Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
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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 (Department of Nursing, Choon-Hae College of Health Sciences) ;
  • Lee, Ga Eon (College of Nursing, Dong-A University)
  • Received : 2020.02.17
  • Accepted : 2020.05.29
  • Published : 2020.06.30
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Abstract

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.

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References

  1. Status of health care organizations by city [Internet]. Daejeon:Statistics Korea. 2017 [cited 2017 May 5]. Available from http://kosis.kr/statHtml/statHtml.do?orgId=354&tblId=DT_MIRE01&conn_path=I3
  2. Kim KW, Jang SN. Characteristics and mortality risk factors in geriatric hospital patients visiting one region-wide emergency department. Journal of Korean Academy of Community Health Nursing. 2016;27(4):327-336. https:/doi.org/10.12799/jkachn.2016.27.4.327
  3. Kang GS, Kim JS. Change of life of the older due to social admission in long-term care hospital. Korea Gerontological Society. 2017;37(1):103-123.
  4. Do SR, S ES. Implications and increasement of medical care use of the elderly. Health and Welfare Issue & Focus. 2012;167(5):1-8.
  5. Yi MJ, Lee JS. Nurses' Experiences of the death of patients in geriatric hospitals. Journal of Korean Academy of Nursing. 2015;45(4):513-522. https://doi.org/10.4040/jkan.2015.45.4.513
  6. Lee JH, Park JS. End of life care stress and nursing work environment in geriatric hospitals nurses affect burn out. Journal of the Korea Academia-Industrial cooperation Society. 2017;18(6):449-458. https://doi.org/10.5762/kais.2017.18.6.449
  7. Kim WS, Cho HH, Kwon SH. The influence of terminal care performance, death anxiety and self-esteem on terminal care stress of geriatric hospital nurses. The Korean Journal of Hospice and Palliative Care. 2016;19(2):154-162. https://doi.org/10.14475/kjhpc.2016.19.2.154
  8. King PA, Thomas SP. Phenomenological study of icu nurses' experiences caring for dying patients. Western Journal of Nursing Research. 2013;35(10):1292-1308. https://doi.org/10.1177/0193945913492571
  9. Brazil K, McAiney C, Caron-O'Brien M, Kelley ML, O'Krafka P, Sturdy-Smith C. Quality end-of-life care in long-term care facilities:Service providers' perspective. Journal of Palliative Care. 2004;20(2):85-92. https://doi.org/10.1177/082585970402000204
  10. Munn JC, Dobbs D, Meier A, Christianna S, Williams HB, Zimmerman S. The end-of-life experience in long-term care: Five themes identified from focus groups with residents, family members, and staff. The Gerontologist. 2008;48(4):485-494. https://doi.org/10.1093/geront/48.4.485
  11. Goddard C, Stewart F, Thompson G, Hall S. Providing end-oflife care in care homes for older people: A qualitative study of the views of care home staff and community nurses. Journal of Applied Gerontology. 2013;32(1):76-95. https://doi.org/10.1177/0733464811405047
  12. Odachi R, Tamaki T, Ito M, Okita T, Kitamura Y, Sobue T. Nurses' experiences of end-of-life care in long-term care hospitals in japan: Balancing improving the quality of life and sustaining the lives of patients dying at hospitals. Asian Nursing Research. 2017;11(3):207-215. https://doi.org/10.1016/j.anr.2017.08.004
  13. Yang MH, McIlfatrick S. Intensive care unit nurses' experiences of caring for dying patients: A phenomenological study. International Journal of Palliative Nursing. 2001;7(9):435-441. https://doi.org/10.12968/ijpn.2001.7.9.9302
  14. Yi MS. Nurses' experience of caring for dying patients in hospitals. Journal of Korean Academy Nursing. 2003;33(5):553-561. https://doi.org/10.4040/jkan.2003.33.5.553
  15. Cho MO. Experiences of icu nurses on temporality and spatiality in caring for dying patients. Journal of Qualitative Research. 2010;11(2):80-93.
  16. Kang HJ, Bang KS. Neonatal intensive care unit nurses' experience in caring for infants who are dying. Child Health Nursing Research. 2013;19(4):252-261. https://doi.org/10.4094/chnr.2013.19.4.252
  17. Park EH, Kim NY. The influence of nursing professionalism, attitudes toward advance directive, and death anxiety on terminal care performance of nurses in long-term care hospitals. Korean Journal of Adult Nursing 2018;30(2):183-193. https://doi.org/10.7475/kjan.2018.30.2.183
  18. Lee RJ, Park HS. Death anxiety and terminal care performance of nurses at long term care hospitals. Korean Journal of Hospice and Palliative Care. 2017;20(1):37-45. https://doi.org/10.14475/kjhpc.2017.20.1.37
  19. Ahn SY, Kim HK, Kong ES, Kim NC, Kim CG, Chang SO, et al. Nurses' experience of end-of life care for older adults. Journal of Korean Gerontological Nursing. 2014;16(2):118-129. https://doi.org/10.17079/jkgn.2014.16.2.118
  20. Colaizzi PF. Psychological research as the phenomenologist views it. In: Valle RS, Kings M, editors. Existential-Phenomenological Alternative for Psychology. New York: Oxford University Press; 1978. p. 48-71.
  21. Sanders C. Application of Colaizzi's method: Interpretation of an auditable decision trail by a novice researcher. Contemporary Nurse Journal. 2003;14(3):292-302. https://doi.org/10.5172/conu.14.3.292
  22. Guba EG, Lincoln YS. Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches. San Francisco, CA: Jossey-Bass Publishers. 1981. 423 p.
  23. Sandelowski M. The problem of rigor in qualitative research. Advances in Nursing science. 1986;8(3):27-37. https://doi.org/10.1097/00012272-198604000-00005
  24. Lim SH, Chang SO, Kim MS. Nurses' perceptions regarding sign & symptom management in end of life care in nursing homes. The Korean Journal of Fundamentals of Nursing. 2010;17(2):209-219.
  25. Kwon SY, Tae YS, Hong MJ, Choi GH. Hospice palliative nurses' experience of caring for terminal cancer patients. Asian Oncology Nursing. 2015;15(4):264-275. https://doi.org/10.5388/aon.2015.15.4.264
  26. Lee MS, Kim YJ. Good death recognized by the elderly. Journal of the Korea Contents Association. 2013;13(6):283-299. https://doi.org/10.5392/JKCA.2013.13.06.283
  27. Jung BR. Study of perception of death and terminal care performance of long-term care hospital nurses. [master's thesis]. Keimyung University, [Daegu]; 2015. 66 p.
  28. Chan HYL, Chun GKM, Man CW, Leung EMF. Staff preparedness for providing palliative and end of life care in long term care homes: Instrument development and validation. Geriatrics Gerontology International. 2018;18(5):745-749. https://doi.org/10.1111/ggi.13244
  29. Lee SJ, Kim HY. Experience of life-sustaining treatment in patient care among intensive care unit nurses: Phenomenological approach. Journal of Korean Academy of Fundamentals of Nursing. 2016;23(2):172-183. https://doi.org/10.7739/jkafn.2016.23.2.172
  30. Ersek M, Ferrell BR. Palliative care nursing education: Opportunities for gerontological nurses. Journal of Gerontological Nursing. 2005;31(7):45-51. https://doi.org/10.3928/0098-9134-20050701-09

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