Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.25(4) > 1058090

Ko and Moon: Factors Influencing Performance of End-of-life Care by ICU Nurses

Abstract

Purpose

This study was a descriptive research to assess the level of and the relationship of related factors in the performance of end-of-life care by intensive care unit (ICU) nurses.

Methods

Participants were 238 ICU nurses from university and general hospitals. Data were collected, using structured questionnaires, and collected data were analyzed using t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis with SPSS/WIN 22.0.

Results

There were significantly positive effects between performance of end-of-life care and end-of-life care attitudes. Performance end-of-life care was negatively associated with end-of-life care stress and obstacles. Factors that significantly influenced ICU nurses' performance of end-of-life were end-of-life care stress, medical team in obstacles related to end-of-life care, and end-of-life care attitudes, which explained about 53% of the variance in the performance of end-of-life care.

Conclusion

Findings indicate that hospital organizations should carry out stress management and counseling programs in order to lower ICU nurses' end-of-life care stress, and to enhance end-of-life care attitudes. In addition, concern needs to be given to the medical team which was one of the obstacles to end-of-life care. It is also necessary to decrease the heavy workload and increase the communication with medical workers.

Figures and Tables

Table 1

End-of-life Care Performance according to General Characteristics (N=238)

jkapmhn-25-327-i001
Table 2

End-of-life Care Performance according to End-of-life related Characteristics (N=238)

jkapmhn-25-327-i002

EOL=End-of-life.

Table 3

Levels of End-of-life Care Performance, End-of-life Care Attitude, DNR Ethical Attitude, End-of-life Care Stress, End-of-life Care Obstacles (N=238)

jkapmhn-25-327-i003
Table 4

Correlation of End-of-life Care Performance, End-of-life Care Attitude, DNR Ethical Attitude, End-of-life Care Stress, End-of-life Care Obstacles (N=238)

jkapmhn-25-327-i004

EOL=End-of-life.

Table 5

Influencing Factors on the End-of-life Care Performance of ICU Nurses (N=238)

jkapmhn-25-327-i005

Notes

This article is a condensed form of the first author's master's thesis from Mokpo National University.

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