Park K S, Yeom H A
Keumho Nursing Home, College of Nursing, The Catholic University of Korea, Seoul, Korea.
Int Nurs Rev. 2014 Dec;61(4):563-9. doi: 10.1111/inr.12135. Epub 2014 Oct 20.
While the need for hospice care is increasing in Korea, there is limited research describing the way hospice care is understood by hospital ward nurses who may have relatively limited opportunities for hospice education in their workplace.
This study aimed to describe Korean nurses' attitudes towards hospice care and to examine the relationships between nurses' attitudes towards hospice care and their demographic and work-related characteristics.
This was a cross-sectional descriptive study. A total of 348 registered nurses recruited from six general hospitals were surveyed using a structured questionnaire. Measurements included general and work-related characteristics and the Frommelt Attitude Toward Care of the Dying Scale.
The mean score for nurses' attitudes towards hospice care was 2.52 out of a maximum of 3.0. More positive attitudes towards hospice care were associated with older age, married status, a higher level of education, working at a hospice unit, a higher job position, more years of work experience, having previous experience caring for dying patients and having received education in hospice care. Factors predicting nurses' attitudes towards hospice care included the number of years of work experience and working at a hospice unit in a hospital, with an explanatory power of 22%.
The study was conducted in tertiary care hospitals in Seoul metropolitan area; results may therefore differ in other geographical regions.
Education on hospice care should be targeted to less experienced, younger staff nurses who have no previous education on hospice care or have not worked in a hospice unit.
Tertiary hospitals need to provide more opportunities for their nurses to obtain continuing education on hospice care or increase the number of courses available at the institutional level in order to enhance their nurses' attitudes towards hospice care.
在韩国，临终关怀护理的需求日益增长，但对于医院病房护士如何理解临终关怀护理的研究却很有限，因为他们在工作场所接受临终关怀教育的机会相对较少。
本研究旨在描述韩国护士对临终关怀护理的态度，并探讨护士对临终关怀护理的态度与其人口统计学和工作相关特征之间的关系。
这是一项横断面描述性研究。使用结构化问卷对从六家综合医院招募的348名注册护士进行了调查。测量内容包括一般和工作相关特征以及弗罗梅尔临终关怀态度量表。
护士对临终关怀护理态度的平均得分为2.52（满分3.0）。对临终关怀护理更积极的态度与年龄较大、已婚、教育程度较高、在临终关怀病房工作、职位较高、工作经验年限较长、有照顾临终患者的既往经验以及接受过临终关怀护理教育有关。预测护士对临终关怀护理态度的因素包括工作经验年限和在医院临终关怀病房工作，解释力为22%。
该研究在首尔大都市区的三级医院进行；因此，其他地理区域的结果可能有所不同。
临终关怀护理教育应针对经验不足、年轻的护士，这些护士之前没有接受过临终关怀护理教育或没有在临终关怀病房工作过。
三级医院需要为护士提供更多机会接受临终关怀护理继续教育，或增加机构层面的课程数量，以增强护士对临终关怀护理的态度。
