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KMID : 0856920080110030147
Journal of Hospice and Palliative Care
2008 Volume.11 No. 3 p.147 ~ p.155
Assessment for the Needs to Develop Hospice Training Program for Nurses
Kwon So-Hee

Yang Sung-Kyung
Park Myung-Hee
Choi Sang-Ok
Abstract
Purpose: This study aimed to assess the educational needs for nurses who care for terminal cancer patients and their families. To identify top needs along with key issues in consideration to develope hospice training program and provide specific recommendations.

Methods: A cross-sectional design with nurses from nine universities¡¯ hospice specialist courses and seven cancer centers was used. Data were collected via e-mail or mail service from March to April in 2008. One hundred seventy three questionnaires were returned (return rate: 73.6%), and 156 questionnaires were eventually analyzed. The questionnaire consisted of Mason and Ellershaw¡¯s The Self-efficacy in Palliative Care (SEPC) and self-reporting confidence and educational needs in hospice care.

Results: The mean age of the participants was 37.94 years, 82.1% were staff nurses, and 44.9% completed over six months hospice education. Meanstandard deviation score for total SEPC was , which was lower than average (score 3), with communication score being the lowest (). The lowest self-reporting confidence score was in hospice administration and management, followed by providing complement therapy (), bereavement care (), lymph edema management (), and care planning (). The participants reported that additional education is needed in all topics, with pain management score being the highest (), followed by pain and symptom evaluation (), care for dying (), and communication and counseling (). There were significant subgroup differences in SEPC and self-reporting confidence between groups who completed 6 months hospice education or not, however, no significant difference in educational need between the groups.

Conclusion: This study showed the need for developing hospice training program to improve compentency of nurses in hospice palliative care.
KEYWORD
Education, Hospice care, Needs assessment, Self Efficacy
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