A Mixed Method Study for Exploring the Difficulties in End-of-Life Care and End-of-Life Care Competency in Nurses Who Take Care of Cancer Patients

김, 래희; 김, 수연; 김, 현아; 양, 화정; 이, 경민; 이, 수연; 이, 경희; 김, 정혜

doi:10.5388/aon.2021.21.2.98

Cited by 4 publications

(13 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They are in charge of end-of-life and critical patients who require continuous active treatment. 12 In addition, they follow the family's wishes regardless of the best interest of the patient, witness healthcare providers giving false hope to a patient, and initiate extensive lifesaving actions only to prolong death. 28 Oncology nurses in South Korea experience ethical conflicts in situations where terminal patients are being treated unnecessarily aggressively or where treatment is delayed, particularly when end-of-life guidelines are not specific or treatment plans have not been made.…”

Section: Coping With Psychological Burdenmentioning

confidence: 99%

“…28 Oncology nurses in South Korea experience ethical conflicts in situations where terminal patients are being treated unnecessarily aggressively or where treatment is delayed, particularly when end-of-life guidelines are not specific or treatment plans have not been made. 12 Oncology nurses in Iran also experienced a high level of moral distress in carrying out physicians' orders of unnecessary tests for patients in terminal stages of life. 30 Oncology nurses experiencing moral distress emotionally distance themselves from patients, and these avoidance behaviors can induce unintentional stress in other staff and may lead to staff shortages and limited patient interaction.…”

Section: Coping With Psychological Burdenmentioning

confidence: 99%

“…12 In addition, they have heavy workloads with insufficient time to devote to end-of-life situations. 12 Previous studies in South Korea have examined the work performance, 13 compassion fatigue, 14 and burnout 15 of oncology nurses, but few studies have explored their coping strategies for the psychological burden of end-of-life care. Oncology nurses must have appropriate coping strategies for dealing with the psychological burden of a patient's death.…”

mentioning

confidence: 99%

“…As in other countries, oncology nurses in South Korea must cope with the stress of providing end-of-life care for patients with cancer and support for family caregivers 11 . Consequently, these nurses experience persistent emotional distress such as sorrow and helplessness and conflicts in decision making regarding life-sustaining treatment 12 . In addition, they have heavy workloads with insufficient time to devote to end-of-life situations 12 .…”

mentioning

confidence: 99%

“…Consequently, these nurses experience persistent emotional distress such as sorrow and helplessness and conflicts in decision making regarding life-sustaining treatment 12 . In addition, they have heavy workloads with insufficient time to devote to end-of-life situations 12 . Previous studies in South Korea have examined the work performance, 13 compassion fatigue, 14 and burnout 15 of oncology nurses, but few studies have explored their coping strategies for the psychological burden of end-of-life care.…”

mentioning

confidence: 99%

See 4 more Smart Citations

How Do Oncology Nurses Cope With the Psychological Burden of Caring for Dying Patients?

et al. 2022

View full text Add to dashboard Cite

BackgroundCancer is a leading cause of death worldwide, and most patients with cancer in South Korea die in hospitals. Oncology nurses experience physical, emotional, and occupational challenges associated with the psychological burden of caring for dying patients.ObjectiveThis study explored the coping strategies used by oncology nurses to deal with the psychological burden of patient deaths.MethodsIn this descriptive qualitative study, 10 oncology nurses who had recently experienced a patient’s death were recruited via snowball sampling. All were female, with a mean age of 32.9 years (range, 27–44 years), and their mean working duration was 9.9 (range, 3-23) years. Participants were interviewed individually face-to-face 3 times, with each interview lasting 1 to 1.5 hours.ResultsOncology nurses coped with the psychological burden of a patient’s death in the following 4 ways: (a) avoiding patient deaths to the extent possible, (b) reflecting upon the meaning of life and death, (c) suppressing their emotional distress over the patient’s death, and (d) becoming kinder and more caring toward people around them.ConclusionsThe findings suggest that oncology nurses struggle to cope with the psychological burden of patient deaths. Oncology nurses are affected both negatively and positively by experiencing death as they provide end-of-life care.Implications for PracticeOncology nurses need education or counseling to reduce the psychological burden of caring for dying patients with cancer. Hospital administrators need to continuously identify ways to reduce the psychological burden of oncology nurses providing end-of-life care.

show abstract

Section: Coping With Psychological Burdenmentioning

confidence: 99%

Section: Coping With Psychological Burdenmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

How Do Oncology Nurses Cope With the Psychological Burden of Caring for Dying Patients?

et al. 2022

View full text Add to dashboard Cite

show abstract

Implementation and evaluation of an end-of-life care education program for oncology nurses working in medical-surgical wards: A quasi-experimental study

Jeong¹,

Song²,

Park³

2023

Heliyon

View full text Add to dashboard Cite

Nurses’ Perception and Performance of End-of-Life Care in a Tertiary Hospital

Jung,

Song,

Kim

et al. 2023

J Hosp Palliat Care

Self Cite

View full text Add to dashboard Cite

Purpose: This study aimed to identify levels of perception and performance of end-oflife care among nurses and to investigate correlations between perception and performance. Methods: This cross-sectional descriptive survey included 321 nurses from a tertiary hospital in Seoul, Korea. The participants had at least 6 months of work experience and had been involved in end-of-life care at least once, in either ward or intensive care unit settings. A structured questionnaire was utilized to assess their perception and performance of endof-life care. Results: The mean score for perception of end-of-life care was 3.23±0.34, while the score for performance of end-of-life care was 3.08±0.34. There was a significant positive correlation between nurses' perception of end-of-life care and their performance in this area (r=0.78, P＜0.001). Conclusion: It is necessary to change perceptions regarding end-of-life care and to develop systematic and standardized education programs including content such as assessing the hydration status of dying patients, evaluating mental aspects such as suicidal ideation, and providing spiritual care for nurses working in end-of-life departments.

show abstract

A Mixed Method Study for Exploring the Difficulties in End-of-Life Care and End-of-Life Care Competency in Nurses Who Take Care of Cancer Patients

Cited by 4 publications

References 16 publications

How Do Oncology Nurses Cope With the Psychological Burden of Caring for Dying Patients?

How Do Oncology Nurses Cope With the Psychological Burden of Caring for Dying Patients?

Implementation and evaluation of an end-of-life care education program for oncology nurses working in medical-surgical wards: A quasi-experimental study

Nurses’ Perception and Performance of End-of-Life Care in a Tertiary Hospital

Contact Info

Product

Resources

About