Journal of Hospice and Palliative Care

  • 제24권4호
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  • Pages.235-244
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  • 2021
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  • 2765-3072(pISSN)
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  • 2765-3080(eISSN)
한국호스피스완화의료학회 (Korean Society for Hospice and Palliative Care)
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The Relationships of End-of-life Care Stress with Compassionate Competence and Attitudes toward End-of-life Care among Pediatric Nurses

  • 투고 : 2021.08.05
  • 심사 : 2021.10.27
  • 발행 : 2021.12.01
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초록

Purpose: This study aimed to provide basic data for developing interventions to relieve the end-of-life care stress experienced by pediatric nurses by examining the relationships of end-of-life care stress with compassionate competence and attitudes toward end-of-life care. Methods: Data were collected via a survey that was conducted from September 10 to September 30, 2018 and administered to 113 nurses who had worked for more than 6 months in a pediatric unit at a tertiary hospital in Seoul, South Korea. The data were analyzed for frequency, percentage, mean, and standard deviation, and the independent t-test, one-way analysis of variance, and Pearson correlation analysis were conducted using SPSS version 25.0. Results: End-of-life care stress among pediatric nurses had a weak positive correlation (r=0.216, P<0.05) with compassionate competence and had no significant correlation with attitudes toward end-of-life care. Among the sub-factors of end-of-life care stress, psychological difficulties had a weak positive correlation with sensitivity (r=0.309, P<0.01) and communication (r=0.230, P<0.05), which are aspects of compassionate competence. Lack of knowledge about end-of-life care had a weak positive correlation with communication (r=0.209, P<0.05) as an aspect of compassionate competence. Conclusion: To improve the quality of end-of-life care provided by pediatric nurses, it is necessary to improve their compassionate competence and reduce their end-of-life care stress by developing education and support programs tailored to the characteristics of children and specific communication methods.

