• Title/Summary/Keyword: 임종간호

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Nurses' Experiences of End-of-life Care for Elderly Patients in Long-term Care Hospitals (요양병원 간호사의 노인 환자 임종간호 경험)

  • Lee, Chun Yee;Lee, Ga Eon
    • Research in Community and Public Health Nursing
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    • v.31 no.2
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    • pp.199-211
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    • 2020
  • Purpose: The purpose of this qualitative study was to describe the essence and the meaning of nurses' experiences of end-of-life care (EOLC) for elderly patients in the long-term care hospitals (LTCHs). Methods: Data were gathered from 12 nurses who had been working at LTCHs in Korea through one-on-one interviews and the data were analyzed by Colaizzi's phenomenological method. Results: The emergent 5 themes were 'Doing the best for protecting patients' life', 'Providing a comfortable dying process for patients', 'Supporting a family's keeping on patient's death', 'Reflecting on life' and 'Desiring for the establishment of a humanity end-of-life care environment'. Conclusion: The end-of-life care for the elderly patients includes supporting elderly patients' comfortable dying process and helping the family keep the death of the elderly. The results indicated that physical facilities and end-of-life nursing capacity should be established in LTCHs for improving the quality of EOLC.

A Comparison on Stress and Coping of Bereavement Care between Nurses in the Cancer Unit and Nurses in the General Unit (암병동 간호사와 일반병동 간호사의 임종간호에 대한 스트레스와 대처방법 비교 연구)

  • Lee, Hyang-Yeon;Lee, Youn-Ok;Choi, Eun-Young;Park, Young-Mi
    • Asian Oncology Nursing
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    • v.7 no.1
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    • pp.26-35
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    • 2007
  • Purpose: The purpose of this study was to set the strategy that clinical nurses can efficiently cope with the stress from bereavement care, by examining and analyzing stress factors and coping methods of nurses' bereavement care. Methods: A total of 628 nurses were recruited from four university hospitals, two cancer specialized hospitals, and three public hospitals. Stress was measured using the bereavement care stress measurement tool, and coping was done using the cope with stress scale. Results: The stress level about bereavement care of the nurses working in the cancer unit was significantly higher than the level of the nurses working in the general unit. However, there was no difference of coping level between nurses working in cancer unit and general unit. Conclusions: It is important to ensure the methods that contrive to perform bereavement care efficiently by generating hospice nurses and by activating the system for nurses specialist who perform bereavement care.

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Study of Subjective View on the Meaning of Well-dying Held by Medical Practitioners and Nursing Students: Based on Q-Methodology (의료인과 간호학생의 웰다잉 의미에 관한 주관성 연구)

  • Kim, Seon Young;Hur, Sung Soun;Kim, Boon Han
    • Journal of Hospice and Palliative Care
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    • v.17 no.1
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    • pp.10-17
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    • 2014
  • Purpose: This study was conducted to examine understanding of the meaning of well-dying and types of such views held by medical practitioners and nursing students. Methods: The Q-methodology was used to analyze the subjectivity of each item. The P-sample was made up of 22 medical practitioners or nursing students. The P-sample was instructed to rate 33 statements using a 7-point scale to obtain forced normal distribution. They were asked to make extra comments on the statements that were placed on both ends of the distribution curve. The PC-QUANL Program was used for the factor analysis of the collected data. Results: The participants had three types of meaning of well-dying. Total variance explained by these types was 57.97%" where type 1 was "reality-oriented", type 2 "relationship-oriented" and type 3 "obeying-the-nature". Conclusion: The participants' subjective views on well-dying influences their medical practice on patients who are facing death. Therefore, medical practitioners should have profound insights concerning life and death. To that end, a training program is needed to help medical practitioners develop a proper view on well-dying by subjectivity type.

Effects on Turnover Intention due to Terminal Care Stress of Nurses Working in Long-term Care Hospitals (요양병원 간호사의 임종간호 스트레스가 이직의도에 미치는 영향)

  • Ha, Shin-young;Song, Jun-Ah
    • Journal of Korean Gerontological Nursing
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    • v.20 no.3
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    • pp.217-228
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    • 2018
  • Purpose: This study was done to examine the effect on turnover intention (TI) of terminal care stress (TCS) on nurses working in long-term care hospitals (LCH). Methods: Participants were 182 nurses from 6 Seoul LCH. Data were collected from October to December, 2017. Self-report questionnaires were used to collect data on general characteristics, TCS, and TI. Results: Subjective satisfaction on the job (r=.52, p<.001), number of monthly terminal care elders (r=.16, p=.043), TCS (r=.16, p=.027), and sub-categories of TCS, 'difficulty for assigning timetable to care for terminally ill patients' (r=.17, p=.025), 'feeling a burden of caring for terminally ill patients' (r=.23, p=.002), and 'conflict with terminally patients' (r=.16, p=.034) showed statistically significant correlation with TI. Multiple regression analysis showed significant influence of subjective satisfaction with job (${\beta}=.52$, p<.001) and TCS (${\beta}=.23$, p=.001) with a 30.3% explanatory power. When sub-categories of TCS were entered, subjective satisfaction with the job (${\beta}=.50$, p<.001) and 'feeling burden of terminally ill patients' (${\beta}=.28$, p<.001) were factors significantly influencing TI with explanatory power of 32.8%. Conclusion: Findings of this study suggest that it is needed to develop standardized practice guidelines and educational programs for terminal care in LCH as well as stress healing programs for nurses.

Nurses Attitudes toward Death, Coping with Death and Understanding and Performance Regarding EOL Care: Focus on Nurses at ED, ICU and Oncology Department (임종 다빈도 부서 간호사의 죽음에 대한 태도 및 대처정도와 생애 말기환자 간호와의 관계 - 응급실, 중환자실, 종양내과 병동 간호사를 중심으로)

  • Seo, Min-Jeong;Kim, Jung Yeon;Kim, Sanghee;Lee, Tae Wha
    • Journal of Hospice and Palliative Care
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    • v.16 no.2
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    • pp.108-117
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    • 2013
  • Purpose: The objectives of this study were to 1) explore nurses' attitudes toward death, coping with death, understanding and performance regarding end-of-life (EOL) care, 2) describe correlations among the above factors, and 3) determine the factors affecting nurses' EOL care performance. Methods: Study participants were 187 nurses stationed at departments that post higher mortality than others such as the oncology department, intensive care unit (ICU) and emergency department (ED). Data were collected from three urban university-affiliated hospitals. Multi-dimensional measure was performed for study instruments such as "attitude toward death", "coping with death" and "understanding and performance regarding EOL care". Data were analyzed by using descriptive statistics, correlation, and multiple regressions. Results: First, nurses showed significantly different attitudes toward death by age, religion, work unit and EOL care education. Younger nurses tend to score low on the understanding of EOL care, and ED nurses' score was lower than their peers at the oncology department and ICU. Second, EOL care performance was positively correlated with attitude toward death (P<0.001), coping with death (P=0.003) and understanding of EOL care (P<0.001). Third, nurses' EOL care performance was affected by work unit (P<0.001) and understanding of EOL care (P<0.001). Conclusion: Because nurses' performance was influenced by their work unit and understanding of EOL care, they should be provided with appropriate training to improve their understanding of death and EOL care according to work unit.