Pub Date : 2021-06-01DOI: 10.14475/jhpc.2021.24.2.69
Eun-Seung Yu
Dealing with existential concerns experienced by patients is an important part of palliative care. Interventions that use the life review method to encourage patients to reminisce about their lives can help them find new positive meanings, promote ego integrity, and reduce emotional suffering. Not everyone has positive memories when they look back on the past, however. This poses a limit on the effectiveness of the life review method for healthcare providers working in palliative care contexts. In this study, we discuss the limits of life review and suggest imagery rescripting as a new modality constituting a psychotherapeutic approach to deal with negative memories safely and effectively.
{"title":"How to Deal with the Past Memories of Patients in Palliative Care: A Suggested New Approach.","authors":"Eun-Seung Yu","doi":"10.14475/jhpc.2021.24.2.69","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.2.69","url":null,"abstract":"<p><p>Dealing with existential concerns experienced by patients is an important part of palliative care. Interventions that use the life review method to encourage patients to reminisce about their lives can help them find new positive meanings, promote ego integrity, and reduce emotional suffering. Not everyone has positive memories when they look back on the past, however. This poses a limit on the effectiveness of the life review method for healthcare providers working in palliative care contexts. In this study, we discuss the limits of life review and suggest imagery rescripting as a new modality constituting a psychotherapeutic approach to deal with negative memories safely and effectively.</p>","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 2","pages":"69-73"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/64/99/jhpc-24-2-69.PMC10180050.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10652874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-01DOI: 10.14475/jhpc.2021.24.1.1
So-Hi Kwon, Myung-Hee Park, Hyun Sook Kim
Hospice palliative care refers to holistic care provided by an interdisciplinary team aimed at improving the quality of life of patients suffering from life-threatening diseases and their families. Among interdisciplinary team members, hospice advanced practice nurses (APNs) trained as master's-level advanced nursing professionals are leaders who play an important role in providing patient-centered care and improving the quality of services. The Medical Service Act revised in 2018 requires the scope of practice of APNs in each field to be specified in the Ordinance of the Ministry of Health and Welfare. Accordingly, discussions on the role and scope of practice of hospice APNs are actively underway. In this review, the curriculum of hospice APNs, their work responsibilities and roles, and their current status are reviewed, and the future direction of the hospice APN system is also discussed.
{"title":"Education, Role, and Prospects of Advanced Practice Nurses in Hospice and Palliative Care in South Korea.","authors":"So-Hi Kwon, Myung-Hee Park, Hyun Sook Kim","doi":"10.14475/jhpc.2021.24.1.1","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.1.1","url":null,"abstract":"<p><p>Hospice palliative care refers to holistic care provided by an interdisciplinary team aimed at improving the quality of life of patients suffering from life-threatening diseases and their families. Among interdisciplinary team members, hospice advanced practice nurses (APNs) trained as master's-level advanced nursing professionals are leaders who play an important role in providing patient-centered care and improving the quality of services. The Medical Service Act revised in 2018 requires the scope of practice of APNs in each field to be specified in the Ordinance of the Ministry of Health and Welfare. Accordingly, discussions on the role and scope of practice of hospice APNs are actively underway. In this review, the curriculum of hospice APNs, their work responsibilities and roles, and their current status are reviewed, and the future direction of the hospice APN system is also discussed.</p>","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/97/d7/jhpc-24-1-1.PMC10179999.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10533752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-01DOI: 10.14475/jhpc.2021.24.1.13
Eun-Ju Cho, Hun Ha Cho
Purpose: This descriptive study aimed to explore nursing workplace spirituality, end-of-life care stress, and resilience as factors influencing compassion fatigue among nurses working in hospice and palliative care units.
Methods: Data were collected using a self-report questionnaire completed by 146 nurses at 14 hospice and palliative care institutions across South Korea who had worked in a hospice and palliative care institution for at least 6 months and had experience providing end-of-life care. Data were collected from February 25, 2019 to April 12, 2019, and analyzed using SPSS for Windows version 18.0. As appropriate, descriptive statistics, the t-test, analysis of variance, the Scheffé test, Pearson correlation coefficients, and stepwise multiple regression were used.
Results: The survey results showed that factors influencing compassion fatigue were resilience, subjective health status, current satisfaction with the hospice ward, and end-of-life care stress. Higher levels of resilience, a subjective health status of "healthy", high levels of current satisfaction with the hospice ward, and lower levels of end-of-life care stress were associated with lower levels of compassion fatigue, explaining 42.9% of the total variance.