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참고문헌

  1. Choi M, Bang K. Quality of pediatric nursing care: concept analysis. J Korean Acad Nurs 2010;40:757-64. https://doi.org/10.4040/jkan.2010.40.6.757
  2. Lloyd M, Urquhart G, Heard A, Kroese B. When a child says 'no': experiences of nurses working with children having invasive procedures. Paediatr Nurs 2008;20:29-34. https://doi.org/10.7748/paed.20.4.29.s24
  3. Im MS, Lee YE. Factors affecting turnover intention in pediatric nurses. Child Health Nurs Res 2016;22:37-44. https://doi.org/10.4094/chnr.2016.22.1.37
  4. Kang KA, Hwang AR. Pediatric hospice and palliative care. Korean J Hosp Palliat Care 2012;15:131-40. https://doi.org/10.14475/kjhpc.2012.15.3.131
  5. Gauthier T, Meyer RM, Grefe D, Gold JI. An on-the-job mindfulness-based intervention for pediatric ICU nurses: a pilot. J Pediatr Nurs 2015;30:402-9. https://doi.org/10.1016/j.pedn.2014.10.005
  6. Ham KS. Nurses' experience of caring for dying children in the Pediatric Intensive Care Unit [master's thesis]. Seoul: Hanyang Univ.; 2008. Korean.
  7. Adwan JZ. Pediatric nurses' grief experience, burnout and job satisfaction. J Pediatr Nurs 2014;29:329-36. https://doi.org/10.1016/j.pedn.2014.01.011
  8. Yoon YA. Clinical nurses' perception of death and end of life care stress [master's thesis]. Daegu: Kyungpook Univ.; 2010. Korean.
  9. Kim MS, Lim NG, Kim HJ, Kim C, Lee JY. Pediatric deaths attributed to complex chronic conditions over 10 years in Korea: evidence for the need to provide pediatric palliative care. J Korean Med Sci 2018;33:e1. https://doi.org/10.3346/jkms.2018.33.e1
  10. Lee KE. The experience of nurses who have cared for pediatric cancer patients at end-of-life [dissertation]. Busan: Kosin Univ.; 2017. Korean.
  11. Park SY. Development of stress scale for nurses caring dying children [dissertation]. Busan: Dong A Univ.; 2018. Korean.
  12. Kim EJ. Factors influencing nurses' attitude of end of life care: with nurses in internal medicine department and intensive care unit as subjects [master's thesis]. Daejon: Chungnam National Univ.; 2012. Korean.
  13. Ji SI, You HS. The impact of clinical nurses' terminal care attitude and spiritual health on their terminal care stress. Korean J Hosp Palliat Care 2014;17:232-40. https://doi.org/10.14475/kjhpc.2014.17.4.232
  14. Kim HY, Nam K, H., Kwon SH. Mediating effects of empathy and resilience on the relationship between terminal care stress and performance for nurses in a tertiary hospital. Korean J Hosp Palliat Care 2017;20:253-63. https://doi.org/10.14475/kjhpc.2017.20.4.253
  15. Lee YJ. Development of the compassionate competence scale for nurses [dissertation]. Seoul: Korea Univ.; 2013. Korean
  16. Jo HI, Lee MH. The mediating effect of prosocial behavior in the relation between empathic ability and psychological well-being. Korean J Youth Studies Development of integrated palliative care model for clinical nurses caring for cancer patients 2010;17:139-58.
  17. Jo KW, Lee JJ, Park AR, Choi SJ. Development of integrated palliative care model for clinical nurses caring for cancer patients. Korean J Med Ethics 2016;19:141-56. https://doi.org/10.35301/ksme.2016.19.2.141
  18. Chi KA, Kim EJ. Factors influencing nurse's attitude toward hospice. JKAPMHN 2005;14:285-91.
  19. Hong EY, Yang YJ. Factors affecting job stress of pediatric nurses: Focusing on self-efficacy, emotional labor, pediatric nurse-parent. Child Health Nurs Res 2015;21:236-43. https://doi.org/10.4094/chnr.2015.21.3.236
  20. Frommelt KH. The effects of death education on nurses' attitudes toward caring for terminally ill persons and their families. Am J Hosp Palliat Care 1991;8:37-43. https://doi.org/10.1177/104990919100800509
  21. Lee YO. A study of cancer unit nurses' stress from bereavement support [master's thesis]. Seoul: Kyung Hee Univ.; 2004. Korean.
  22. Kim SR, No MJ, Moon KE, Cho HJ, Park Y, Lee NJ, et al. Intensive care unit nurses' death perception, end of life stress and end of life nursing attitudes. J Korean Clin Nurs Res 2018;24:255-62. https://doi.org/10.22650/JKCNR.2018.24.2.255
  23. Ahn SM. Terminal care attitude, stress, and performance of nurses in medical palliative facilities [master's thesis]. Suwon: Ajou Univ.; 2017. Korean.
  24. Jang SH. Neonatal intensive care unit nurses' stress of end-of-life care for high-risk newborn [master's thesis]. Seoul: Ewha Womans Univ.; 2013. Korean.
  25. Lee MY. End-of-life care stress and strategies of coping and relief among nurses [master's thesis]. Seoul: Hanyang Univ. ;2012. Korean.
  26. Yi YH, Yang HM. Nurse's grief experience and attitudes toward bereavement/ end-of-life care of families of dying infants in the neonatal intensive care units. J Korean Data Anal Soc 2015;17:1045-60.
  27. Noh SS, Lee CK, Sung YH. Predictors of terminal care performance of clinical nurses for cancer patients. J Korean Crit Care Nurs 2016;9:61-70.
  28. Jo KH, Park AR, Lee JJ, Choi SJ. The effect of suffering experience, empathy ability, caring behaviors on terminal care performance of clinical nurses. Korean J Hosp Palliat Care 2015;18;4;276-84. https://doi.org/10.14475/kjhpc.2015.18.4.276
  29. Lee SG. Compassionate competence, co-workers support and professional quality f life of special ward nurses [master's thesis]. Seoul; Yonsei Univ.; 2017. Korean
  30. Lee HK. Converged influencing factors on compassion competence in clinical nurses. J Korea Converg Soc 2015;6:15-22.