Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
권호 표지
DOI QR코드

DOI QR Code

Influence of Perceptions of Death, End-of-Life Care Stress, and Emotional Intelligence on Attitudes towards End-of-Life Care among Nurses in the Neonatal Intensive Care Unit

  • Park, Ju-Young (Dongwon Institute of Science and Technology) ;
  • Oh, Jina (Department of Nursing, School of Medicine, Inje University)
  • Received : 2018.10.15
  • Accepted : 2018.12.03
  • Published : 2019.01.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to investigate the influence of perceptions of death, end-of-life (EOL) care stress, and emotional intelligence on attitudes toward EOL care among nurses in the neonatal intensive care unit (NICU). Methods: The participants were 111 nurses working in a NICU who had experienced EOL care at least once. Data were analyzed using the t-test, Pearson correlation coefficient, and stepwise multiple regression analysis in SPSS for Windows. Results: The mean score for perceptions of death was 3.16 out of 5, the mean score for EOL care stress was 3.61 out of 5, the mean emotional intelligence score was 4.66 out of 7, and the average score for EOL care attitudes was 2.77 out of 4. The factors affecting attitudes towards EOL care were academic degree, anxiety regarding death, negativity towards death, experiences of patient death, and emotional intelligence. The explanatory power of these variables for attitudes towards EOL care was 24.7%. Conclusion: The results of this study are expected to serve as a basic reference for the development of nursing education programs and EOL care protocols to improve attitudes toward EOL care among NICU nurses.

