Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
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A Structural Equation Model of Clinical Nurses' End-of-life Care Performance

임상간호사의 임종간호수행 구조모형

  • Park, Hyo jin (Department of Nursing, Kyungnam College of Information & Technology) ;
  • Lee, Yun Mi (College of Nursing, Institute of Health Science Research.Inje University) ;
  • Kim, Min Hye (College of Nursing, Inje University)
  • 박효진 (경남정보대학교 간호학과) ;
  • 이윤미 (인제대학교 간호대학.건강과학연구소) ;
  • 김민혜 (인제대학교 간호대학)
  • Received : 2020.12.16
  • Accepted : 2021.01.21
  • Published : 2021.02.28
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Abstract

Purpose : Based on Quint's theory and the relevant literature, this study constructed a structural equation model for explaining and predicting end-of-life care performance in clinical nurses. Methods : A self-administered questionnaire was used to collect data from 265 nurses between September 1 and September 30, 2016. The data were analyzed using SPSS ver. 21 and AMOS ver. 21. Results : The goodness of fit of the modified model was found to be relatively satisfactory (χ2=114.82, Nomed χ2(χ2/df)=2.44, SRMR=.06, GFI=.94, AGFI=.89, CFI=.95, TLI=.91, RMSEA=.07). End-of-life care performance was affected by the attitudes toward nursing care of the dying, working unit, and death anxiety. The attitudes toward such care had the highest effect on end-of-life care performance. Conclusion : The results suggest that end-of-life care performance is directly and indirectly affected by attitudes toward nursing care of the dying, participation in end-of-life care education, working unit, death perception, and death anxiety. To improve clinical nurses' end-of-life care performance, effective programs to promote death anxiety and attitudes toward nursing care of the dying need to be developed. In addition, hospital nursing organizations should attempt to produce concrete measures for death anxiety and terminal care attitudes in clinical nurses.

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