三级医院护士对临终关怀的认知与实践
Nurses' Perception and Performance of End-of-Life Care in a Tertiary Hospital.
作者信息
Jung Seo Yeon, Song Hyun Seung, Kim Ji Youn, Koo Hoi Jung, Shin Yong Soon, Kim Sung Reul, Kim Jeong Hye
机构信息
Department of Nursing, Asan Medical Center, Seoul, Korea.
Clinical Directorate, Asan Medical Center, Seoul, Korea.
出版信息
J Hosp Palliat Care. 2023 Sep 1;26(3):101-111. doi: 10.14475/jhpc.2023.26.3.101.
PURPOSE
This study aimed to identify levels of perception and performance of end-of-life care among nurses and to investigate correlations between perception and performance.
METHODS
This cross-sectional descriptive survey included 321 nurses from a tertiary hospital in Seoul, Korea. The participants had at least 6 months of work experience and had been involved in end-of-life care at least once, in either ward or intensive care unit settings. A structured questionnaire was utilized to assess their perception and performance of end-of-life care.
RESULTS
The mean score for perception of end-of-life care was 3.23±0.34, while the score for performance of end-of-life care was 3.08±0.34. There was a significant positive correlation between nurses' perception of end-of-life care and their performance in this area (r=0.78, P<0.001).
CONCLUSION
It is necessary to change perceptions regarding end-of-life care and to develop systematic and standardized education programs including content such as assessing the hydration status of dying patients, evaluating mental aspects such as suicidal ideation, and providing spiritual care for nurses working in end-of-life departments.
目的
本研究旨在确定护士对临终关怀的认知水平和实践表现，并调查认知与实践之间的相关性。
方法
这项横断面描述性调查纳入了来自韩国首尔一家三级医院的321名护士。参与者至少有6个月的工作经验，并且至少在病房或重症监护室环境中参与过一次临终关怀。使用结构化问卷评估他们对临终关怀的认知和实践表现。
结果
临终关怀认知的平均得分为3.23±0.34，而临终关怀实践表现的得分为3.08±0.34。护士对临终关怀的认知与他们在该领域的实践表现之间存在显著正相关（r = 0.78，P < 0.001）。
结论
有必要改变对临终关怀的认知，并为临终关怀科室的护士制定系统、标准化的教育计划，内容包括评估临终患者的水化状态、评估自杀意念等心理方面以及提供精神关怀。
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