DOI QR코드

DOI QR Code

The Effect of Suffering Experience, Empathy Ability, Caring Behaviors on Terminal Care Performance of Clinical Nurses

임상간호사의 고통경험, 공감역량 및 돌봄행위가 임종간호수행에 미치는 영향

  • Jo, Kae Hwa (College of Nursing, Catholic University of Daegu) ;
  • Park, Ae Ran (Graduate School, Catholic University of Daegu) ;
  • Lee, Jin Ju (Graduate School, Catholic University of Daegu) ;
  • Choi, Su Jung (Graduate School, Catholic University of Daegu)
  • 조계화 (대구가톨릭대학교 간호대학) ;
  • 박애란 (대구가톨릭대학교 간호대학원) ;
  • 이진주 (대구가톨릭대학교 간호대학원) ;
  • 최수정 (대구가톨릭대학교 간호대학원)
  • Received : 2015.07.28
  • Accepted : 2015.10.19
  • Published : 2015.12.01

Abstract

Purpose: This study was performed to identify factors affecting terminal care performance of clinical nurses. Methods: The participants in this study were 175 nurses working in hospitals in Daegu and North Gyeongsang Province. Data were collected using a self-reported questionnaire and were analyzed with the IBM SPSS WIN 19.0 program. Results: Nurses' terminal care performance was significantly related with suffering experience, empathy ability and caring behaviors. Significant predictors for terminal care performance were their department, empathy ability and caring behaviors. These factors explained 43.52% of the variance in terminal care performance of clinical nurses. Conclusion: Our study results suggest that terminal care performance of clinical nurses can be strengthened by improving empathy ability and caring behaviors.

목적: 본 연구의 목적은 임상간호사의 임종간호수행에 미치는 영향요인을 파악하는 것이다. 방법: 대구 경북지방의 임상간호사 175명을 대상으로 하였으며, 자가 보고식 설문지로 자료를 수집하였으며, IBM SPSS WIN 19.0 program을 이용하여 데이터를 분석하였다. 결과: 임상간호사의 고통경험, 공감역량, 돌봄행위 및 임종간호수행 간에는 유의한 상관관계가 있었다. 임종간호수행에 영향을 미치는 요인에는 부서, 공감역량 및 돌봄행위가 통계적으로 유의한 예측변인으로 나타났으며, 이들 변인의 설명력은 43.52%였다. 결론: 본 연구의 결과 임상간호사의 임종간호수행 능력은 공감역량과 돌봄행위 역량의 증진을 통해 높아질 수 있음을 시사한다.

Keywords

References

  1. Lee EY. A study on the meaning of love, empathy as the basis of hospice philosophy. Philosophical Studies 2015;51;106-42.
  2. Hong EM, Jun MD, Park ES, Ryu EJ. Death perceptions, death anxiety, and attitudes to death in oncology nurses. Asian Oncol Nurs 2013;13:265-72. https://doi.org/10.5388/aon.2013.13.4.265
  3. Jo KH. Development of a Nurse's Suffering Experience Scale. J Korean Acad Nurs 2002;32:243-53. https://doi.org/10.4040/jkan.2002.32.2.243
  4. Kang KA, Oh PJ. A correlation study of suffering, burden and meaning of life in cancer patients. J Korean Acad Nurs 2000; 30:331-41. https://doi.org/10.4040/jkan.2000.30.2.331
  5. Kang KA. Concept analysis and development of suffering: application of hybrid model method. J Korean Acad Nurs 1996;26: 290-303.
  6. Jo KH, Han HJ. Nurses' painful experiences through terminal patient. J Korean Acad Nurs 2001;31:1055-66. https://doi.org/10.4040/jkan.2001.31.6.1055
  7. Ahn SN. A study of the correlation among the degree of nurse's suffering experience, death orientation, and terminal care performance [master's thesis]. Daegu: Catholic University of Daegu; 2004. Korean.
  8. Day H. The meaning of compassion. Br J Nurs 2015;24:342-3. https://doi.org/10.12968/bjon.2015.24.6.342
  9. Lee YJ. Development of the compassionate competence scale for nurses [dissertation]. Seoul: Korea Univ.; 2014. Korean.
  10. Palos GR. Care, compassion, and communication in professional nursing: art, science, or both. Clin J Oncol Nurs 2014;18:247-8. https://doi.org/10.1188/14.CJON.247-248
  11. Chong LF. Caring in nursing. Singapore Nurs J 2006;33:37-41.
  12. Kong BH. A philosophical inquiry on the moral horizon of care in nursing. Korean Feminist Philosophy 2002;2:43-69.
  13. Edwards SD. Philosophy of Nursing. Nursing Philosophy 2001; 2:187-9. https://doi.org/10.1046/j.1466-769X.2001.0056a.x
  14. Kim SE. The relationship between intensive care unit nurses' death perception and terminal care performance [dissertation]. Seoul: Ajou Univ.; 2011. Korean.
  15. Park SJ, 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.
  16. Shin HJ. The influence of performance of terminal care on professionalism and good death awareness in clinical nurses [master's thesis]. Chungju: Chungju National Univ.; 2012. Korean.
  17. Jo KH, Kim YJ. The impact of nurses' attitude toward dignified death and moral sensitivity on their end-of-life care performance. Korean J Hosp Palliat Care 2013;16:223-31. https://doi.org/10.14475/kjhpc.2013.16.4.223
  18. Baek YK. Relationship between stress in end-of-life care, job satisfaction and practice in end-of-life care for medical ward nurses [master's thesis]. Busan: Kosin Univ.; 2014. Korean.
  19. Oh JH. A study on terminal care stress and terminal care performance of geriatric hospital nurses [master's thesis]. Seoul: Ajou Univ.; 2015. Korean.
  20. Woo YW. A study on death anxiety, terminal care stress and terminal care performance of nurses [master's thesis]. Seoul: Chung-Ang Univ.; 2012. Korean.
  21. Noh SS. A study on death perception, terminal care attitude, and terminal care performance of clinical nurses caring for cancer patients [master's thesis]. Seoul: Sungkyunkwan Univ.; 2010. Korean.
  22. Lee BS. Development of a measurement tool of caring to evaluate quality of nursing care. J Nurs Acad Soc 1996;26:653-67. https://doi.org/10.4040/jnas.1996.26.3.653
  23. Lee YO. A study of cancer unit nurses' stress from bereavement support [dissertation]. Seoul: Kyung Hee Univ.; 2004. Korean.
  24. Park SJ. 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.
  25. Black HK, Rubinstein RL. Themes of suffering in later life. J Gerontol B Psychol Sci Soc Sci 2004;59:S17-24. https://doi.org/10.1093/geronb/59.1.S17
  26. Williams JR. When suffering is unbearable: physicians, assisted suicide and euthanasia. J Palliat Care 1991;7:47-9.
  27. Cassel EJ. The nature of suffering and the goals of medicine. N Engl J Med 1982;306:639-45. https://doi.org/10.1056/NEJM198203183061104
  28. Schantz ML. Compassion: a concept analysis. Nurs Forum 2007; 42:48-55. https://doi.org/10.1111/j.1744-6198.2007.00067.x
  29. Kong BH. Art of caring in nursing. Philosophy Medicine 2007; 3:97-116.
  30. Kim YY, Lee BS. Importance of nurses's caring behaviors as perceived by staff nurses and patients. J Fundam Nurs 1999;6: 18-34.
  31. Kim CG. Influencing factors and importance of nurses' caring behaviors for chronically sick elderly. J Korean Acad Adult Nurs 2010;22:303-11.
  32. Kim MH, Kwon KJ, Lim YO. Study on 'Good Death' that Korean aged people recognize. Korean J Soc Welfare 2004;56: 195-213.
  33. Shin SJ, Choi MH. A study for the spiritual well-being and the spiritual nursing care of nurses. Chung-Ang J Nurs 2004;8:15-26.
  34. Seo IS. Yong JS. Park JY. Kim JH. Spiritual and psychosocial effects of the spirituality promotion program on clinical nurses. J Korean Acad Nurs 2014;44:726-34. https://doi.org/10.4040/jkan.2014.44.6.726
  35. Kim JH. The humanistic medicine, communication, and the medical philosophy of care. J Korean Philosophical Society 2012; 122:49-71.

