Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
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Effectiveness of End-of-Life Care Debriefing for Intensive Care Unit Nurses

중환자실 간호사를 위한 임종간호 디브리핑의 효과

  • Park, Sook Hyun (Department of Nursing Professional Development Team, Samsung Medical Center) ;
  • Lee, Jung Eun (Department of Nursing, Samsung Medical Center) ;
  • Jung, Yu-Jin (Department of Nursing, Samsung Medical Center) ;
  • Yoo, Ha Neul (Department of Nursing, Samsung Medical Center) ;
  • Kim, Yeon Su (Department of Nursing, Samsung Medical Center) ;
  • Yi, Young Hee (Graduate School of Clinical Nursing Science, Sungkyunkwan University)
  • 박숙현 (삼성서울병원) ;
  • 이정은 (삼성서울병원) ;
  • 정유진 (삼성서울병원) ;
  • 유하늘 (삼성서울병원) ;
  • 김연수 (삼성서울병원) ;
  • 이영희 (성균관대학교 임상간호대학원)
  • Received : 2024.08.12
  • Accepted : 2024.10.13
  • Published : 2024.10.31
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Abstract

Purpose : This study aimed to determine the effectiveness of end-of-life care debriefing as an intervention to reduce moral distress among intensive care unit (ICU) nurses after end-of-life care. Methods : This quasi-experimental study included 104 nurses (46 in the control group and 58 in the intervention group) working in three medical ICUs and two surgical ICUs. The data collection period was from September 1, 2017, to January 31, 2018, and end-of-life care debriefing in the intervention group was implemented over three months. Debriefings were conducted in groups or individually, with eight people participating in three or more debriefings. Comparisons of end-of-life care stress, end-of-life care attitudes, and wellness between the two groups were performed using an ANCOVA. Satisfaction with the debriefing was analyzed using descriptive statistics. Results : End-of-life care stress and wellness did not differ between the groups, but there was a significant difference in end-of-life care attitudes. Overall, 50% of the participants were satisfied with the debriefing. Conclusion : Based on the finding that end-of-life care debriefing has a positive impact on ICU nurses' attitudes toward end-of-life care, it can be used as an effective measure to reduce nurses' moral distress. An institutional debriefing system should be established and operationalized.

Keywords

Acknowledgement

This study was supported by research funding from the Nursing Department of Samsung Medical Center in 2017 (No. SMC-NSD-2017-01).

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