Concept analysis of end-of-life care competency of long-term care hospital nurses: Using a hybrid model
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Purpose: This study identified the attributes and indicators of end-of-life care competency in long-term care hospital nurses and clarified the definition of the concept. Methods: The Competency Outcomes Performance Assessment model was used as a conceptual framework, and conceptual analysis was performed using the hybrid model presented by Schwartz-Barcott and Kim. In the theoretical phase, the attributes of end-of-life care competencies were explored through a literature review. In the fieldwork phase, focus group interview data were analyzed to derive the attributes of nursing competency at the end of life. In the final analysis phase, the attributes and indicators of end-of-life care competency were compared, analyzed, and integrated. Results: The attributes of end-of-life care competency among nurses in long-term care hospitals included comprehensive symptom management, effective communication, situational response, patient-centered care, information provision and education, resource management, demonstrating leadership, and professional development. Conclusion: End-of-life care competency in long-term care hospital nurses can be defined as a comprehensive set of competencies that includes symptom management, situational adaptation, effective communication, resource utilization, leadership, patient-centered care, meeting the needs of patients’ families through adequate information provision and education, and enhancing individual nursing capabilities through professional development. These results can serve as a foundation for developing tools to measure end-of-life care competencies among nurses in long-term care hospitals.
Abstract
Purpose: This study identified the attributes and indicators of end-of-life care competency in long-term care hospital nurses and clarified the definition of the concept. Methods: The Competency Outcomes Performance Assessment model was used as a conceptual framework, and conceptual analysis was performed using the hybrid model presented by Schwartz-Barcott and Kim. In the theoretical phase, the attributes of end-of-life care competencies were explored through a literature review. In the fieldwork phase, focus group interview data were analyzed to derive the attributes of nursing competency at the end of life. In the final analysis phase, the attributes and indicators of end-of-life care competency were compared, analyzed, and integrated. Results: The attributes of end-of-life care competency among nurses in long-term care hospitals included comprehensive symptom management, effective communication, situational response, patient-centered care, information provision and education, resource management, demonstrating leadership, and professional development. Conclusion: End-of-life care competency in long-term care hospital nurses can be defined as a comprehensive set of competencies that includes symptom management, situational adaptation, effective communication, resource utilization, leadership, patient-centered care, meeting the needs of patients’ families through adequate information provision and education, and enhancing individual nursing capabilities through professional development. These results can serve as a foundation for developing tools to measure end-of-life care competencies among nurses in long-term care hospitals.
참고문헌 (43)
- "Palliative care for older people: Better practices" (2022)[URL]
- Griffith S, "Prepared for end-of-life care : a concept analysis", International Journal of Palliative Nursing, 24(8), pp.399~410 (2018)[DOI]
- "1st Hospice and life-sustaining treatment plan (2019-2023)" (2019)[URL]
- "End of life care for adults" (2021)[URL]
- National Institutes of Health(NIH), "State-of-the-Science Conference Statement on improving end-of-life care", NIH Consensus and State-of-the-Science Statements, 21(3), pp.1~26 (2004)
- Froggatt KA, "End-of-life care in long-term care settings for older people : a literature review", International Journal of Older People Nursing, 1(1), pp.45~50 (2006)[DOI]
- "A frame for nurses working in specialist palliative care: Competencies in nursing project" (2002)[URL]
- Slåtten K, "Validation of a new instrument for self-assessment of nurses’ core competencies in palliative care", Nursing Research and Practice, 2014, pp.615498~ (2014)[DOI]
- Harris M, "Nursing care for patients at end of life in the adult intensive care unit", Journal of Nursing Education and Practice, 4(6), pp.84~89 (2014)[DOI]
- Desbiens JF, "Development of a shared theory in palliative care to enhance nursing competence", Journal of Advanced Nursing, 68(9), pp.2113~2124 (2012)[DOI]
- Kwon J, "Change in the long-term care hospitals’ treatment under the per-diem payment system", Korea Review of Applied Economics, 20(4), pp.61~96 (2018)
