KMID : 0856920210240040235
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Journal of Hospice and Palliative Care 2021 Volume.24 No. 4 p.235 ~ p.244
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The Relationships of End-of-life Care Stress with Compassionate Competence and Attitudes toward End-of-life Care among Pediatric Nurses
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Park Ki-Young
Jeong Jeong-Hee
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Abstract
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Purpose: This study aimed to provide basic data for developing interventions to relieve the end-of-life care stress experienced by pediatric nurses by examining the relationships of end-of-life care stress with compassionate competence and attitudes toward end-of-life care.
Methods: Data were collected via a survey that was conducted from September 10 to September 30, 2018 and administered to 113 nurses who had worked for more than 6 months in a pediatric unit at a tertiary hospital in Seoul, South Korea. The data were analyzed for frequency, percentage, mean, and standard deviation, and the independent t-test, one-way analysis of variance, and Pearson correlation analysis were conducted using SPSS version 25.0.
Results: End-of-life care stress among pediatric nurses had a weak positive correlation (r=0.216, P£¼0.05) with compassionate competence and had no significant correlation with attitudes toward end-of-life care. Among the sub-factors of end-of-life care stress, psychological difficulties had a weak positive correlation with sensitivity (r=0.309, P £¼0.01) and communication (r=0.230, P£¼0.05), which are aspects of compassionate competence.
Lack of knowledge about end-of-life care had a weak positive correlation with communication (r=0.209, P£¼0.05) as an aspect of compassionate competence.
Conclusion: To improve the quality of end?of?life care provided by pediatric nurses, it is necessary to improve their compassionate competence and reduce their end-of-life care stress by developing education and support programs tailored to the characteristics of children and specific communication methods.
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KEYWORD
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Nurses, Pediatric, Terminal care, Stress, Empathy, Professional competence, Attitude
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