Conclusion: The results of this study suggest that resilience is an important factor mitigating compassion fatigue among nurses at hospice and palliative care institutions. Therefore, intervention programs should be developed to reduce compassion fatigue.
摘要目的:本研究旨在探讨护理工作场所灵性、临终关怀压力及复原力对安宁疗护及缓和疗护护士同情疲劳的影响。方法:采用自我报告问卷收集数据,问卷由韩国14家临终关怀和姑息治疗机构的146名护士填写,这些护士在临终关怀和姑息治疗机构工作至少6个月,并有提供临终关怀的经验。数据采集时间为2019年2月25日至2019年4月12日,使用SPSS for Windows 18.0进行分析。适当时,使用描述性统计、t检验、方差分析、scheff检验、Pearson相关系数和逐步多元回归。结果:影响同情疲劳的因素有心理弹性、主观健康状况、当前对安宁病房的满意度和临终关怀压力。较高水平的复原力、“健康”的主观健康状态、较高水平的临终关怀病房满意度和较低水平的临终关怀压力与较低水平的同情疲劳相关,解释了42.9%的总方差。结论:本研究结果提示心理弹性是缓解安宁疗护及缓和疗护机构护士同情疲劳的重要因素。因此,应该制定干预方案来减少同情疲劳。
{"title":"Factors Influencing Compassion Fatigue among Hospice and Palliative Care Unit Nurses.","authors":"Eun-Ju Cho, Hun Ha Cho","doi":"10.14475/jhpc.2021.24.1.13","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.1.13","url":null,"abstract":"<p><strong>Purpose: </strong>This descriptive study aimed to explore nursing workplace spirituality, end-of-life care stress, and resilience as factors influencing compassion fatigue among nurses working in hospice and palliative care units.</p><p><strong>Methods: </strong>Data were collected using a self-report questionnaire completed by 146 nurses at 14 hospice and palliative care institutions across South Korea who had worked in a hospice and palliative care institution for at least 6 months and had experience providing end-of-life care. Data were collected from February 25, 2019 to April 12, 2019, and analyzed using SPSS for Windows version 18.0. As appropriate, descriptive statistics, the t-test, analysis of variance, the Scheffé test, Pearson correlation coefficients, and stepwise multiple regression were used.</p><p><strong>Results: </strong>The survey results showed that factors influencing compassion fatigue were resilience, subjective health status, current satisfaction with the hospice ward, and end-of-life care stress. Higher levels of resilience, a subjective health status of \"healthy\", high levels of current satisfaction with the hospice ward, and lower levels of end-of-life care stress were associated with lower levels of compassion fatigue, explaining 42.9% of the total variance.</p><p><strong>Conclusion: </strong>The results of this study suggest that resilience is an important factor mitigating compassion fatigue among nurses at hospice and palliative care institutions. Therefore, intervention programs should be developed to reduce compassion fatigue.</p>","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 1","pages":"13-25"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/62/d7/jhpc-24-1-13.PMC10179998.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10533753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-01DOI: 10.14475/jhpc.2021.24.1.56
Mi Joung Yi
Purpose: Nurses' acceptance of patient deaths enables them to practice holistic end-of-life care and pursue positive living. The place where most deaths occur in Korea has changed from home to medical institutions, making it necessary to understand the process through which nurses who practice end-of-life care accept patient deaths. This study aimed to obtain insight into nurses' experiences of accepting patient deaths and to develop a practical theory regarding the context of this process.
Methods: This qualitative study investigated nurses' process of acceptance of patient deaths based on grounded theory.
Results: A core category of this process was found to be "grieving over dying", which consisted of the following steps "being close by", "being attentive", "acknowledging together", and "accompanying."
Conclusion: This study established that nurses' attentiveness toward dying people is due to their grief over patient deaths, and clarified Korean nurses' process of accepting patient deaths and its related factors.
