Park Hyun Ju, Hong Eun Ah, Min So Hyeon, Yun Heeje, Lee Hyung Bok, Choi Won Ho
Emergency Department, Seoul National University Hospital, Seoul, Korea.
Center for Palliative Care and Clinical Ethics, Seoul National University Hospital, Seoul, Korea.
J Hosp Palliat Care. 2025 Sep 1;28(3):89-98. doi: 10.14475/jhpc.2025.28.3.89.
This study aimed to identify predictors of end-of-life (EOL) care provided by emergency nurses in South Korea.
A cross-sectional survey was conducted using a structured questionnaire. Data were collected using Google Forms between June 21 and 30, 2022. A total of 154 emergency nurses from 10 tertiary hospitals in a metropolitan area were recruited using convenience sampling, and 139 completed surveys were analyzed. Multiple linear regression was employed to examine the effects of nurses' knowledge of life-sustaining treatment withdrawal (knowledge), their perceptions of their role in the withdrawal process (role perception), and job stress on EOL care.
The mean scores for knowledge, role perception, job stress, and EOL care were 13.09±1.75 (max 6), 4.18±0.44 (max 5), 3.55±0.32 (max 4), and 2.48±0.40 (max 4), respectively. Among the EOL care subdomains, psychological domain scores were the highest. Multiple linear regression analysis indicated that nurses' role perception significantly predicted EOL care performance, particularly in the psychological (F=3.924, P=0.001) and spiritual (F=2.171, P=0.020) domains.
Despite the challenging environment of the emergency department, nurses who recognize their important role in the process of life-sustaining treatment withdrawal are more likely to provide high-quality EOL care. The perception of nurses' roles is especially influential on psychological care performance, and alternative approaches may be necessary for spiritual care.
本研究旨在确定韩国急诊护士提供临终关怀的预测因素。
采用结构化问卷进行横断面调查。2022年6月21日至30日期间通过谷歌表单收集数据。采用便利抽样法从大都市地区10家三级医院招募了154名急诊护士，对139份完成的调查问卷进行了分析。采用多元线性回归分析护士对维持生命治疗撤除的知识（知识水平）、她们对自身在撤除过程中角色的认知（角色认知）以及工作压力对临终关怀的影响。
知识水平、角色认知、工作压力和临终关怀的平均得分分别为13.09±1.75（满分6分）、4.18±0.44（满分5分）、3.55±0.32（满分4分）和2.48±0.40（满分4分）。在临终关怀子领域中，心理领域得分最高。多元线性回归分析表明，护士的角色认知显著预测临终关怀表现，尤其是在心理（F=3.924，P=0.001）和精神（F=2.171，P=0.020）领域。
尽管急诊科环境具有挑战性，但认识到自己在维持生命治疗撤除过程中重要作用的护士更有可能提供高质量的临终关怀。护士角色认知对心理护理表现尤其有影响，而精神护理可能需要采取其他方法。
