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KMID : 0614820190250010042
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Journal of Korean Academy of Nursing Administration
2019 Volume.25 No. 1 p.42 ~ p.51
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Relationship of ICU Nurses’ Difficulties in End-of-life Care to Moral Distress, Burnout and Job Satisfaction
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Jeon Kkot-Bi
Park Mi-Hyun
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Abstract
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Purpose: The aim of this study was to identify the relationships between the difficulty of end-of-life care and moral distress, burnout and job satisfaction of nurses working in intensive care units (ICUs).
Methods: This descriptive study was conducted using self-report questionnaires. Participants were nurses who had more than one year of ICU experience and were recruited from three university hospitals (N=168).
Results: The mean scores for ICU nurses’ difficulty in end-of-life care, moral distress, burnout and job satisfaction were 3.42, 113.88, 3.16 and 2.58 points, respectively. Difficulty in end-of-life care was positively correlated with moral distress (r=.48, p<.001) and burnout (r=.26, p=.001) and was negatively correlated with job satisfaction (r=-.17, p=.024). Difficulties in end-of-life was identified as a predictor of moral distress (β=.44, p<.001), burnout (β=.26, p=.001) and job satisfaction (β=-.18, p=.024).
Conclusion: The results of this study suggest the following: it is important to have a deep understanding of ICU nurses who experience various difficulties in end-of-life care and to provide realist support for these nurses. And practical efforts by nursing organizations are needed, including support systems and education programs to alleviate ICU nurses’difficulties in end-of-life care.
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KEYWORD
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Intensive care units, End of life care, Moral distress, Burnout, Job satisfaction
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