{"title":"The Process of Accepting Patient Deaths among Korean Nurses: Grieving over Dying.","authors":"Mi Joung Yi","doi":"10.14475/jhpc.2021.24.1.56","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.1.56","url":null,"abstract":"<p><strong>Purpose: </strong>Nurses' acceptance of patient deaths enables them to practice holistic end-of-life care and pursue positive living. The place where most deaths occur in Korea has changed from home to medical institutions, making it necessary to understand the process through which nurses who practice end-of-life care accept patient deaths. This study aimed to obtain insight into nurses' experiences of accepting patient deaths and to develop a practical theory regarding the context of this process.</p><p><strong>Methods: </strong>This qualitative study investigated nurses' process of acceptance of patient deaths based on grounded theory.</p><p><strong>Results: </strong>A core category of this process was found to be \"grieving over dying\", which consisted of the following steps \"being close by\", \"being attentive\", \"acknowledging together\", and \"accompanying.\"</p><p><strong>Conclusion: </strong>This study established that nurses' attentiveness toward dying people is due to their grief over patient deaths, and clarified Korean nurses' process of accepting patient deaths and its related factors.</p>","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 1","pages":"56-65"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ae/58/jhpc-24-1-56.PMC10180003.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10551157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-01DOI: 10.14475/jhpc.2021.24.1.66
Young Seon Hong
The World Health Organization (WHO) declared the coronavirus disease 2019 (COVID-19) outbreak to be a pandemic on March 12, 2020. In Korea, there have been 24,027 confirmed cases of COVID-19 and 420 deaths as of October 3, 2020. The clinical spectrum of COVID-19 ranges from asymptomatic infection to death. Cancer care in this pandemic has radically changed. The literature was reviewed. The COVID-19 pandemic has made it urgently necessary to profoundly re-organize cancer patients' care without compromising cancer outcomes. Several important questions in regard to COVID-19 infection in cancer patients have emerged. Are patients with cancer at a higher risk of COVID-19 infection? Are they at an increased risk of mortality and severe illness when infected with COVID-19? Does anticancer treatment affect the course of COVID-19? Based on the existing research, cancer patients with immunosuppression are vulnerable to COVID-19 infection, and cancer patients are more likely to experience severe COVID-19. However, chemotherapy and major surgery do not seem to be predictors of hospitalization or severe disease. Korean background data on patients with cancer and COVID-19 are lacking. Prospective multicenter studies on the outcomes of patients with cancer and COVID-19 should be conducted.
{"title":"COVID-19 and Cancer: Questions to Be Answered.","authors":"Young Seon Hong","doi":"10.14475/jhpc.2021.24.1.66","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.1.66","url":null,"abstract":"<p><p>The World Health Organization (WHO) declared the coronavirus disease 2019 (COVID-19) outbreak to be a pandemic on March 12, 2020. In Korea, there have been 24,027 confirmed cases of COVID-19 and 420 deaths as of October 3, 2020. The clinical spectrum of COVID-19 ranges from asymptomatic infection to death. Cancer care in this pandemic has radically changed. The literature was reviewed. The COVID-19 pandemic has made it urgently necessary to profoundly re-organize cancer patients' care without compromising cancer outcomes. Several important questions in regard to COVID-19 infection in cancer patients have emerged. Are patients with cancer at a higher risk of COVID-19 infection? Are they at an increased risk of mortality and severe illness when infected with COVID-19? Does anticancer treatment affect the course of COVID-19? Based on the existing research, cancer patients with immunosuppression are vulnerable to COVID-19 infection, and cancer patients are more likely to experience severe COVID-19. However, chemotherapy and major surgery do not seem to be predictors of hospitalization or severe disease. Korean background data on patients with cancer and COVID-19 are lacking. Prospective multicenter studies on the outcomes of patients with cancer and COVID-19 should be conducted.</p>","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 1","pages":"66-68"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/18/b5/jhpc-24-1-66.PMC10180002.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10551159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-01DOI: 10.14475/jhpc.2021.24.1.36
Youngmi Park, Keumhee Nam, Joohee Bae
Purpose: This study examined the relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among nursing college students, and attempted to identify the mediating effect of Role Perception on Life-sustaining Treatment in that relationship. It is hoped that the findings will ultimately contribute to the development of active nursing strategies.
Methods: The participants were 142 nursing college students in the third and fourth years of study who had experienced clinical practice at two universities in cities Y and C. Data were collected from November 1 to 30, 2019. For data analysis, SPSS for Windows version 22.0 was used to calculate descriptive statistics, the t-test, Pearson's correlation coefficients, and multiple regression. To analyze the mediating effect, the Baron and Kenny bootstrapping method was used.