- Ahn KJ, "A study of end-of-life care decision-making and elderly’s right", Journal of Human Rights & Law-related Education, 13(3), pp.305~340 (2020)[DOI]
- Do SR, "Implications and increasement of medical care use of the elderly", Health and Welfare Issue & Focus, 167, pp.1~8 (2012)
- "Koreans spending their last 2 years in long-term care facilities incur an average hospital cost of 50 million won" (2019)[URL]
- Nasu K, "End-of-life nursing care practice in long-term care settings for older adults : a qualitative systematic review", International Journal of Nursing Practice, 26(2), pp.e12771~ (2020)[DOI]
- Kang J, "Developing competencies for multidisciplinary hospice and palliative care professionals in Korea", Supportive Care in Cancer, 21(10), pp.2707~2717 (2013)[DOI]
- Korean Hospice Palliative Nursing Research Network, "Palliative care competencies required of undergraduate nursing students in Korea", Korean Journal of Hospice and Palliative Care, 22(3), pp.117~124 (2019)[DOI]
- Lee HJ, "Critical care nurses’ perceived end-of-life care competencies and supportive behaviors and barriers", master, pp.2015
- Jeong YH, "End of life care competencies and terminal care stress of nurses in long term care hospitals", Korean Journal of Hospice and Palliative Care, 22(3), pp.125~133 (2019)[DOI]
- Son S, "Factors influencing end-of-life care competency of long term care hospital nurses : a cross sectional study", Journal of Korean Gerontological Nursing, 24(2), pp.174~184 (2022)[DOI]
- Suh SR, "Resourcefulness : a concept analysis", The Journal of Nurses Academic Society, 27(2), pp.329~340 (1997)
- Schwartz-Barcott D, "Concept development in nursing: Foundations, techniques, and applications", pp.129~159 (2000), Saunders
- Tong A, "Consolidated criteria for reporting qualitative research(COREQ) : a 32-item checklist for interviews and focus groups", International Journal for Quality in Health Care, 19(6), pp.349~357 (2007)[DOI]
- Elo S, "The qualitative content analysis process", Journal of Advanced Nursing, 62(1), pp.107~115 (2008)[DOI]
- "Standard Korean dictionary" (2022)[URL]
- "The Oxford English dictionary" (2022)[URL]
- "Cancer glossary" (2019)[URL]
- Buness M, "Are you prepared for end-of-life care? A content review of Canadian end-of-life care standards and competencies for Saskatchewan", Journal of Palliative Care, 36(1), pp.38~45 (2021)[DOI]
- Xiu D, "Development and psychometric validation of a comprehensive end-of-life care competence scale : a study based on three-year surveys of health and social care professionals in Hong Kong", Palliative & Supportive Care, 19(2), pp.198~207 (2021)[DOI]
- White KR, "Are nurses adequately prepared for end-of-life care?", Journal of Nursing Scholarship, 33(2), pp.147~151 (2001)[DOI]
- Robinson R, "End-of-life education in undergraduate nursing curricula", Dimensions of Critical Care Nursing, 23(2), pp.89~92 (2004)[DOI]
- Casey D, "Dying well : factors that influence the provision of good end-of-life care for older people in acute and long-stay care settings in Ireland", Journal of Clinical Nursing, 20(13-14), pp.1824~1833 (2011)[DOI]
- Liu L, "Construction of palliative care training contents in China : a Delphi study", Cancer Nursing, 32(6), pp.446~455 (2009)[DOI]
- Lenburg C, "The framework, concepts and methods of the competency outcomes and performance assessment(COPA)model", Online Journal of Issues in Nursing, 4(2) (1999)[DOI]
- Jeon B, "Patient and hospital characteristics of long-stay admissions in long-term care hospitals in Korea", Health Policy and Management, 26(1), pp.39~50 (2016)[DOI]
- Kim KH, "A long-term care facility’s geriatric nursing traits", Journal of Qualitative Research, 15(1), pp.35~47 (2014)[DOI]
- Lee JS, "A phenomenological study on the burnout experience for nurses in geriatric hospital", master, pp.2010
- Abdullah H, "End of life care : a concept analysis", International Journal of Healthcare, 7(2), pp.1~6 (2021)[DOI]
- Soikkeli-Jalonen A, "Instruments for assessing nurses’ palliative care knowledge and skills in specialised care setting : an integrative review", Journal of Clinical Nursing, 29(5-6), pp.736~757 (2020)[DOI]
- Park EJ, "Characteristics of nursing and caring concepts measured in nursing competencies or caring behaviors tools", Journal of Korean Academy of Nursing Administration, 22(5), pp.480~495 (2016)[DOI]
- Lee RP, "End of life care for people with dementia : the views of health professionals, social care service managers and frontline staff on key requirements for good practice", PLoS One, 12(6), pp.e0179355~ (2017)[DOI]
- Ingleton C, "Exploring education and training needs among the palliative care workforce", BMJ Supportive & Palliative Care, 3(2), pp.207~212 (2013)[DOI]
- Yi M, "Hospital workers’ experience with hospital evaluation program : a focus group study", Journal of Korean Academy of Nursing, 41(4), pp.568~579 (2011)[DOI]