요양병원 간호사의 생애말 간호역량에 미치는 영향요인
Factors Influencing End-of-Life Care Competency of Long Term Care Hospital Nurses: A Cross Sectional Study
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Purpose: The purpose of this study was to identify factors related to the end-of-life care competency of long-term-care hospital nurses. Methods: This study was conducted from June 1 to 29, 2021. Data were collected from 191 nurses working in 10 long-term hospitals using a structured self-reported questionnaire. Data were analyzed using SPSS/WIN 25.0 program by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression. Results: As a result of multiple linear regression analysis, the factors affecting end-of-life care competency were empathy competency (β=.46, p<001), frequency of supportive behaviors for end-of-life care (β=.19, p=.005), position (β=.19, p=.002), and religion (β=.14, p=.031). This regression model was explained by 35.5% of variances in end-of-life care competency. Conclusion: To improve the quality of life and death of older adults at the end of their life, strategies are needed to identify and reinforce end-of-life care-support behavior factors and improve end-of-life care competency by improving empathy competency.
Abstract
Purpose: The purpose of this study was to identify factors related to the end-of-life care competency of long-term-care hospital nurses. Methods: This study was conducted from June 1 to 29, 2021. Data were collected from 191 nurses working in 10 long-term hospitals using a structured self-reported questionnaire. Data were analyzed using SPSS/WIN 25.0 program by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression. Results: As a result of multiple linear regression analysis, the factors affecting end-of-life care competency were empathy competency (β=.46, p<001), frequency of supportive behaviors for end-of-life care (β=.19, p=.005), position (β=.19, p=.002), and religion (β=.14, p=.031). This regression model was explained by 35.5% of variances in end-of-life care competency. Conclusion: To improve the quality of life and death of older adults at the end of their life, strategies are needed to identify and reinforce end-of-life care-support behavior factors and improve end-of-life care competency by improving empathy competency.
참고문헌 (30)
- "Population status and prospects of the world and Korea" (2019)[URL]
- "Life expectancy (life expectancy at age 0) and life expectancy (healthy life expectancy) excluding illness period" (2021)[URL]
- 안경진, "삶의 마지막 시기 돌봄 의사결정과 노인인권", 법과인권교육연구, 13(3), pp.305~340 (2020), 한국 법과인권교육학회[DOI]
- "The last two years of life, the last two years of life, Koreans who spend in nursing homes...spend 50 million won on hospital bills" (2019)[URL]
- "Preliminary results of birth and death statistics in 2020" (2021)[URL]
- 강군생, "노인의 사회적 입원으로 인한 요양병원에서의 삶의 변화", 한국노년학, 37(1), pp.103~123 (2017), 한국노년학회
- "End of life care" (2021)[URL]
- King PA, "Phenomenological study of ICU nurses'experiences caring for dying patients", Western Journal of Nursing Research, 35(10), pp.1292~1308 (2013)[DOI]
- "1st hospice and life-sustaining treatment plan (2019-2023)" (2019)[URL]
- Kang JN, "Developing competencies form multidisciplinary hospice and palliative care professionals in Korea", Support Care Cancer, 21(10), pp.2707~2717 (2013)[DOI]
- Mnontagnini M, "Assesment of self perceived end-of-life care competencies of intensive care unit providers", Journal of Palliative Medicine, 15(1), pp.29~36 (2012)[DOI]
- Lee SM, "Perception of good death, terminal care competence and terminal care performance of long term care hospital nurses", master, pp.2020
- 이지윤, "DNR 결정 환자에 대한 간호사의 간호활동 변화", Journal of Hospice and Palliative Care, 20(1), pp.46~57 (2017), 한국호스피스완화의료학회[DOI]
- Hall S, "Implementing a quality improvement programme in palliative care in care homes : a qualitative study", BMC Geriatrics, 11(31), pp.1~11 (2011)[DOI]
- 김은주, "요양병원 입원 노인 환자의 호스피스요구도 영향요인", 글로벌 건강과 간호, 11(1), pp.63~73 (2021), 간호과학연구소[DOI]
- Nelson JE, "End-of-life care for the critically ill : a national intensive care unit survey", Critical Care Medicine, 34(10), pp.2547~2553 (2006)[DOI]
- Beckstrand RL, "Providing end-of-life care to patients : critical care nurses' perceived obstacles and supportive behaviors", American Journal of Critical Care, 14(5), pp.395~403 (2005)[DOI]
- Lee HJ., "Critical care nurses' perceived end of life care competencies and supportive behaviors and barriers", master, pp.2015
- Lee YJ, "Development and validation of an instrument to measure nurses' compassion competence", Applied Nursing Research, 30, pp.76~82 (2016)[DOI]
- 김은희, "일 종합병원 간호사의 영성과 임종간호태도에서 공감역량의 매개효과", 동서간호학연구지, 25(2), pp.166~173 (2019), 동서간호학연구소[DOI]
- 안영혜, "요양병원 간호사의 공감역량이 임종간호수행에 미치는 영향", 보건정보통계학회지, 44(3), pp.253~261 (2019), 한국보건정보통계학회[DOI]
- La Monica EL, "Empathy and nursing care outcomes", Scholarly Inquiry for Nursing Practice, 1(3), pp.197~213 (1987)
- An HW, "Factors influencing end-of-life-care competency of long term care hospital nurses", master, pp.2020
- 김동희, "요양병원 간호사의 임종간호 대처 경험", 한국콘텐츠학회 논문지, 21(1), pp.710~721 (2021), 한국콘텐츠학회[DOI]
- 조계화, "임상간호사의 고통경험, 공감역량 및 돌봄행위가 임종간호수행에 미치는 영향", Journal of Hospice and Palliative Care, 18(4), pp.276~284 (2015), 한국호스피스완화의료학회[DOI]
- 이미현, "요양병원 간호사의 공감능력과 치매 환자 통증에 대한 태도 및 통증관리 수행도", 성인간호학회지, 28(4), pp.388~398 (2016), 한국성인간호학회[DOI]
- 정영희, "요양병원 간호사의 생애말 환자간호 역량과 임종간호 스트레스", Journal of Hospice and Palliative Care, 22(3), pp.125~133 (2019), 한국호스피스완화의료학회[DOI]
- Price DM, "Palliative and end-of-life care education needs of nurses across inpatient care settings", Journal of Continuing Education in Nursing, 48(7), pp.329~336 (2017)[DOI]
- 이미정, "노인병원 환자 죽음에 대한 간호사의 경험", Journal of Korean Academy of Nursing, 45(4), pp.513~522 (2015), 한국간호과학회
- Youn SJ, "Hospital ethnography on catholic hospice palliative care", master, pp.2020
