직접간호의 진화론적 개념분석

초록

Purpose: This study aimed to analyze the attributes, antecedents, and consequences of direct nursing care using Rodgers' evolutionary concept analysis method, clarify the concept, and examine its applicability in evolving digital health environments. Method: A literature search was conducted using the terms "direct nursing care" and related terms in Korean and international databases. Literature published in Korean or English from January 2000 to April 2026 was reviewed. Finally 17 articles, including ten Korean and seven international studies, were selected for analysis. Results: Direct nursing care consisted of three dimensions and seven attributes: physical care (basic physiological care and assistance with activities of daily living), interactive care (emotional support and communication and relationship building), and professional care (medication administration, nursing procedures, and clinical decision-making). Antecedents included patients’ health status and care needs, nursing workforce and work structure, nursing delivery systems, and digital health environments, primarily hospital computerization and nursing information systems. Consequences included patient outcomes, quality of nursing services, changes in nurses’ job satisfaction and work performance, and nursing work efficiency. Conclusion: Direct nursing care is a multidimensional and integrated nursing activity based on patient-specific assessment, interaction, professional knowledge, skills, and clinical judgment, encompassing physical, interactive, and professional nursing interventions provided to address patients’ physiological, emotional, and clinical care needs.

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