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KMID : 1152020230070030119
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Journal of Korean Nursing Research
2023 Volume.7 No. 3 p.119 ~ p.132
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Mediating Effect of Moral Sensitivity on Relationships among Facilitative Communication, Attitude in Caring for Older adults and Older adult Care Performance of Geriatric Hospital Nurses
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Zan Chen
Oh Young-Ju
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Abstract
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Purpose : The purpose of this study was to investigate moral sensitivity and their mediating effects on the relationship among facilitative communication, attitude toward caring and performing older adult care in geriatric hospital nurses.
Method : In total, 202 individuals participated in the cross-sectional study. Data were collected from August to October 2022 using structured questionnaires. The data were analyzed using multiple regression and a simple mediation model applying the PROCESS Macro with 95% bias-corrected bootstrap confidence interval(5,000 bootstrap resampling).
Result : Older adult care performance was significantly associated with facilitative communication (r＝.88, p＜.001), attitude toward caring (r＝.76, p＜.001), and moral sensitivity (r＝.68, p＜.001). Using PROCESS Macro Model 4, care performance was found to be directly affected by facilitative communication (β＝.88, p＜.001) and attitude toward caring (β＝.76, p＜.001). Moral sensitivity was directly affected by facilitative communication (β＝.67, p＜.001) and attitude toward caring (β＝.75, p＜.001). The partial mediating effects of moral sensitivity (β＝.76, p＜.001, 95% confidence interval 0.06∼0.19) in facilitative communication’s impact on care performance and (β＝.57, p＜.001, 95% confidence interval 0.11∼0.38) on the impact of attitude toward caring on older adult care performance were confirmed.
Conclusion : The findings indicate that education strategies that can simultaneously increase facilitative communication, attitude toward caring and moral sensitivity are more effective when developing education programs that enhance the care performance of geriatric hospital nurses. Cultivating moral sensitivity will further promote geriatric hospital nurses' older adult care performance.
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KEYWORD
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Communication, Attitude, Morals, Nurses
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