임상간호사의 임종간호수행에 미치는 영향요인

Abstract

The purpose of this study was to examine the effects of clinical nurses’ positive psychological capital, terminal care stress and perception of patient-family centered care on performance of terminal care. Data were collected from 198 nurses, and analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and stepwise multiple regression analysis. There were significant differences between clinical nurses’ performance of terminal care and working experiences in current unit (F=3.60, p=.015), work unit (t=2.36, p=.019), number of terminal care provided to dying patients within 1 year (F=2.76, p=.044), and experience of patient-family centered care education (t=-2.26, p=.025). The factors affecting clinical nurse’s performance of terminal care were positive psychological capital (β=.38, p<.001), perception of patient-family centered care (β =.23, p=.001), work unit (β=.15, p=.014), and experience of patient-family centered care education (β=.14, p=.026), explaining 29.0% of the variance. Therefore, the effective education program is needed to enhance clinical nurses’ positive psychological capital as well as to increase their education experience and awareness of patient-family centered care in order to better perform terminal care.