Factors That Influence End-of-Life Care Provided by Nurses in General Hospitals

김선기,; 김상희,; 윤혜영,

doi:10.35301/ksme.2019.22.1.53

Cited by 7 publications

(2 citation statements)

References 2 publications

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“…The performance of end-of-life care was significantly higher among nurses in general wards compared to those in ICUs. This finding contradicts previous studies that found no significant differences between internal/surgical wards and ICUs [ 25 ], and similar levels in oncology departments and ICUs, with a higher level observed in emergency departments [ 11 ]. Unlike these earlier studies, the scale used in our research incorporated items related to family assessment and communication.…”

Section: Discussioncontrasting

confidence: 99%

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

Jung,

Song,

Kim

et al. 2023

J Hosp Palliat Care

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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.

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Section: Discussioncontrasting

confidence: 99%

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

Jung,

Song,

Kim

et al. 2023

J Hosp Palliat Care

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show abstract

“…However, nurses have been found to suffer from negative emotions such as ethical conflicts, guilt, and depression while processing and implementing WLST [ 6 ]. This negative sentiment was reported to impair nurses’ ability to respect patients’ right to self-determination and recognize their role in WLST, resulting in improper provision of medical care for patients on their deathbeds [ 7 , 8 ]. Therefore, it is imperative for nurses to have positive attitudes toward WLST before practicing WLST-related nursing care.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Nurses’ Knowledge of Withdrawal of Life- Sustaining Treatment, Death Anxiety, Perceptions of Hospice on Their Attitudes toward Withdrawal of Life-Sustaining Treatment

Lee

Jin

Jang

et al. 2020

Korean J Hosp Palliat Care

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Purpose: This descriptive study investigated the effects of nurses' knowledge of withdrawal of life-sustaining treatment, death anxiety, and perceptions of hospice care on their attitudes toward withdrawal of life-sustaining treatment. Methods: Data were collected from 262 nurses at tertiary hospitals, general hospitals, or primary hospitals in Busan, Korea, and statistically analyzed using the t-test, analysis of variance, the Scheffé test, Pearson correlation coefficients, and hierarchical regression analysis. Results: The participants' scores were 3.68±0.45 (out of 5) for attitudes toward withdrawal of life-sustaining treatment, 0.65± 0.15 (out of 1) for knowledge of withdrawal of life-sustaining treatment, 2.61±0.26 (out of 4) for death anxiety, and 4.06±0.43 (out of 5) for perceptions of hospice care. Furthermore, knowledge of withdrawal of life-sustaining treatment and perceptions of hospice care showed positive correlations with attitudes toward withdrawal of life-sustaining treatment, while death anxiety showed a negative correlation. The most significant factors influencing attitudes toward withdrawal of life-sustaining treatment were perceptions of hospice care, followed by having experienced caring for patients who withdrew life-sustaining treatment, death anxiety, having a spouse, and ethical values, and the overall explanatory power was 43.0%. Conclusion: This study showed that perceptions of hospice were an important factor influencing nurses' attitudes toward withdrawal of life-sustaining treatment. Therefore, it is necessary to develop and validate educational intervention programs that can improve perceptions of hospice care.

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Perception, knowledge and attitudes on advance medical directives among hospital staff: Using mixed methodology

Park

Seong

Sok

2021

Journal of Clinical Nursing

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Background: It is necessary to examine the level of perception, knowledge and attitudes of the medical staff for advance medical directives, which are practical alternatives to good practice for end-of-life care in the actual medical field.Purpose: This study was conducted to determine the degree of perception, knowledge and attitude of cancer hospital medical staff about advance medical directives, and to confirm the relationship between them. It also explored their experiences with advance medical directives. Methods: This study used a convergent design to collect quantitative and qualitative data separately in the mixed methodology. This design adheres to the STROBE guidelines. Participants were a total of 140 subjects (70 doctors and 70 nurses) with more than 3 years and considered to have sufficient experience related to the study purpose. Focus group participants were a total 19 persons (9 doctors and 10 nurses). Results: Mean score for perception was 35.40, which indicates lower perception when compared to the median value (37.50 points). Perception of advance medical directives had significant, positive relations with attitude of advance medical directives (p = .032). The perception on attitude of advance medical directives factor was significantly influencing (p = .021). As a result of the analysis based on qualitative research questions, six subjects and 11 categories were created by deriving meaningful sentences from the statements. Conclusion: This study suggests that the perception of medical professionals about advance medical directives has a positive correlation with attitudes, as well as a causal relationship. Relevance to clinical practice: Based on the finding from this study, concrete strategies and interventions to improve the perception of advance medical directives among cancer hospital medical staff are needed.

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Factors That Influence End-of-Life Care Provided by Nurses in General Hospitals

Cited by 7 publications

References 2 publications

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

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

The Effects of Nurses’ Knowledge of Withdrawal of Life- Sustaining Treatment, Death Anxiety, Perceptions of Hospice on Their Attitudes toward Withdrawal of Life-Sustaining Treatment

Perception, knowledge and attitudes on advance medical directives among hospital staff: Using mixed methodology

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