KMID : 0614820230290040363
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Journal of Korean Academy of Nursing Administration 2023 Volume.29 No. 4 p.363 ~ p.373
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Social Influencing Factors of Clinical Nurses¡¯ Patient Advocacy
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Kim Myung-Ji
Choi Hyun-Kyung
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Abstract
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Purpose: This study¡¯s aim was to understand clinical nurses¡¯ patient advocacy and identify factors influencing this based on the theory of Patient Advocacy.
Methods: The subjects of this study were 173 clinical nurses working in two university hospitals in D city, South Korea. Data were collected using a structured self-report questionnaire. Analysis was conducted using IBM SPSS 26.0 and included descriptive statistics, Mann-Whitney U test, one-way ANOVA, Pearson¡¯s correlation coefficients, and hierarchical multiple regression analysis.
Results: Among the general characteristics, gender was found to be an influencing factor for patient advocacy. As a macrosocial antecedent, the ethical climate of the hospital influenced patient advocacy. For the microsocial antecedents, human rights sensitivity and patient vulnerability influenced nurses¡¯ patient advocacy. This final model explained 35.6% of variance of clinical nurses¡¯ patient advocacy.
Conclusion: Considering the findings of this study, the ethical climate of hospitals must be improved. In addition, programs to strengthen nurses¡¯ human rights sensitivity and to help improve communication with patients must be developed. This could further aid nurse and patient relationships.
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KEYWORD
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Ethical climate, Human rights, Nursing theory, Patient advocacy, Vulnerable populations
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