|
KMID : 0856920190220020087
|
|
Journal of Hospice and Palliative Care
2019 Volume.22 No. 2 p.87 ~ p.99
|
|
|
Difficulties in End-of-Life Care and Educational Needs of Intensive Care Unit Nurses: A Mixed Methods Study
|
|
Kim Hyun-Sook
Choi Eun-Kyung
Kim Tae-Hee
Yun Hye-Young
Kim Eun-Ji
Hong Jin-Ju
Hong Jeong-A
Kim Geon-Ah
Kim Sung-Ha
|
|
|
Abstract
|
|
|
Purpose: This study aimed to identify the difficulties with end-of-life care (EOLC) experienced by intensive care unit (ICU) nurses and to investigate their educational needs for EOLC.
Methods: Mixed methods were used to survey ICU nurses at a university hospital. Quantitative data (N=106) were collected through a questionnaire and analyzed using an independent samples t-test, ANOVA, Mann-Whitney U test and Scheffe test. Qualitative data (N=19) were collected through focus group interviews and analyzed through qualitative content analysis.
Results: The mean score on the difficulty of EOLC was 3.41 out of 5. The education needs derived from the qualitative analysis was categorized into four themes: 1) guidelines on professional EOLC, 2) spiritual care, 3) a program to take care of feelings of patients, families and nurses, and 4) activities to think about death.
Conclusion: This study confirmed that ICU nurses were experiencing an extreme difficulty in providing EOLC. In addition, a qualitative analysis confirmed that they needed an EOL nursing program. To mitigate the difficulties experienced by nurses involved in EOLC, there is an urgent need to develop an education program for EOLC tailored to nurses’ needs.
|
|
|
KEYWORD
|
|
|
Intensive care units, Nurses, Terminal care, Needs assessment
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|