Results: Attitudes toward Withdrawal of Life-sustaining Treatment of nursing college students had a significant positive correlation with Knowledge of Life-sustaining Treatment Plans (r=0.34, P<0.001) and Role Perception on Life-sustaining Treatment (r=0.44, P<0.001). Role Perception on Life-sustaining Treatment partially mediated the relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment (95% CI, 0.446~1.055).
Conclusion: Based on the results of this study, improving nursing college students' Role Perception on Life-sustaining Treatment could be used as a coping strategy to establish positive Attitudes toward Withdrawal of Life-sustaining Treatment.
目的:探讨护理大学生生命维持治疗计划知识与生命维持治疗退出态度的关系,并探讨角色感知在维持治疗退出态度中的中介作用。希望这些发现将最终有助于积极护理策略的发展。方法:研究对象为142名在Y市和c市两所大学实习过的大三、四年级护理专业学生。数据采集时间为2019年11月1日至30日。数据分析采用SPSS For Windows version 22.0进行描述性统计、t检验、Pearson相关系数和多元回归分析。采用Baron和Kenny自举法分析中介效应。结果:护理大学生生命维持治疗退出态度与生命维持治疗方案知晓度显著正相关(r=0.34, p)。结论:根据本研究结果,提高护理大学生生命维持治疗角色认知可作为建立积极生命维持治疗退出态度的应对策略。
{"title":"Mediating Effects of Role Perception of Life-sustaining Treatment in the Relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among Nursing College Students.","authors":"Youngmi Park, Keumhee Nam, Joohee Bae","doi":"10.14475/jhpc.2021.24.1.36","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.1.36","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among nursing college students, and attempted to identify the mediating effect of Role Perception on Life-sustaining Treatment in that relationship. It is hoped that the findings will ultimately contribute to the development of active nursing strategies.</p><p><strong>Methods: </strong>The participants were 142 nursing college students in the third and fourth years of study who had experienced clinical practice at two universities in cities Y and C. Data were collected from November 1 to 30, 2019. For data analysis, SPSS for Windows version 22.0 was used to calculate descriptive statistics, the t-test, Pearson's correlation coefficients, and multiple regression. To analyze the mediating effect, the Baron and Kenny bootstrapping method was used.</p><p><strong>Results: </strong>Attitudes toward Withdrawal of Life-sustaining Treatment of nursing college students had a significant positive correlation with Knowledge of Life-sustaining Treatment Plans (r=0.34, P<0.001) and Role Perception on Life-sustaining Treatment (r=0.44, P<0.001). Role Perception on Life-sustaining Treatment partially mediated the relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment (95% CI, 0.446~1.055).</p><p><strong>Conclusion: </strong>Based on the results of this study, improving nursing college students' Role Perception on Life-sustaining Treatment could be used as a coping strategy to establish positive Attitudes toward Withdrawal of Life-sustaining Treatment.</p>","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 1","pages":"36-45"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/45/b2/jhpc-24-1-36.PMC10180004.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10533750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-01DOI: 10.14475/jhpc.2021.24.1.46
Yeojung Jung, Hyun-E Yeom, Na-Ri Lee
Purpose: This pilot study aimed to examine the influence of death counseling on perceptions, preparedness, and anxiety regarding death and dying among family caregivers of hospice patients.
Methods: Death counseling developed based on the SPIKES model was provided to 37 family caregivers in a hospice and palliative care unit. Perceptions, preparedness, and anxiety regarding death were assessed with a self-administered structured questionnaire, and participants' scores before and after counseling were compared using the paired t-test.
Results: Significant changes were found in perceptions, preparedness, and anxiety regarding death after counseling. Compared to before counseling, the scores for perceptions of death (t=-4.90, P<0.001) and preparedness for death and dying (t=-16.23, P<0.001) improved, while anxiety (t=3.72, P=0.001) decreased after counseling. Some changes were also found in the types of support that family caregivers needed to prepare for the death of their family members in the hospice care unit.
Conclusion: The findings demonstrate that death counseling could help family caregivers prepare for the death of their loved ones. Hospice and palliative care providers should play a key role in supporting family caregivers of hospice patients by developing strategies for counseling.
