Abstract
Purpose: The purpose of this study was to investigate the hospice care compliance of nurses working at a hospice ward and provide meaningful data to improve the hospice care compliances. Methods: Participants included 104 nurses working at the hospice ward of the hospital located at P and D cities. Data was collected from February to March 2012. The level of hospice care compliance was measured using Bae (2000)’s questionnaires. Data were analyzed with descriptive statistics, t-test, one-way ANOVA and Scheffe test using SPSS/WIN 18.0 program. Results: The level of hospice care compliance in hospice nurses working at a hospice ward was high (3.25 out of 4). In hospice care compliance, the physical area was highest, followed by the emotional, spiritual, and social areas. Hospice care compliance was significantly different according to age, marital status, education, religion, importance of religion, job position, job satisfaction and life satisfaction. Hospice care compliance was also significantly different according to the nurses’ experience of death, having license or certification related to hospice care and experiences related to clients’ death. Conclusions: The findings of this study showed that the level of hospice care compliance was high and the hospice care compliance in South Korea was primarily focused on physical care. Considering that spiritual needs are important needs in hospice clients, hospice nurses need to focus on those aspects more. To improve the quality of hospice care compliance in the hospice nurses, programs to increase hospice nurses’ job and life satisfaction are needed.
Highlights
Hospice palliative care is to relieve suffering and improve the quality of living and dying
The reasons for the high level of hospice care compliance in nurses working at hospice ward compared to the other nurses are thought to be that the ratio of nurses and hospice clients is higher than others, so that the nurses working at hospice ward could offer high quality of care
Nurses working at hospice ward in this study focused on physical care more than the spiritual care even though hospice clients still have higher levels of spiritual needs at the end of life compare to other moments and the spiritual care is one of the most important roles in nurses working at hospice ward [26]
Summary
Hospice palliative care is to relieve suffering and improve the quality of living and dying. Hospice care including end of life care was offered by families or relatives at clients’ homes in South Korea. In 1995, end of life care was provided to 22.8% of dying clients in hospitals in South Korea, but the number has been increased to 59.9% in 2006 [3]. Because of the increase in the need for end of life care in hospitals, nurses working at hospitals have more chance to care for dying clients and their roles are more important than before. To meet the diverse needs of dying clients, nurses need clinical competence and experience to care for dying clients physically, psychosocially, and spiritually and improve quality of life in clients’ families [4]. Nurses need to support dying clients’ opinions and respect their dignities [5]
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