Department of Health Systems Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA.
J Palliat Care. 2021 Oct;36(4):255-264. doi: 10.1177/08258597211027021. Epub 2021 Jun 29.
Quality end-of-life care for cancer patients is a global health priority, and nurses are instrumental in providing this care. However, little is known about nurses' experiences and perceptions in end-of-life care settings in Korea. Aims: This scoping review examined Korean nurses' end-of-life care experiences and assessed the state of research in this area.
Systematic searches were conducted using 7 electronic databases (PubMed, CINAHL, Scopus, Embase, WPRIM, KCI, and RISS), and 17 studies were selected for review.
Most studies were limited to cross-sectional, descriptive designs. Outcomes regarding end-of-life care measured in the studies were categorized into cognitive variables, emotional variables, participation/performance, and educational needs. Study results suggested low nurse knowledge and self-efficacy with regard to provision of end-of-life care. Perceived barriers to quality end of life care included difficulties in meeting family members' needs. In addition, emotional outcomes associated with end-of-life care included high levels of nurse stress and burnout. Predictors of elevated stress included inability to provide adequate pain control, inability to reconcile patient requests with physician orders, and heavy workload. Although most nurses had end-of-life care experience, fewer than half reported receiving related education. The lack of knowledge and skill related to end of life care was a primary contributor to stress.
Korean nurses providing end-of-life care for cancer patients need additional education and support to help them manage high stress levels. Further study is needed to identify strategies for meeting nurses' end-of-life care education needs and of improving their overall performance in such practice.
为癌症患者提供高质量的临终关怀是全球卫生的重点，护士在提供这种护理方面起着重要作用。然而，对于韩国护士在临终关怀环境中的经验和看法知之甚少。目的：本范围综述考察了韩国护士的临终关怀体验，并评估了该领域的研究现状。
使用 7 个电子数据库（PubMed、CINAHL、Scopus、Embase、WPRIM、KCI 和 RISS）进行系统检索，选择了 17 项研究进行综述。
大多数研究仅限于横断面、描述性设计。研究中衡量的临终关怀结局被分为认知变量、情绪变量、参与/表现和教育需求。研究结果表明，护士在提供临终关怀方面的知识和自我效能感较低。对高质量临终关怀的感知障碍包括难以满足家属的需求。此外，与临终关怀相关的情绪结果包括护士的高度压力和倦怠。压力升高的预测因素包括无法提供足够的疼痛控制、无法调和患者的请求与医生的命令以及工作量大。尽管大多数护士有临终关怀经验，但只有不到一半的人报告接受过相关教育。缺乏与临终关怀相关的知识和技能是导致压力的主要因素。
为癌症患者提供临终关怀的韩国护士需要额外的教育和支持，以帮助他们应对高压力水平。需要进一步研究以确定满足护士临终关怀教育需求和提高他们在这种实践中的整体表现的策略。
