Factors Influencing Performance of End-of-life Care by ICU Nurses.

Ko,  Mun Jung; Moon,  So Hyun

doi:2016.25.4.327

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Original Article

Journal of Korean Academy of psychiatric and Mental Health Nursing 2016;25(4):327-337.
DOI: https://doi.org/10.12934/jkpmhn.2016.25.4.327 Published online January 17, 2017.

Factors Influencing Performance of End-of-life Care by ICU Nurses.

Mun Jung Ko, So Hyun Moon

¹Mokpo Christian Hospital, Mokpo, Korea.
²Department of Nursing, Chosun University, Gwangju, Korea. shmoon@chosun.ac.kr

Abstract

PURPOSE
This study was a descriptive research to assess the level of and the relationship of related factors in the performance of end-of-life care by intensive care unit (ICU) nurses. METHODS: Participants were 238 ICU nurses from university and general hospitals. Data were collected, using structured questionnaires, and collected data were analyzed using t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis with SPSS/WIN 22.0. RESULTS: There were significantly positive effects between performance of end-of-life care and end-of-life care attitudes. Performance end-of-life care was negatively associated with end-of-life care stress and obstacles. Factors that significantly influenced ICU nurses' performance of end-of-life were end-of-life care stress, medical team in obstacles related to end-of-life care, and end-of-life care attitudes, which explained about 53% of the variance in the performance of end-of-life care. CONCLUSION: Findings indicate that hospital organizations should carry out stress management and counseling programs in order to lower ICU nurses' end-of-life care stress, and to enhance end-of-life care attitudes. In addition, concern needs to be given to the medical team which was one of the obstacles to end-of-life care. It is also necessary to decrease the heavy workload and increase the communication with medical workers.

Key Words: Terminal care; Intensive care units; Attitude; Stress; End-of-life care obstacles

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