J Korean Acad Psychiatr Ment Health Nurs.  2016 Dec;25(4):327-337. 10.12934/jkpmhn.2016.25.4.327.

Factors Influencing Performance of End-of-life Care by ICU Nurses

• Ko MJ
• Moon SH

• KMID: 2365421
• DOI: http://doi.org/10.12934/jkpmhn.2016.25.4.327

Abstract

PURPOSE
This study was a descriptive research to assess the level of and the relationship of related factors in the performance of end-of-life care by intensive care unit (ICU) nurses.
METHODS
Participants were 238 ICU nurses from university and general hospitals. Data were collected, using structured questionnaires, and collected data were analyzed using t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis with SPSS/WIN 22.0.
RESULTS
There were significantly positive effects between performance of end-of-life care and end-of-life care attitudes. Performance end-of-life care was negatively associated with end-of-life care stress and obstacles. Factors that significantly influenced ICU nurses' performance of end-of-life were end-of-life care stress, medical team in obstacles related to end-of-life care, and end-of-life care attitudes, which explained about 53% of the variance in the performance of end-of-life care.
CONCLUSION
Findings indicate that hospital organizations should carry out stress management and counseling programs in order to lower ICU nurses' end-of-life care stress, and to enhance end-of-life care attitudes. In addition, concern needs to be given to the medical team which was one of the obstacles to end-of-life care. It is also necessary to decrease the heavy workload and increase the communication with medical workers.

Keyword

Terminal care; Intensive care units; Attitude; Stress; End-of-life care obstacles

MeSH Terms

Counseling
Hospitals, General
Intensive Care Units
Terminal Care