Asian Oncol Nurs.  2017 Dec;17(4):252-262. 10.5388/aon.2017.17.4.252.

Nurses' Awareness of Psychological Distress and Delirium in Cancer Patients and Job Stress

Affiliations
  • 1Department of Nursing, National Cancer Center, Goyang, Korea. 12125@ncc.re.kr

Abstract

PURPOSE
The purpose of this study was to investigate nurses' awareness of psychological distress and delirium in cancer patients and job stress.
METHODS
The participants were 256 nurses in a cancer general hospital. The nurses' awareness of psychological distress and delirium was investigated using a self-report questionnaire (1-4 scale) developed by the researcher. Psychological distress was measured by depression, anxiety, and insomnia. Job stress was measured using the Korean version of the Expanded Nursing Stress Scale (1-4 scale).
RESULTS
The analysis of 9 questionnaires about nurses' awareness was divided into two factors: nurses' competence and importance. Nurses' competence results were 2.06 (depression), 2.17 (anxiety), 2.29 (insomnia), and 2.41 (delirium). Importance results were 3.23 (depression), 3.20 (anxiety), 3.15 (insomnia), and 3.37 (delirium). Most nurses have experienced nursing psychological distress and delirium in cancer patients, but only about a quarter have received the relevant education. Job stress was 2.52 and in subcategories, work load received the highest score 2.92.
CONCLUSION
Nurses recognize that psychological distress and delirium in cancer patients are very important, but they are less aware of their competence. Therefore, it is suggested to develop an educational program to improve nurses' competence when dealing with psychological distress and delirium.

Keyword

Stress; Psychological; Delirium; Awareness; Occupational Stress; Nursing

MeSH Terms

Anxiety
Delirium*
Depression
Education
Hospitals, General
Humans
Mental Competency
Nursing
Sleep Initiation and Maintenance Disorders

Figure

  • Fig. 1. Nurses’ competence and importance of psychological distress and delirium in cancer patients.


