Korean J Adult Nurs.  2018 Apr;30(2):183-193. 10.7475/kjan.2018.30.2.183.

The influence of Nursing Professionalism, Attitudes toward Advance Directive, and Death Anxiety on Terminal Care Performance of Nurses in Long-term Care Hospitals

Affiliations
  • 1Bright Mind Hospital, Naju, Korea.
  • 2Department of Nursing, Honam University, Gwangju, Korea. aqua29@honam.ac.kr

Abstract

PURPOSE
The purpose of this study was to identify the level of terminal care performance of nurses in long-term care hospitals, and investigate how nursing professionalism, attitudes on advance directives and death anxiety affects their terminal care performance.
METHODS
Total of 294 nurses from long-term care hospitals completed the structured questionnaires including nursing professionalism scale, advance directives attitude survey, death anxiety scale and terminal care performance scale. Data were analyzed using the SPSS/WIN 24.0.
RESULTS
There were significantly correlation among terminal care performance of nurse, nursing professionalism, attitudes on advance directives, and death anxiety. The key factor that affected nurses terminal care performance was nursing professionalism(β=.26, p < .001), followed by attitudes on advance directive (β=.20, p < .001), participation of terminal care education (β=.15, p=.006), total work experience (β=.13, p=.015), and participation of Do-Not-Resuscitate education (β=.13, p=.018), which explained about 23.1% of the variance in nurses terminal care performance (F=17.05, p < .001).
CONCLUSION
The results of this research suggest that to enhance the nursing performance of nurses in long-term care hospital, it is necessary to develop an education program that can enhance a professionalism and the attitudes on advance directives, and reduce death anxiety experienced by nurses.

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