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Effects of Perception of Death, Terminal Care Stress, and Resilience on the Terminal Care Performance of Clinical Nurses

임상간호사의 죽음인식, 임종간호스트레스와 회복탄력성이 임종간호수행에 미치는 영향

  • Son, Yu-Jung (Research Institute of Wholistic Nursing Science, College of Nursing, Kosin University) ;
  • Park, Jung Suk (College of Nursing, Kosin University)
  • 손유정 (고신대학교 간호대학 전인간호과학연구소) ;
  • 박정숙 (고신대학교 간호대학)
  • Received : 2021.04.29
  • Accepted : 2021.06.02
  • Published : 2021.11.30

Abstract

Purpose: This study examined the effects of death perception, terminal care stress, and resilience on the terminal care performance of clinical nurses. Methods: As a correlational study, this study conducted a survey total of 189 nurses working at K university hospital and a P university hospital in B metropolitan city for six months or more. The data was collected from August 20th, 2020 to September 15th, 2020. Data were analyzed using the SPSS, Windows version 25.0, according to the purpose of the analysis by descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficient, and hierarchical multiple linear regression. Results: The factors having effects on the terminal care performance of subjects were resilience, perception of death, and the experience of terminal care education. The total explanatory power of those variables on the terminal care performance was 21.0%. Conclusion: For the improvement of terminal care performance, it would be necessary to develop a systematic and professional terminal care education program that could increase the positive perception of death and resilience, and also include knowledge and skills necessary for terminal care. Also, the efficiency of terminal care performance should be increased through periodic terminal care-related nursing education.

