The relationship between Terminal Care Stress and Knowledge and Perception of Hospice-Palliative Care among Pediatric Nurses

Abstract

Purpose: This study examined the knowledge and perception of hospice-palliative care and terminal care stress among pediatric nurses, and the relationships among these variables. Methods: In this descriptive research study, 154 pediatric nurses who experienced terminal care at least once were surveyed. This study used three scales, including the Palliative Care Quiz for Nursing (PCQN), Perception of Hospice-Palliative Care, and Terminal care stress. Data analyses using SPSS 22.0 included descriptive statistics, independent t-test, one-way ANOVA, Mann-Whitney U test, Pearson's correlation coefficient, and stepwise multiple linear regression. Results: Terminal care stress experienced by the pediatric nurses was significantly related to the perception of hospicepalliative care; the hospice-palliative care education program enhanced the knowledge and perception of hospicepalliative care. Conclusion: Hospice-palliative care education programs should be developed and provided for pediatric nurses to improve pediatric hospice-palliative care. Additionally, further research on this topic is required because the present results are inconsistent with previous and current researches.

Moderating Effect of Nurse’s Character on the Relationship between Attitudes toward Nursing Care of the Dying and Performance of Terminal Care in South Korea

“…In other words, since ANCD and NC interact, even if ANCD is low, NC buffers and improves the performance of terminal care. A previous study explored the factors influencing the performance of terminal care among intensive care unit nurses and found that stress during end-of-life nursing [ 8 ] and the stress associated with end-of-life nursing can be caused by negative attitudes or burdens of the patient or caregiver toward hospice care, interpersonal problems, or lack of knowledge and perception of hospice care [ 8 , 24 , 25 ]. Thus, even if nurses have a positive attitude toward nursing care of the dying, it is difficult for their attitudes to lead to enhanced performance unless they establish a trusting relationship with the patient’s family.…”