{"title":"The Effects of Counseling about Death and Dying on Perceptions, Preparedness, and Anxiety Regarding Death among Family Caregivers Caring for Hospice Patients: A Pilot Study.","authors":"Yeojung Jung, Hyun-E Yeom, Na-Ri Lee","doi":"10.14475/jhpc.2021.24.1.46","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.1.46","url":null,"abstract":"<p><strong>Purpose: </strong>This pilot study aimed to examine the influence of death counseling on perceptions, preparedness, and anxiety regarding death and dying among family caregivers of hospice patients.</p><p><strong>Methods: </strong>Death counseling developed based on the SPIKES model was provided to 37 family caregivers in a hospice and palliative care unit. Perceptions, preparedness, and anxiety regarding death were assessed with a self-administered structured questionnaire, and participants' scores before and after counseling were compared using the paired t-test.</p><p><strong>Results: </strong>Significant changes were found in perceptions, preparedness, and anxiety regarding death after counseling. Compared to before counseling, the scores for perceptions of death (t=-4.90, P<0.001) and preparedness for death and dying (t=-16.23, P<0.001) improved, while anxiety (t=3.72, P=0.001) decreased after counseling. Some changes were also found in the types of support that family caregivers needed to prepare for the death of their family members in the hospice care unit.</p><p><strong>Conclusion: </strong>The findings demonstrate that death counseling could help family caregivers prepare for the death of their loved ones. Hospice and palliative care providers should play a key role in supporting family caregivers of hospice patients by developing strategies for counseling.</p>","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 1","pages":"46-55"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e8/6a/jhpc-24-1-46.PMC10180000.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10533754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-01DOI: 10.14475/jhpc.2021.24.1.26
Sun-Hee Kim, Eun-Young Kim
Purpose: The purpose of this study was to determine the effects of awareness of good death and end-of-life care attitudes on end-of-life care performance in long-term care hospital nurses.
Methods: This study used a cross-sectional study design. The participants were 147 nurses working at six long-term care hospitals with more than 200 beds in B city, South Korea. Data were collected using self-reported questionnaires, and analyzed with descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and multiple stepwise regression analysis using IBM/SPSS 26.0 for Windows.
Results: The participants' awareness of good death, end-of-life care attitudes, and end-of-life care performance were positively correlated. The factors affecting end-of-life care performance were age, education level, awareness of good death, and end-of-life care attitudes; these variables explained 19.0% of end-of-life care performance.
Conclusion: In order to improve long term care hospital nurses' end-of-life care performance, continuing education and training should be provided regarding awareness of good death and end-of-life care attitudes.
目的:本研究的目的是确定善死意识和临终关怀态度对长期护理医院护士临终关怀绩效的影响。方法:本研究采用横断面研究设计。调查对象是韩国B市6家拥有200多个床位的长期护理医院的147名护士。采用自填问卷收集资料,采用IBM/SPSS 26.0 for Windows软件进行描述性统计、t检验、方差分析、Pearson相关系数和多元逐步回归分析。结果:被试的善死意识、临终关怀态度与临终关怀表现呈显著正相关。影响临终关怀表现的因素有年龄、文化程度、善死意识和临终关怀态度;这些变量解释了19.0%的临终关怀表现。结论:为提高长期护理医院护士的临终关怀绩效,应加强对护士善死意识和临终关怀态度的继续教育和培训。
{"title":"Effects of Awareness of Good Death and End-of-Life Care Attitudes on End-of-Life Care Performance in Long-Term Care Hospital Nurses.","authors":"Sun-Hee Kim, Eun-Young Kim","doi":"10.14475/jhpc.2021.24.1.26","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.1.26","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to determine the effects of awareness of good death and end-of-life care attitudes on end-of-life care performance in long-term care hospital nurses.</p><p><strong>Methods: </strong>This study used a cross-sectional study design. The participants were 147 nurses working at six long-term care hospitals with more than 200 beds in B city, South Korea. Data were collected using self-reported questionnaires, and analyzed with descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and multiple stepwise regression analysis using IBM/SPSS 26.0 for Windows.</p><p><strong>Results: </strong>The participants' awareness of good death, end-of-life care attitudes, and end-of-life care performance were positively correlated. The factors affecting end-of-life care performance were age, education level, awareness of good death, and end-of-life care attitudes; these variables explained 19.0% of end-of-life care performance.</p><p><strong>Conclusion: </strong>In order to improve long term care hospital nurses' end-of-life care performance, continuing education and training should be provided regarding awareness of good death and end-of-life care attitudes.</p>","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 1","pages":"26-35"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/26/44/jhpc-24-1-26.PMC10180001.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10551161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}