J Korean Acad Nurs.  2015 Feb;45(1):139-146. 10.4040/jkan.2015.45.1.139.

Development and Evaluation of an Education Program for Professional Palliative Care Nursing

• Yeun YR
• Kwon M
• Lee KS

• KMID: 2363070
• DOI: http://doi.org/10.4040/jkan.2015.45.1.139

Abstract

PURPOSE
This study aimed to develop a "Palliative Care Professional" education program and evaluate its effects on the recognition of good death, palliative care, and the meaning of life for nurses.
METHODS
It was developed based on the hospice care program for volunteers being used in the Hospice Palliative Care Research Center of S University in Seoul. It was also based on the studies which investigated the educational needs of nurses in palliative care. This program consisted of 5 sessions and 16 content items for 2 weeks. A non-equivalent control group non-synchronized design was utilized and participants were assigned to the experimental group (n=42) or the control group (n=44).
RESULTS
The recognition of a good death (F=11.44, p=.001), palliative care (F=4.15, p=.045), and the meaning of life (F=5.12, p=.026) increased more significantly for participants in the experimental group than in the control group. Participants felt that they gained further knowledge in palliative patient management and refined their clinical practice.
CONCLUSION
The results of the study indicate that this program could serve as a practical program for palliative care nursing in the nursing field and suggests that more attention should be directed to the diverse educational needs of nurses.

Keyword

Hospice and palliative care nursing; Education; Nurses

MeSH Terms

Adult
Attitude to Death
Female
*Health Knowledge, Attitudes, Practice
Humans
Male
Nursing Staff/*psychology
*Palliative Care
*Program Development
*Program Evaluation
Young Adult

Reference

References

1. World Health Organization. WHO definition of palliative care [Internet]. Geneva, CH: Author;2004. [cited 2014 March 22]. Available from:. http://www.who.int/cancer/palliative/definition/en/.

2. Heon YS, Lee KS. Institutionalization of hospice. Korean Journal of Hospice and Palliative Care. 2002; 5(2):81–89.

3. Ro YJ, Kim NC, Lee SM. The present status and the proposals of hospice in Korea. Journal of Korean Academy of Adult Nursing. 1996; 8(2):338–349.

4. O’Connor M. Understanding the influence of palliative care nursing: A global perspective. International Journal of Palliative Nursing. 2009; 15(7):316–317.

5. Ellington L, Reblin M, Clayton MF, Berry P, Mooney K. Hospice nurse communication with patients with cancer and their family caregivers. Journal of Palliative Medicine. 2012; 15(3):262–268. http://dx.doi.org/10.1089/jpm.2011.0287.

6. Kang JH. A study on intensive care unit nurses’ recognition of death [master’s thesis]. Seoul: Sahmyook University;2011.

7. Choi ES, Kim HS, Lee SW, Yoo YS. Curriculum development for hospice and palliative care nurses. Korean Journal of Hospice and Palliative Care. 2006; 9(2):77–85.

8. Kwon SH, Yang SK, Park MH, Choe SO. Assessment for the needs to develop hospice training program for nurses. Korean Journal of Hospice and Palliative Care. 2008; 11(3):147–155.

10. Jeong BR, Han JY, Kim GD. Effects of education of hospice for nurses on concern and coping about death and dying. Korean Journal of Hospice Care. 2005; 5(1):33–41.

11. Gustafson DH. A good death. Journal of Medical Internet Research. 2007; 9(1):e6. http://dx.doi.org/10.2196/jmir.9.1.e6.

12. Song SH. Recognition of preparation for death and well-dying of Won-Buddhist [master’s thesis]. Seoul: Hanyang University;2010.

13. The National Cancer Institute. Palliative care in cancer [Internet]. Bethesda, MD: Author;2010. [cited 2014 October 5]. Available from:. http://www.cancer.gov/cancertopics/factsheet/Support/palliative-care.

14. Kim MS. Comparison on the perception about hospice and the meaning of life of participants and non-participants of the hospice volunteer education program [master’s thesis]. Gwangju: Chonnam National University;2007.

15. Travelbee J. Interpersonal aspects of nursing. 2nd ed. Philadelphia, PA: F. A. Davis Company;1971.

16. Won D, Kim KH, Kwon SJ. Validation of the Korean version of meaning in life questionnaire. The Korean Journal of Health Psychology. 2005; 10(2):211–225.

17. Jeong HS. Recognition towards good death among physicians and nurses in an area [master’s thesis]. Busan: Catholic University of Pusan;2010.

18. National End of Life Care Programme. Improving end of life care through early recognition of need : Exploring the potential for using predictive modelling in identifying end of life care needs. London, UK: Author;2013. February. Report No.: PB0055 A 02 13.

19. In SJ. Development and effectiveness of the primary hospice education program for nurses. Proceeding of the Korean Society for Hospice and Palliative Care 2004 Summer Conference; July 30; Catholic Research Institutes of Medical Science. Korean Society for Hospice and Palliative Care;2004. p. 100–102.

20. Mallory JL. The impact of a palliative care educational component on attitudes toward care of the dying in undergraduate nursing students. Journal of Professional Nursing. 2003; 19(5):305–312.

21. Kennedy J. Demystifying the role of nurse practitioners in hospice: Nurse practitioners as an integral part of the hospice plan of care. Home Healthcare Nurse. 2012; 30(1):48–51. http://dx.doi.org/10.1097/NHH.0b013e31823aa87f.

22. The Scottish Government. Living and dying well: A national action plan for palliative and end of life care in Scotland. Edinburgh, UK: Author;2008.

23. Kim SN, Kim HJ, Choi SO. Effects of a hospice and palliative care education program including meaning in life on attitudes toward end-of-life care and meaning in life among nursing college students. Journal of Korean Academic Society of Nursing Education. 2011; 17(3):454–463.

24. Kang KA, Lee KS, Park GW, Kim YH, Jang MJ, Lee E. Death recognition, meaning in life and death attitude of people who participated in the death education program. The Korean Journal of Hospice and Palliative Care. 2010; 13(3):169–180.

25. Yoon MO. The effects of a death preparing education program on death anxiety, spiritual well-being, and meaning of life in adults. Journal of Korean Academy of Community Health Nursing. 2009; 20(4):513–521.

26. Han SY. A sudy on the recognition of well-dying, change to attitude toward the old and meaning of life through hospice education program of care worker trainees. Journal of the Korea Academia-Industrial Co- operation Society. 2012; 13(10):4471–4477. http://dx.doi.org/10.5762/KAIS.2012.13.10.4471.

27. Lee YM. A study on the meaning of life, change to attitude toward the old and hospice perception through hospice education program of care worker trainees. Journal of the Korea Academia-Industrial Cooperation Society. 2012; 13(2):642–647. http://dx.doi.org/10.5762/KAIS.2012.13.2.642.

28. Wilson J, Kirshbaum M. Effects of patient death on nursing staff: A literature review. British Journal of Nursing. 2011; 20(9):559–563.

29. Sasahara T, Miyashita M, Kawa M, Kazuma K. Difficulties encountered by nurses in the care of terminally ill cancer patients in general hospitals in Japan. Palliative Medicine. 2003; 17(6):520–526.

30. Frankl VE. The will to meaning: Foundations and applications of logo-therapy. New York, NY: Meridian/Plume;1988.