Chang Soo-Jung
Department of Nursing, Gangneung-Wonju National University, 150, Namwon-ro, Wonju 26403, Korea.
Healthcare (Basel). 2022 Nov 4;10(11):2213. doi: 10.3390/healthcare10112213.
This study aimed to qualitatively describe how registered nurses (RNs) experienced and perceived end-of-life (EOL) care for older residents in South Korean nursing homes. The participants included 11 nurses with experience of providing EOL care for older residents in six nursing homes. Data were collected through one-on-one in-depth interviews using semi-structured questions from 27 December 2019 to 22 October 2020. Around 1-2 interviews were conducted for each participant, and each interview lasted between 40 min and two hours. The interview data were analyzed using qualitative content analysis. Eight sub-themes were identified and abstracted under three themes: (a) "feeling fulfilled for doing my best until the last day," (b) "defensive coping due to legal and institutional limitations," and (c) "requirements for effective EOL care." This study suggests that there are many challenges and issues regarding EOL care at nursing homes. In order to provide effective EOL care to older residents, the foundation of the EOL care system, as well as skills training, should be strengthened. Furthermore, securing qualified nursing manpower and achieving institutional improvement by reducing obstacles are warranted.
本研究旨在定性描述韩国养老院注册护士（RN）如何体验和看待为老年居民提供的临终关怀。参与者包括11名在6家养老院为老年居民提供临终关怀服务的护士。从2019年12月27日至2020年10月22日，通过使用半结构化问题进行一对一深度访谈收集数据。每位参与者进行了大约1 - 2次访谈，每次访谈持续40分钟至两小时。访谈数据采用定性内容分析法进行分析。在三个主题下确定并提炼出八个子主题：（a）“直到最后一天尽我所能而感到满足”，（b）“因法律和制度限制而采取防御性应对措施”，以及（c）“有效临终关怀的要求”。本研究表明，养老院的临终关怀存在诸多挑战和问题。为了向老年居民提供有效的临终关怀，应加强临终关怀系统的基础以及技能培训。此外，确保有资质的护理人力并通过减少障碍实现制度改进是必要的。
