DOI QR코드

DOI QR Code

The Influence of Terminal Care Performance, Death Anxiety and Self-Esteem on Terminal Care Stress of Geriatric Hospital Nurses

노인요양병원 간호사의 임종간호수행과 죽음불안 및 자아존중감이 임종간호스트레스에 미치는 영향

  • Kim, Won Soon (College of Nursing, Graduate School, Kosin University) ;
  • Cho, Hun Ha (College of Nursing, Kosin University) ;
  • Kwon, Suhye (College of Nursing, Kosin University)
  • 김원순 (고신대학교 간호학과 대학원) ;
  • 조헌하 (고신대학교 간호대학) ;
  • 권수혜 (고신대학교 간호대학)
  • Received : 2016.01.11
  • Accepted : 2016.05.03
  • Published : 2016.06.01

Abstract

Purpose: This descriptive study was aimed at identifying the relations among geriatric nurses' terminal care performance, death anxiety and self-esteem and the factors that affect nurses' terminal care stress. Methods: Data were collected using a self-reported questionnaire completed by 212 geriatric hospital nurses working in 10 hospitals in K city and B metropolitan city. Results: The survey results showed that the stress factors were terminal care performance and death anxiety. Significant predictors for terminal care stress were death anxiety and terminal care performance. (And the higher the level of death anxiety and terminal care performance were, the heavier the stress was.) These factors explained 32.5% of the variance in terminal care stress. Conclusion: The results of the study suggested that terminal care performance was an important factor of terminal care stress for geriatric nurses. Therefore, it seems that it is necessary to develop an educational intervention program to improve nurses' terminal care performance to reduce their terminal care stress.

목적: 본 연구는 요양병원 간호사의 임종간호수행과 죽음불안, 자아존중감 및 임종간호스트레스간의 상관관계를 확인하고 임종간호스트레스에 영향을 미치는 요인을 파악하기 위한 서술적 조사연구이다. 방법: K시와 B광역시 소재 10개 요양병원에 근무하는 212명의 간호사를 대상으로 자가 보고식 설문지를 이용하여 자료를 수집하였다. 결과: 요양병원간호사의 임종간호스트레스에 영향을 미치는 요인은 죽음불안과 임종간호수행이었으며 죽음불안과 임종간호수행 정도가 높을수록 임종간호스트레스가 높았다. 이들 변수들은 임종간호스트레스에 대하여 32.5%의 설명력을 나타냈다. 결론: 요양병원간호사의 임종간호스트레스를 완화시키기 위하여 효율적인 인력배치 등의 행정적인 방안을 수립하고 죽음불안을 감소시킬 수 있는 임종간호교육프로그램 개발 및 효과검증 연구 수행을 제안하는 바이다.