Keywords

References

  1. Statistics Korea. 2017 Life table for Korea [Internet]. Daejeon: Statistics Korea; 2017 [cited 2017 December 15]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/2/1/index.board?bmode=read&aSeq=366808.
  2. Dessy E. Effective communication in difficult situations: Preventing stress and burnout in the NICU. Early Human Development. 2009;85(10):S39-S41. https://doi.org/10.1016/j.earlhumdev.2009.08.012
  3. Yu M. Work stress, turnover intention and burnout among nurses in neonatal intensive care units. Journal of Korean Academy of Nursing Administration. 2011;17(1):115-126. https://doi.org/10.11111/jkana.2011.17.1.115
  4. Wi DH, Kang SJ. Relationship among nurses' knowledge, attitude towards palliative care and perception of death in neonatal intensive care units. Child Health Nursing Research. 2016;22(4):257-264. https://doi.org/10.4094/chnr.2016.22.4.257
  5. Chen CH, Huang LC, Liu HL, Lee HY, Wu SY, Chang YC, et al. To explore the neonatal nurses' beliefs and attitudes towards caring for dying neonates in Taiwan. Maternal and Child Health Journal. 2013;17(10):1793-1801. https://doi.org/10.1007/s10995-012-1199-0
  6. MacDermott C, Keenan PM. Grief experience of nurses in Ireland who have cared for children with an intellectual disability who have died. International Journal of Palliative Nursing. 2014;20(12):584-590. https://doi.org/10.12968/ijpn.2014.20.12.584
  7. Ali WGM, Ayoub NS. Nurses' attitudes toward caring for dying patient in Mansoura University Hospitals. Journal of Medicine and Biomedical Sciences. 2010;1(1):16-23.
  8. Noh YJ, Han SS, Ahn SH, Kim CG. Hospice and death. 1st ed. Seoul: Hyeonmunsa; 1997. p. 1-502.
  9. Yoshiyuki I. A study on development of a view of life and death scale and relationships among its elements [dissertation]. Seoul: Korea University; 2002. p. 1-97.
  10. Seo MJ, Kim JY, Kim SH, Lee TH. Nurses attitudes towards death, coping with death and understanding and performance regarding EOL care: Focus on nurses at ED, ICU and oncology department. The Korean Journal of Hospice and Palliative Care. 2013;16(2):108-117. https://doi.org/10.14475/kjhpc.2013.16.2.108
  11. Jo KH, Han HJ. Nurses' painful experiences through terminal patient. Journal of Korean Academy of Nursing. 2001;31(6):1055-1066. https://doi.org/10.4040/jkan.2001.31.6.1055
  12. Hong E, Jun M, Park ES, Ryu E. Death perceptions, death anxiety, and attitudes to death in oncology nurses. Asian Oncology Nursing. 2013;13(4):265-272. https://doi.org/10.5388/aon.2013.13.4.265
  13. An MS, Lee KJ. Awareness of good death and attitudes toward terminal care among geriatric hospital nurses. The Korean Journal of Hospice and Palliative Care. 2014;17(3):122-133. https://doi.org/10.14475/kjhpc.2014.17.3.122
  14. Katsuhiko H. Contrast education for death. 3rd ed. Lee OH, translator. Youngin: Moonumsa; 2002. p. 1-218.
  15. Jang SH. Neonatal intensive care unit nurses' stress of end of life care for high-risk newborn [master's thesis]. Seoul: Ewha Womans University; 2013. p. 1-67.
  16. Wong CS, Law KS. The effect of leader and follower emotional intelligence on performance and attitude: An exploratory study. The Leadership Quarterly. 2002;13(3):243-274. https://doi.org/10.1016/s1048-9843(02)00099-1
  17. Por J, Barriball L, Fitzpatrick J, Roberts J. Emotional intelligence: Its relationship to stress, coping, well-being and professional performance in nursing students. Nurse Education Today. 2011;31(8):855-860. https://doi.org/10.1016/j.nedt.2010.12.023
  18. Ko HR, Kim JH. The relationships among emotional intelligence, interpersonal relationship, and job satisfaction of clinical nurses. The Journal of Korean Academic Society of Nursing Education. 2014;20(3):413-423. https://doi.org/10.5977/jkasne.2014.20.3.413
  19. Cha YR. Study on the nurses' attitude to death in Korea: Centering on university hospital in Jeollabuckdo province [master's thesis]. Iksan: Wonkwang University; 2005. p. 1-46.
  20. Jung HW, Kim CH. A study on the effect of emotional intelligence on organizational citizenship behavior. Journal of Human Resource Management Research. 2007;14(3):167-186.
  21. Lee YB, Ko MS. The effect of clinical nurses' communication competency and emotional intelligence on organizational performance. Journal of Korean Clinical Nursing Research. 2015;21(3):347-354. https://doi.org/10.22650/JKCNR.2015.21.3.347
  22. Cho HJ, Kim ES. The effect of the death education program on the death anxiety and attitudes toward nursing care of the dying patients of nursing student. The Korean Journal of Hospice and Palliative Care. 2005;8(2):163-172.
  23. Frommelt KHM. The effects of death education on nurses' attitudes toward caring for terminally ill persons and their families. American Journal of Hospice and Palliative Medicine. 1991;8(5):37-43. https://doi.org/10.1177/104990919100800509
  24. Noh SS, Lee CK, Sung YH. Predictors of terminal care performance of clinical nurses for cancer patients. Journal of Korean Critical Care Nursing. 2016;9(2):61-70.
  25. Ji SI, You HS. The impact of clinical nurses' terminal care attitude and spiritual health on their terminal care stress. The Korean Journal of Hospice and Palliative Care. 2014;17(4):232-240. https://doi.org/10.14475/kjhpc.2014.17.4.232
  26. Kang HJ, Bang KS. Neonatal intensive care unit nurses' experience in caring for infants who are dying. Child Health Nursing Research. 2013;19(4):252-261. https://doi.org/10.4094/chnr.2013.19.4.252
  27. Baek M, Jang KS. Development and verification on the effectiveness of coaching program for nurses. Journal of Health Informatics and Statistics. 2016;41(1):57-66. https://doi.org/10.21032/jhis.2016.41.1.57
  28. Ha JY, Jeon SY. The effects of humanistic knowledge and emotional intelligence on communication skills of nurses. The Journal of Korean Academic Society of Nursing Education. 2016;22(3):264-273. https://doi.org/10.5977/jkasne.2016.22.3.264
  29. Kain VJ. An exploration of the grief experiences of neonatal nurses: A focus group study. Journal of Neonatal Nursing. 2013;19(2):80-88. https://doi.org/10.1016/j.jnn.2012.04.001
  30. Braun M, Gordon D, Uziely B. Associations between oncology nurses' attitudes towards death and caring for dying patients. Oncology Nursing Forum. 2010;37(1):E43-E49. https://doi.org/10.1188/10.onf.e43-e49

Cited by

  1. Hospital Nurses’ Perception of Death and Self-Reported Performance of End-of-Life Care: Mediating Role of Attitude towards End-of-Life Care vol.8, pp.2, 2019, https://doi.org/10.3390/healthcare8020142