Factors Influencing Performance of End-of-life Care by ICU Nurses

Mun Jung Ko; So-Hyun Moon

doi:10.12934/jkpmhn.2016.25.4.327

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

Original Article

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2016; 25(4): 327-337.

Published online: 30 December 2016

DOI: https://doi.org/10.12934/jkpmhn.2016.25.4.327

Factors Influencing Performance of End-of-life Care by ICU Nurses

Mun Jung Ko¹, So-Hyun Moon²

¹Mokpo Christian Hospital, Mokpo, Korea.

²Department of Nursing, Chosun University, Gwangju, Korea.

Corresponding author: Moon, So-Hyun. Department of Nursing, Chosun University, 309 Pilmun-daero, Dong-gu, Gwangju 61452, Korea. Tel: +82-62-230-6325, Fax: +82-62-230-6329, shmoon@chosun.ac.kr

Received 27 July 2016 Revised 6 September 2016 Accepted 24 October 2016

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Terminal care, Intensive care units, Attitude, Stress, End-of-life care obstacles

Figures and Tables

Table 1

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

Table 2

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

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)

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)

EOL=End-of-life.

Table 5

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

Notes

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

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