Reference

1. National Cancer Information Center (KR). Annual report of cancer statistics in Korea in 2014 [Internet]. Available from. http://ncc.re.kr/cancerStatsView.ncc?bbsnum=417&searchKey=total&searchValue=&pageNum=1. [Accessed September 20, 2017].
2. Yi M, Kim JH, Park EY, Kim JN, Yu ES. Focus group study on psychosocial distress of cancer patients. J Korean Acad Adult Nurs. 2010; 22:19–30.
3. Kim JH. Development of recommendations for distress management toward improvement of quality of life in cancer patients. Seoul: Ministry for Health, Welfare and Family Affairs;2009.
4. National Comprehensive Cancer Network (US). NCCN Clinical Practice Guidelines in Oncology. Distress management, version 2. 2016 [Internet]. Available from. http://www.nccn.org. [Accessed August 13, 2016].
5. Park JS, Ha J, Lim S, Kim TS, Ha JH, Paik JW, et al. Clinical characteristics and use of antidepressants among cancer patients referred for psychiatric consultation: a Korean multicenter survey. J Korean Neuropsychiatr Assoc. 2012; 51:387–94.
6. Seok JH, Kim LS, Hong N, Hong HJ, Kim SJ, Kang HJ, et al. Psychological and neuroendocrinological characteristics associated with depressive symptoms in breast cancer patients at the initial cancer diagnosis. Gen Hosp Psychiatry. 2010; 32:503–8.
Article
7. Centeno C, Sanz A, Bruera E. Delirium in advanced cancer patients. Palliat Med. 2004; 18:184–94.
Article
8. Breitbart W, Gibson C, Tremblay A. The delirium experience: delirium recall and delirium-related distress in hospitalized patients with cancer, their spouses/caregivers, and their nurses. Psychosomatics. 2002; 43:183–94.
Article
9. Dilworth S, Higgins I, Parker V, Kelly B, Turner J. Patient and health professional's perceived barriers to the delivery of psychosocial care to adults with cancer: a systematic review. Psychooncology. 2014; 23:601–12.
Article
10. Kang JI, NamKoong K. Psychosocial aspects and mental health in cancer patients. J Korean Neuropsychiatr Assoc. 2007; 46:421–9.
11. Hedström M, Kreuger A, Ljungman G, Nygren P, von Essen L. Accu-racy of assessment of distress, anxiety, and depression by physicians and nurses in adolescents recently diagnosed with cancer. Pediatr Blood Cancer. 2006; 46:773–9.
Article
12. Flagg B, Cox L, McDowell S, Mwose JM, Buelow JM. Nursing identification of delirium. Clin Nurse Spec. 2010; 24:260–6.
Article
13. McDonald MV, Passik SD, Dugan W, Rosenfeld B, Theobald DE, Edg-erton S. Nurses’ recognition of depression in their patients with cancer. Oncol Nurs Forum. 1999; 26:593–9.
14. Keller M, Sommerfeldt S, Fischer C, Knight L, Riesbeck M, Löwe B, et al. Recognition of distress and psychiatric morbidity in cancer patients: a multi-method approach. Ann Oncol. 2004; 15:1243–9.
Article
15. Steis MR, Fick DM. Are nurses recognizing delirium? A systematic review. J Gerontol Nurs. 2008; 34:40–8.
Article
16. Kaneko M, Ryu S, Nishida H, Tamasato K, Shimodaira Y, Nishimura K, et al. Nurses’ recognition of the mental state of cancer patients and their own stress management: a study of Japanese cancer-care nurses. Psy-chooncology. 2013; 22:1624–9.
17. Mahendran R, Chua J, Peh CX, Lim HA, Ang EN, Lim SE, et al. Knowledge, attitudes, and practice behaviors (KAPb) of nurses and the effec-tiveness of a training program in psychosocial cancer care. Support Care Cancer. 2014; 22:2049–56.
Article
18. Kim S, Kim JH, Park JY, Suh EY, Yang HJ, Lee SY, et al. Oncology nurses’ professional quality of life in a tertiary hospital. J Korean Clin Nurs Res. 2010; 16:145–55.
19. Lee YS, Tae YS. The lived experience of the burnout of nurses working in oncology wards. Asian Oncol Nurs. 2012; 12:100–9.
Article
20. Choi JS, Park SM. Comparison of job stress, hardness, and burnout of nurses between advanced general hospitals and general hospitals. J Korea Contents Assoc. 2012; 12:251–9.
Article
21. Cohen J. A power primer. Psychol Bull. 1992; 112:155–9.
Article
22. Shim EJ, Hahm BJ, Yu ES, Kim HK, Cho SJ, Chang SM, et al. Development and validation of the National Cancer Center Psychological Symptom Inventory. Psychooncology. 2017; 26:1036–43.
Article
23. Park YS, Kim KS, Song KJ, Kang J. A preliminary survey of nurses’ understanding of delirium and their need for delirium education: in a university hospital. J Korean Acad Nurs. 2006; 36:1183–92.
Article
24. Choi EJ, Lee H, Kim IA, Lim Y, Lee MS, Kim MJ. Delirium assessment ability of clinical nurses. J Korean Gerontol Nurs. 2011; 13:233–41.
25. French SE, Lenton R, Walters V, Eyles J. An empirical evaluation of an expanded Nursing Stress Scale. J Nurs Meas. 2000; 8:161–78.
Article
26. Kim KM, Nam KA, Lee E, Jeong GH. Validity and reliability of the Korean version of the Expanded Nursing Stress Scale. J Korean Acad Nurs Adm. 2015; 21:542–51.
Article
27. Fukui S, Ogawa K, Ohtsuka M, Fukui N. Effect of communication skills training on nurses’ detection of patients’ distress and related factors after cancer diagnosis: a randomized study. Psychooncology. 2009; 18:1156–64.
Article
28. Kim KN, Kim CH, Kim KI, Yoo HJ, Park SY, Park YH. Development and validation of the Korean Nursing Delirium Scale. J Korean Acad Nurs. 2012; 42:414–23.
Article
Full Text Links
  • AON
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr