/AIDS patient care. This result supports the study by Oh and Kang (1995) who reported that the higher degree of prejudice led to the lower possibility of social interaction.
Second, the fitness of AIDS patient nursing care intention path model was verified, and the direct and indirect effects of each variable were confirmed.
In consideration of all these results, it is believed that strategy should be made to remove fear of infection possibility in order to make positive changes in prejudice against AIDS. Third, it was found that stigma had the direct influence on social interaction. This result is in accordance with the results of the study by Yun (2006) who reported that the lower level of stigma against HIV/AIDS led to the higher level of interaction with HIV/AIDS.
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