KMID : 1025620190220010053
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Korean Journal of Medical Ethics 2019 Volume.22 No. 1 p.53 ~ p.72
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Influencing factors of End-of-Life Care Performance in General hospital nurses
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Kim Sun-Ki
Kim Sang-Hee Yun Hye-Young
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Abstract
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This study examined to investigate the factors influencing of end-of-Life care performance in general hospital nurses. The data were collected through self-reported questionnaires from 233 nurses working in the intensive care unit and the ward of the general hospital in Seoul and Gyeonggido. Among the nurses who had more than one year of clinical experience, stratification was selected by taking into consideration the career experience of the current department. The structured questionnaires were used to measure the end-of-life care performance, knowledge of advance directives, good death awareness, and nursing stress on life sustaining. Data were analyzed using the SPSS/WIN 23 program by Pearson's correlation coefficient and multiple regression analysis. The predictive variables influencing the end-of-life care performance were as follows: good death awareness, education experience related to hospice care, nursing stress on life sustaining, job position(head nurse), and knowledge of advance directives. The explanatory power of the model was 20.6%. In order to perform systemic end-of-life care for general hospital nurses, it is necessary to develop program with good death awareness, knowledge of advance directives, and strategies to reduce the nursing stress on life sustaining.
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KEYWORD
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hospice care, stress, advanced directives, nurse, attitude to death
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