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http://dx.doi.org/10.14475/kjhpc.2019.22.3.125

End of Life Care Competencies and Terminal Care Stress of Nurses in Long Term Care Hospitals  

Jeong, Young-Hee (Department of Nursing, Graduate School, Soonchunhyang University)
June, Kyung Ja (Department of Nursing, Soonchunhyang University College of Medicine,)
Publication Information
Journal of Hospice and Palliative Care / v.22, no.3, 2019 , pp. 125-133 More about this Journal
Abstract
Purpose: The purpose of this study was to investigate the relationship between end of life care competencies and terminal care stress of nurses in long term care hospitals. Methods: For this study, 140 nurses were sampled among those that have over 6-month end of life care experience and were working at long term care hospitals located in A city and C city of Chungcheongnam-do. Using a questionnaire, data were collected from January 2018 through March 2018. Data were analyzed using the SPSS, Windows version 21.0, according to the purpose of the study and analyzed by descriptive statistics, t-test, one way ANOVA, $Sch\acute{e}ffe^{\prime}s$ test, and Pearson's correlation coefficient. Results: The mean score on terminal care stress of nurses was above the normal level. The scores on end of life care competencies significantly varied by age, total career at hospitals, death/hospice and palliative care education, and bereavement experience. The mean score of end of life care competencies was negatively correlated with the mean score of lack of knowledge and skills among the subitems of the terminal care stress category (r=-0.260, P=0.002). Conclusion: To decrease the terminal care stress of long term care hospital nurses, it is suggested to carry out end of life care education tailored to nurses characteristics.
Keywords
Nurses; Long-Term care; Clinical competence; Terminal care; Occupational stress;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Nursing staff status in nursing home 2018 [Internet]. Daejeon: Statistics Korea; 2018 [cited 2018 Jun 20]. Available from: http://kostat.go.kr/wnsearch/search.jsp.
2 Jeong BR. Study of perception of death and terminal care performance of long-term care hospital nurses [master's thesis]. Daegu: Keimyung Univ.; 2015. Korean.
3 Lee CY. Nurses' experiences of end-of-life care for elderly patients in long-term care hospitals [dissertation]. Busan: Dong-A Univ.; 2018. Korean.
4 Ha S, Song JA. Effects on turnover intention due to terminal care stress of nurses working in long-term care hospitals. J Korean Gerontol Nurs 2018;20:217-28.   DOI
5 Lee YO. A study on the stresses of nursing for the cancer ward nurse [master's thesis]. Seoul: Kyunghee Univ.; 2004. Korean.
6 Yang JH, Shin SL. A study of relationship between death perception, spiritual well being and terminal care stress of geriatric hospital nurses. JKAIS 2016;17:510-20.
7 Lee JH, Park JS. End of life care stress and nursing work environment in geriatric hospitals nurses affect burn out. JKAIS 2017;18:449-58.
8 Hospital Nurses Association. Current status of hospital nurses 2016. Seoul:Hospital Nurses Association;2016. p.157, p.161.
9 National Health Service. End of life care [Internet]. London: NHS; 2013 [cited 2018 Jun 20]. Available from: https://www.nhs.uk/conditions/end-of-life-care/what-it-involves-and-when-it-starts/?tabname=what-is-end-of-life-care.
10 Lee HJ. Critical care nurses' perceived end of life care competencies and supportive behaviors and barriers [master's thesis]. Seoul: Seoul National Univ.; 2015. Korean.
11 Lee JY, Jang JI. Changes of nursing activities on patients with DNR orders. Korean J Hosp Palliat Care 2017;20:46-57.   DOI
12 Kim KS. The relationship among perception of death, end-of-life care stress and end-of-life care attitude of nurses [master's thesis]. Busan: Kosin Univ.; 2016. 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 2012;17:232-40.
14 Montagnini M, Smith H, Balistrieri T. Assessment of self-perceived end-of-life care competencies of intensive care unit providers. J Palliat Med 2012;15:29-36.   DOI
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 An SY, Kim HK, Gong ES, Kim NC, Kim CG, Song MS, et al. Nurses' experience of end-of life care for older adults. J Korean Gerontol Nurs 2014;16:118-29.   DOI
17 Kim HJ, Kim HY. Experience of job stress among nurses working in long-term care hospital: A phenomenological approach. Korean J Adult Nurs 2016;28:572-84.   DOI
18 Kim JS, Jeong SY, Kim SH, Kim JO. Predictors of emotional labor and job stress on burnout of nurses in long-term care hospitals. J Korean Gerontol Nurs 2014;16: 130-40.   DOI
19 Seo MS, Kang YJ, Yoon JY, Kim TY, cho HJ, Park SY, et al. Development of audio-visual aids of death education for hospice patients and their families. Korean J Hosp Palliat Care 2016;19:240-48.   DOI
20 Kwak SY, Lee BS. Role adaptation process of hospice nurses. J Korean Acad Nurs Adm 2018;24:149-60.   DOI
21 Lee MS. Nurse' experience of caring for dying patients in hospitals. J Korean Acad Nurs 2003;33:553-61.   DOI
22 Kim SH. Development of nursing students death education program [master's thesis]. Busan: Pusan Univ.; 2013. Korean.