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A Predictive Model for Nursing Students' Person-Centered Care Competency: Focusing on Patients with Dementia
1Department of Nursing, Kyungmin University, Uijeongbu-si 11618, Republic of Korea.
Abstract:
Background/Objectives: This study aimed to verify a prediction model identifying the relationships and pathways among factors associated with Korean nursing students' provision of person-centered care to patients with dementia. Methods: This was a covariance structure analysis study to establish a hypothetical model of 313 Korean nursing students located in a metropolitan area. IBM SPSS version 18.0 (Chicago, IL, USA) and AMOS version 5.0 (Chicago, IL, USA) were used to analyze the data. Structural equation modeling analysis was applied to verify convergent and discriminant validity using higher-order factor analysis in the final model analysis. Results: The model fit indices of the research model were as follows: χ2/df = 1.83 (p < 0.001), GFI = 0.91, AGFI = 0.88, NFI = 0.91, CFI = 0.90, RMR = 0.04, and RMSEA = 0.05. The factors affecting person-centered care, nursing professionalism (γ = 0.45, p = 0.024), and empathy (γ = 0.21, p = 0.036) showed significant associations, whereas clinical practice adaptation (γ = 0.21, p = 0.013) and nursing professionalism (γ = 0.08, p = 0.004) had indirect effects. These factors explained 40% of the variance in person-centered care. Conclusions: This study is significant because it provides basic data for developing an educational program that can improve the person-centered care capacity of domestic nursing students by confirming that clinical practice adaptation, nursing professionalism, and empathy are important factors related to person-centered care.
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