Cited by

  1. Cuidado paliativo e enfermeiros de terapia intensiva: sentimentos que ficam vol.69, pp.6, 2016, https://doi.org/10.1590/0034-7167-2016-0267
  2. 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
  3. Mediating Effects of Empathy and Resilience on the Relationship between Terminal Care Stress and Performance for Nurses in a Tertiary Hospital vol.20, pp.4, 2017, https://doi.org/10.14475/kjhpc.2017.20.4.253
  4. 요양병원 근무자의 호스피스 완화돌봄 지식과 인식, 임종돌봄 태도, 죽음에 대한 인식이 임종돌봄 수행에 미치는 영향 vol.21, pp.4, 2015, https://doi.org/10.14475/kjhpc.2018.21.4.124
  5. Effects of Perceptions regarding Purpose in Life and Good Death on Caring Behaviors of Formal Caregivers of Community-dwelling Older Adults with Dementia vol.20, pp.2, 2018, https://doi.org/10.17079/jkgn.2018.20.2.57
  6. 일개 상급종합병원 간호사의 공감역량, 전문직 자아개념 및 간호근무환경이 돌봄 행위에 미치는 영향 vol.12, pp.4, 2015, https://doi.org/10.12811/kshsm.2018.12.4.017
  7. 종합병원 간호사의 임종간호 수행에 미치는 영향 vol.22, pp.1, 2015, https://doi.org/10.35301/ksme.2019.22.1.53
  8. 혈액종양내과 병동간호사의 긍정심리자본과 죽음인식이 임종간호 수행에 미치는 영향 vol.22, pp.2, 2015, https://doi.org/10.14475/kjhpc.2019.22.2.77
  9. 중환자실 간호사의 임종간호 어려움과 임종간호 교육요구 조사: 혼합연구방법 vol.22, pp.2, 2015, https://doi.org/10.14475/kjhpc.2019.22.2.87
  10. The Effect of Nurses’ Compassion Competence on Performance of Terminal Care in Geriatric Hospitals vol.44, pp.3, 2015, https://doi.org/10.21032/jhis.2019.44.3.253
  11. 일 종합병원 간호사의 영성과 임종간호태도와의 관계에서 공감역량의 매개효과 vol.25, pp.2, 2019, https://doi.org/10.14370/jewnr.2019.25.2.166
  12. 요양병원 간호사의 내·외적 통제신념과 임종간호 스트레스 및 피로 관계에서 임종간호 수행의 융복합적 영향 vol.17, pp.12, 2015, https://doi.org/10.14400/jdc.2019.17.12.329
  13. The Relationship of Perceptions of Hospice and Palliative Care With Emotional Intelligence and Cognitive Empathy in Nursing Students vol.22, pp.3, 2015, https://doi.org/10.1097/njh.0000000000000645