Keywords

References

  1. The life expectancy of 2013, Information Service Dept, Statistical Information and Data Management Bureau [Internet]. Daejeon: Statistics Korea; 2014 [cited 2016 Mar 2]. Available form: http://kosis.kr/statHtml/statHtml.doorgId.
  2. The nationwide status of the elderly care facilities in 2014 [Internet]. Wonju: Health Insurance Review & Assessment Service; 2014 [cited 2016 Mar 2]. Available from: http://www.hira.or.kr/co/search.do?collection=ALL&query.
  3. The deep analysis on the survey of patients in 2011 [Internet]. Sejong: Korea Institute for Health and Social Affairs, Ministry of Health and Welfare; 2013 [cited 2016 Mar 2]. Available from: http://www.mw.go.kr.
  4. Noh YJ, Han SS, Ahn SH, Kim CG. Hospice and death. 2nd ed. Seoul:Hyunmoon Publishers;1997.
  5. Detering KM, Hancock AD, Reade MC, Silvester W. The impact of advance care planning on end of life care in elderly patients: randomised controlled trial. BMJ 2010;23: 340:c1345. https://doi.org/10.1136/bmj.c1345
  6. Munley A. Sources of hospice staff stress and how to cope with it. Nurs Clin North Am 1985;20:343-55.
  7. Lee HY, Lee YO, Choi EY, Park YM. A comparison on stress and coping of bereavement care between nurses in the cancer unit and nurses in the general unit. J Korean Oncol Nurs 2007; 7:26-35.
  8. Deffner JM, Bell SK. Nurses' death anxiety, comfort level during communication with patients and families regarding death, and exposure to communication education: a quantitative study. J Nurs Staff Dev 2005;21:19-23. https://doi.org/10.1097/00124645-200501000-00005
  9. Solomon S, Greenberg J, Pyszczynski T. A terror management theory of social behavior: the psychological functions of selfesteem and cultural worldviews. Adv Exp Soc Psychol 1991;24: 93-159.
  10. Woo YW, Kim KH, Kim KS. Death anxiety and terminal care stress among nurses and the relationship to terminal care performance. Korean J Hosp Palliat Care 2013;16:33-41. https://doi.org/10.14475/kjhpc.2013.16.1.033
  11. Kim SE. The relationship between intensive care unit nurses' death perception and terminal care performance [master's thesis]. Suwon: Ajou Univ.; 2011. Korean.
  12. Chung SY. A study on terminal care stress and terminal care performance of ICU nurse [master's thesis]. Seoul: Hanyang Univ.; 2013. Korean.
  13. Kim JH, Lee HK. Cancer unit nurses' end-of-life care-related stress, understanding and training needs. Korean J Hosp Palliat Care 2012;15:205-11.
  14. Jung JS. Influencing factors of performance on terminal care in term care hospital nurses [master's thesis]. Kwangju: Kwangju Women's Univ.; 2014. Korean.
  15. Oh JH. A study on terminal care stress and terminal care performance of geriatric hospital nurses [master's thesis]. Suwon: Ajou Univ.; 2015. Korean.
  16. Park S.J, Choi SH. A study on the degrees of death orientation and terminal care performance of nurses. J Korean Acad Fundam Nurs 1996;3:285-97.
  17. Collett LJ, Lester D. The fear of death and the fear of dying. J Psychol 1969;72:179-81. https://doi.org/10.1080/00223980.1969.10543496
  18. Son SW. A study on death anxiety of children and adolescent [master's thesis]. Seoul: Seoul Women's Univ.; 1999. Korean.
  19. Rosenberg M. Society and the adolescent self-image. Princeton, N. j.:Princeton Univ. Press:1965.
  20. Jon BJ. Self-esteem: a test of its measurability 1974;11:107-30.
  21. Han YM. Spiritual needs of hospice patients. Korean J Hosp Palliat Care 2000;3:39-48.
  22. Kim KG, Yong JS. Spirituality, death anxiety and burnout levels among nurses working in a cancer hospital. Korean J Hosp Palliat Care 2013;16:264-73. https://doi.org/10.14475/kjhpc.2013.16.4.264
  23. Choi YE. Predictors of burnout among hospice nurses [master's thesis]. Daegu: Kyungpook National Univ.; 2013. Korean.
  24. Cho HJ, Kim ES. The effect of the death education program on the death anxiety and attitudes toward nursing care of the dying patients of nursing student. Korean J Hosp Palliat Care 2005;8:163-72.
  25. Kwon SH, Yang SK, Park MH, Choe SO. Assessment for the needs to develop hospice training program for nurses. Korean J Hosp Palliat Care 2008;11:147-55.
  26. Park EK, Na YK. A study on verbal abuse experience, sexual harassment damages and self-esteem of operating room nurse. Korean J Sci Crim Invest 2015;9:266-74.
  27. Kim HS, Yim HW, Lee JY, Cho HJ, Jo SJ, Lee WC. Influence of self-esteem and social support on the depression Stati of Some Clinical Nurses. Korean J Occu Environ Med 2007;19:125-34.
  28. Marshall VW. Last chapters, a sociology of aging and dying. Monterey, Calif:Books/Cole Pub. Co.;c1980.
  29. Choi AS. The experience of nursing care for dying patients in new nurses [master's thesis]. Gangneung: Kwandong Univ.; 2003. Korean.
  30. Lee MO, Ryu SY, Byun IG, Park JH. A study on the relationship between job stress and depression in clinical nurses. Medical J Chosun Univ 2004;29:26-37.
  31. Leou CS, Kim KK, Kim JH. Factors associated with burnout of nurses working for cancer patients. Korean J Hosp Palliat Care 2005;8:45-51.
  32. Kim, HJ, Lee HR, Choi SO. Resilience to burnout, self-esteem and turnover intention of nurses in long-term care hospitals. Korean Geron Nurs 2013;15:218-26.
  33. Kim DH, Lee HJ. Effects on long-term care hospital staff mixing level after implementing differentiated inpatient nursing fees by staffing grades. Korean Acad Nurs Adm 2014;20:95-105. https://doi.org/10.11111/jkana.2014.20.1.95

