중환자실 간호사를 위한 임종간호교육: 주제범위 문헌고찰
A Scoping Review of End-Of-Life Care Education Programs for Critical Care Nurses
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
중환자실은 집중치료가 이루어지는 공간이면서 동시에 사망률이 높은 환경으로, 중환자실 간호사를 위해 전략적으로 임종간호교육을 시행해야 할 필요성이 있다. 본 연구의 목적은 국내외 중환자실 간호 사 대상의 임종간호교육에 대한 논문을 분석함으로써, 최근 연구 동향을 확인하고 교육내용 및 방법, 교육효과를 파악하는 것이다. Arksey와 O’Malley의 주제범위 문헌고찰 방법론에 따라 전자 데이터 베 이스를 이용하여 최근 10년 이내(2013-2022년)에 중환자실 간호사의 임종간호교육에 대한 문헌을 검 토하여 총 15편의 연구를 선정하여 분석하였다. 분석결과, 증상 관리 및 윤리적 의사소통, 법적 고려사 항을 포함한 임종간호에 대한 기본 이해와 의사소통에 관한 내용을 강의, 시연, 시뮬레이션, 역할극, 토 론 등 다양한 방법을 사용하여 교육하였고, 지식, 자기효능감, 태도, 임종간호 수행에 유의미한 결과가 있음을 확인하였다. 이를 통해 임종간호 교육시행으로 중환자실 간호사의 임종간호 역량을 향상됨을 확 인할 수 있었으나, 향후 더욱 체계적인 중환자실 간호사의 임종간호 교육에 대한 연구가 필요하다.
Abstract
This article reports on a scoping review that was designed to identify research trends and contents related to End-Of- Life care guidelines in education programs for nurses working in intensive care units. Following the methodology of Arksey and O’Malley, we conducted a scoping review of articles published (in either English or Korean) within the last 10 years that focus on educational interventions for critical care nurses concerning End-Of-Life care. The following domains were abstracted from the collected data: study design, program details, program evaluation, and results. A total 15 studies were extracted and reviewed. The predominant educational approach in these studies was competency enhancement education. The teaching methods employed included lectures, demonstrations, simulations, role-play, workshops, discussions, mentoring, and online training. Most of the educational program evaluations measured changes in knowledge, attitude, or confidence levels related to various aspects of End-Of- Life care, including communication with patients, legal considerations, ethical decision-making, and symptoms management. This study suggests that educational interventions can improve the End-Of-Life care provided by critical care nurses, and future research should target programs aimed at enhancing the relevant skills and competencies of these nurses.
참고문헌 (26)
- 박경숙, "연명 의료 결정의 딜레마와 그 사회적 맥락", 사회와 이론, (26), pp.255~302 (2015), 한국이론사회학회
- 안경진, "‘연명의료결정법’ 시행 이후 중환자실 간호사의 환자 연명의료결정 및 임종기 돌봄 경험 연구", 생명윤리, 21(2), pp.31~53 (2020), 한국생명윤리학회[DOI]
- 문재영, "중환자실 임종기 돌봄", Acute and Critical Care, 28(3), pp.163~172 (2013), 대한중환자의학회
- Yu HU, "Nurses’ response to death and dying in an intensive care unit : a qualitative study", J Clin Nurs, 19(7-8), pp.1167~1169 (2010)[DOI]
- 김현숙, "중환자실 간호사의 임종간호 어려움과 임종간호 교육요구 조사: 혼합연구방법", Journal of Hospice and Palliative Care, 22(2), pp.87~99 (2019), 한국호스피스완화의료학회[DOI]
- Kim J, "Development of an end-of-life nursing care protocol for intensive care units: delphi survey method", J Hosp Palliat Nurs, 24(4), pp.E159~E165 (2022)[DOI]
- Arksey H, "Scoping studies : towards a methodological framework", Int J Soc Res Methodol, 8(1), pp.19~32 (2005)[DOI]
- "Does EOL and palliative care training increase clinicians’ self-perceived knowledge and/or confidence with EOL care and communication? Findings from a systematic review" (2020)[URL]
- Abd-Elaziz WW, "Impact of implementing a designed intervention palliative care program on critical care nurses’knowledge and practice", Mansoura Nurs J, 1(1), pp.45~58 (2014)[DOI]
- Milic MM, "Communicating with patients’ families and physicians about prognosis and goals of care", Am J Crit Care, 24(4), pp.e56~e64 (2015)[DOI]
- Nasr NH, "Effect of an teaching program on critical care nurses’s performance about end of life care for hepatic patients", Assiut Sci Nurs J, 6(14), pp.133~143 (2018)[DOI]
- Bishop CT, "Online end-of-life nursing education consortium core curriculum for staff nurses : an education strategy to improve clinical practice", J Hosp Palliat Nurs, 21(6), pp.531~539 (2019)[DOI]
- Hare KA, "Evidence-based end-of-life care education for intensive care nurses", Doctor, pp.2020
- Abd Elhameed SH, "Effect of implementing geriatric palliative care guideline on nurses knowledge and practices", QJM Int J Med, 111(suppl_1)
- Shifrin MM, "An evidence-based practice approach to end-of-life nursing education in intensive care units", J Hosp Palliat Nurs, 18(4), pp.342~348 (2016)[DOI]
- Anderson WG, "Palliative care professional development for critical care nurses : a multicenter program", Am J Crit Care, 26(5), pp.361~371 (2017)[DOI]
- Noome M, "Effectiveness of supporting intensive care units on implementing the guideline ‘end-of-life care in the intensive care unit, nursing care’ : a cluster randomized controlled trial", J Adv Nurs, 73(6), pp.1339~1354 (2016)[DOI]
- Mohamed RF, "Effect of palliative care guideline on nurses’ knowledge, attitude, and practice at intensive care unit", Egypt J Nurs Health Sci, 2(2), pp.81~109 (2021)[DOI]
- Manning J, "Effectiveness of an end-of-life nursing education consortium training on registered nurses’ educational needs in providing palliative and end-of-life patient care", J Hosp Palliat Nurs, 23(1), pp.84~88 (2021)[DOI]
- Yang JH, "End-of-life care mobile app for intensive-care unit nurses : a quasi-experimental study", Int J Environ Res Public Health, 18(3), pp.1253~ (2021)[DOI]
- Ghaemizade Shushtari SS, "Effect of end-of-life nursing education on the knowledge and performance of nurses in the intensive care unit : a quasi-experimental study", BMC Nurs, 21, pp.102~ (2022)[DOI]
- "Increasing knowledge and comfort levels of ICU nurses in goals of care discussions through palliative care education" (2022)[URL]
- DeFusco C, "Improving critical care nurses perceived self-efficacy in providing palliative care : a quasi-experimental study", Am J Hosp Palliat Med, 40(2), pp.117~121 (2023)[DOI]
- 김건우, "COVID-19 이후 국내 교육 동향 분석: 비대면 교육 중심으로", 차세대컨버전스정보서비스기술논문지, 9(4), pp.377~390 (2020), 차세대컨버전스정보서비스학회[DOI]
- Kirkpatrick DL, "Evaluating training programs: the four levels" (2006), BerrettKoehler Publishers
- Myers JC, "End-of-life care : improving communication and reducing stress", Crit Care Nurs Q, 44(2), pp.235~247 (2021)[DOI]