Keywords

References

  1. Statistics Korean. OECD Health statistics 2019 [Internet]. Seoul: Statistics Korea; 2019 [cited 2019 July 19]. Available from: http://www.stat.co.kr/site/datanews/DTWork.asp?itemIDT=1002945&aID=20190228130414763.
  2. Noh SS, Lee CK, Sung YH. Predictors of terminal care performance of clinical nurses for cancer patients. Journal of Korean Critical Care Nursing. 2016;9(2):61-70.
  3. Noh YJ, Han SS, An SH, Kim CG, editors. Hospice & death. Seoul: Hyunmoonsa; 1995. p. 27-41.
  4. Karen M, Andrew D, Michael C, William S. The impact of advance care planning on end of life care in elderly patient: Randomised controlled trial. British Medical Journal. 2010;340:c1345. https://doi.org/10.1136/bmj.c1345
  5. Kang JH, Han SJ. A study of intensive care unit nurses' understanding of the meaning of death, death anxiety, death concern and respect for life. Korean Journal of Hospice and Palliative Care. 2013;16(2);80-9. https://doi.org/10.14475/kjhpc.2013.16.2.080
  6. Cho YC. Emergency nurses' perception of death and terminal care attitude [master's thesis]. Suwon: Ajou University; 2011. p.9-25.
  7. Lee Yk. A study of cancer unit nurses'stress from bereavement support [master's thesis]. Seoul: Kyung Hee University; 2004. p.14-30.
  8. Baek EK, Choi EJ. Terminal care stress, job satisfaction and terminal care performance for nurses in internal medicine wards. Korean Journal of Hospice and Palliative Care. 2015;18(4):267-75. https://doi.org/10.14475/kjhpc.2015.18.4.267
  9. Jung SY, Kim JH. Influence of positive psychological capital and death awareness on terminal care performance of hematooncology unit nurses. Korean Journal of Hospice and Palliative Care. 2019;22(2):77-86. https://doi.org/10.14475/kjhpc.2019.22.2.77
  10. Jo MJ, Sung MH. Impact of role conflict, self-efficacy, and resilience on nursing task performance of emergency department nurses. Korean Journal of Occupational Health Nursing. 2018;27(1):59-66. https://doi.org/10.5807/kjohn.2018.27.1.59
  11. Hong EM, Jun MD, Park ES, Ryu EJ. Death perceptions, death anxiety, and attitudes to death in oncology nurses. Asian Oncology Nursing. 2013;13(4):265-72. https://doi.org/10.5388/aon.2013.13.4.265
  12. Park JS, Lee JH. Relationship of communication skill, depression, and clinical practice stress of nursing students. Journal of the Korea Academia-Industrial Cooperation Society. 2018;19(10):254-62. https://doi.org/10.5762/KAIS.2018.19.10.254
  13. Mealer M, Jones J, Newman J, Mc Fann K, Rothbaum B, Moss M. The presence of resilience is associated with a healthier psychological profile in intensive care unit (ICU) nurses: results of a national survey. International Journal of Nursing Studies. 2012;49(3):292-9. https://doi.org/10.1016/j.ijnurstu.2011.09.015
  14. Connor KM, Davison JR. Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety. 2003;18(2):276-82. https://doi.org/10.1002/da.10113
  15. Ko MJ, Moon SH. Factors influencing performance of end-of-life care by ICU nurses. Journal of Korean Academy of Nursing. 2016;25(4):327-37. https://doi.org/10.12934/jkpmhn.2016.25.4.327
  16. Lee JS, Ahn SH. The impact of moral sensitivity and moral distress on end-of-life care performance among intensive care unit nurses. Korean Journal of Medical Ethics. 2019;22(2):140-60. https://doi.org/10.35301/ksme.2019.22.2.140
  17. Jung JS, Lee KS. Investigation of the relationships between death recognition, terminal care stress, and terminal care performance in terminal hospital nurses. Korean Journal of the Science of Emotion & Sensibility. 2020;23(1):79-88. https://doi.org/10.14695/KJSOS.2020.23.1.79
  18. Park EH, Ki 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):183-93. https://doi.org/10.7475/kjan.2018.30.2.183
  19. Park YS, Kim JH. Influence of attitude to death and resilience on terminal care attitude among Korean nursing students. The Journal of Korean Academic Society of Nursing Education. 2017;23(1):37-47. https://doi.org/10.5977/jkasne.2017.23.1.37
  20. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4):1149-60. https://doi.org/10.3758/BRM.41.4.1149
  21. Park SJ, Choi SH. A Study on the degrees of death orientation and terminal care performance of nurses. The Korean Journal of Fundamentals of Nursing. 1996;3(2):285-97.
  22. Kim BH, Kim MS, Kim HK, Jung TJ, Tak YR, Chon MY. Development of hospice care service program about advanced cancer patient I - the effect of hospice education programs on the death orientation. The Korean Nurse. 1998;37(1):98-106.
  23. Baek HS, Lee KU, Joo EJ, Lee MY, Choi KS. Reliability and validity of the Korean version of the Connor-Davidson resilience scale. Psychiatry investigation. 2010;7(2):109-15. https://doi.org/10.4306/pi.2010.7.2.109
  24. Kim MY, Lee HK. A study on the influence factors of self-efficacy, job performance, and job satisfaction of university hospital nurses. Journal of the Korean Applied Science and Technology. 2019;36(3):726-36. https://doi.org/10.12925/jkocs.2019.36.3.726
  25. Kim HY, Nam KH, Kwon SH. Mediating effects of empathy and resilience on the relationship between terminal care stress and performance for nurses in a tertiary hospital. Korean Journal of Hospice and Palliative Care. 2017;20(4):253-63. https://doi.org/10.14475/kjhpc.2017.20.4.253
  26. Kim SK, Kim SH, Yun HY. Factors that influence end-of-life care provided by nurses in general hospitals. The Korean Society for Medical Ethics. 2019;22(1):53-72. https://doi.org/10.35301/ksme.2019.22.1.53
  27. Jeong BR, Han JY, Kim GD. Effects of education of hospice for nurses on concern and coping about death and dying. Korean Journal of Hospice Care. 2005;5(1):33-41.