|
|
|
|
서나리 ( Seo Na-Ri ) - Gachon University Gil Medical Center Department of Nursing
염현이 ( Yeom Hyun-E ) - Dongguk University Department of Nursing
|
|
Abstract
|
|
|
|
|
Purpose: This study aimed to investigate the impacts of end-of-life care competency and ethical dilemmas on psychological burnout in nurses who care for terminal cancer patients.
Methods: A cross-sectional study of 160 nurses who cared for terminal cancer patients was conducted. The participants were recruited from the hospice-palliative care wards, hematology or oncology wards, or intensive care units of three general hospitals in a single metropolitan area. Data were collected using a self-administered survey to assess end-oflife care competency, ethical dilemmas, psychological burnout, and general sociodemographic characteristics. Data were analyzed using descriptive statistics, the independent ttest, analysis of variance, Pearson correlation coefficients, and hierarchical linear regression analysis using SPSS for Windows (version 26.0).
Results: Psychological burnout was significantly correlated with end-of-life care competency (r=-0.23, P=0.003) but not with ethical dilemmas. The results of the hierarchical linear regression analysis indicated that endof- life care competency (β=-0.280, P=0.010) and ethical dilemmas (β=0.275, P=0.037) were significant predictors of psychological burnout, after adjusting for age, religious status, clinical experience, and unit type.
Conclusion: The current study’s findings demonstrate that end-of-life care competency and ethical dilemmas are crucial factors that affect psychological burnout in nurses who care for terminal cancer patients. Substantive education programs must be developed to improve nurses’ competencies in end-of-life care and ethical dilemmas to decrease psychological burnout.
|
|
|
KeyWords
|
|
Clinical competence, Professional burnout, Clinical ethics, Terminal care
|
|
|
원문 및 링크아웃 정보
|
|
|
|
|
등재저널 정보
|
|
  
|
|
|
|
|