Cited by

  1. Death Anxiety and Terminal Care Performance of Nurses at Long Term Care Hospitals vol.20, pp.1, 2017, https://doi.org/10.14475/kjhpc.2017.20.1.37
  2. 근무형태별 간호사의 스트레스와 불안 조사: 타액 코티솔과 자가보고 척도를 이용한 탐색적 연구 vol.19, pp.3, 2016, https://doi.org/10.7586/jkbns.2017.19.3.206
  3. Comparison of the Death Anxiety and Preferences for Care Near the End of Life between Nurses and Physicians vol.20, pp.3, 2017, https://doi.org/10.35301/ksme.2017.20.3.276
  4. The influence of Nursing Professionalism, Attitudes toward Advance Directive, and Death Anxiety on Terminal Care Performance of Nurses in Long-term Care Hospitals vol.30, pp.2, 2016, https://doi.org/10.7475/kjan.2018.30.2.183
  5. Effects on Turnover Intention due to Terminal Care Stress of Nurses Working in Long-term Care Hospitals vol.20, pp.3, 2016, https://doi.org/10.17079/jkgn.2018.20.3.217
  6. 호스피스 관련 국내 간호연구 논문 동향(1998~2017) vol.22, pp.1, 2016, https://doi.org/10.14475/kjhpc.2019.22.1.19
  7. 종합병원 간호사의 임종간호 수행에 미치는 영향 vol.22, pp.1, 2016, https://doi.org/10.35301/ksme.2019.22.1.53
  8. 일개 종합병원 간호사의 임종간호 스트레스에 영향을 미치는 융합적인 요인 vol.9, pp.4, 2016, https://doi.org/10.22156/cs4smb.2019.9.4.028
  9. 중환자실 간호사의 임종간호 어려움과 임종간호 교육요구 조사: 혼합연구방법 vol.22, pp.2, 2016, https://doi.org/10.14475/kjhpc.2019.22.2.87
  10. 요양병원간호사의 윤리적 딜레마와 임종간호스트레스가 소진에 미치는 영향 vol.10, pp.6, 2016, https://doi.org/10.15207/jkcs.2019.10.6.355
  11. The Effect of Nurses’ Compassion Competence on Performance of Terminal Care in Geriatric Hospitals vol.44, pp.3, 2016, https://doi.org/10.21032/jhis.2019.44.3.253
  12. 아동간호사의 호스피스·완화의료에 대한 지식, 인식과 임종간호 스트레스 vol.16, pp.2, 2016, https://doi.org/10.16952/pns.2019.16.2.55
  13. 신규간호사의 죽음불안, 임종간호 스트레스가 직무만족도에 미치는 영향 vol.28, pp.4, 2016, https://doi.org/10.5807/kjohn.2019.28.4.230
  14. Long-term Care Hospital Nurses' Awareness and Ethical Attitudes toward DNR vol.21, pp.2, 2016, https://doi.org/10.17079/jkgn.2019.21.2.61
  15. 요양병원 간호사의 내·외적 통제신념과 임종간호 스트레스 및 피로 관계에서 임종간호 수행의 융복합적 영향 vol.17, pp.12, 2016, https://doi.org/10.14400/jdc.2019.17.12.329
  16. 요양병원간호사의 죽음인식, 임종간호스트레스와 임종간호수행간의 관계 조사 vol.23, pp.1, 2016, https://doi.org/10.14695/kjsos.2020.23.1.79
  17. 요양병원 간호사의 노인 환자 임종간호 경험 vol.31, pp.2, 2020, https://doi.org/10.12799/jkachn.2020.31.2.199
  18. 임상간호사의 임종간호수행 구조모형 vol.14, pp.1, 2021, https://doi.org/10.34250/jkccn.2021.14.1.1
  19. 중환자실 간호사의 생애말 간호수행에 미치는 영향요인 vol.7, pp.3, 2021, https://doi.org/10.17703/jcct.2020.7.3.135
  20. The effect of death anxiety in nurses on their approach to dying patients: A cross‐sectional study vol.57, pp.4, 2021, https://doi.org/10.1111/ppc.12768