Journal of hospice and palliative care最新文献_第5页

Participation and Influencing Factors in the Decision-Making of Life-Sustaining Treatment: A Focus on Deceased Patients with Hematologic Neoplasms. 生命维持治疗决策中的参与及其影响因素：关注血液肿瘤死亡患者。

Journal of hospice and palliative care Pub Date : 2023-06-01 DOI: 10.14475/jhpc.2023.26.2.69

Jae Eun Jang, Jeong Moon Ryu, Min Hee Heo, Do Eun Kwon, Ji Yeon Seo, Dong Yeon Kim

{"title":"Participation and Influencing Factors in the Decision-Making of Life-Sustaining Treatment: A Focus on Deceased Patients with Hematologic Neoplasms.","authors":"Jae Eun Jang, Jeong Moon Ryu, Min Hee Heo, Do Eun Kwon, Ji Yeon Seo, Dong Yeon Kim","doi":"10.14475/jhpc.2023.26.2.69","DOIUrl":"10.14475/jhpc.2023.26.2.69","url":null,"abstract":"Purpose: This study aimed to investigate the involvement of patients who died from hematologic neoplasms in the decision-making process surrounding the withdrawal of life-sustaining treatment (LST).Methods: A total of 255 patients diagnosed with hematologic neoplasms who ultimately died following decisions related to LST during their end-of-life period at a university hospital were included in the study. Data were retrospectively obtained from electronic medical records and analyzed utilizing the chi-square test, independent t-test, and logistic regression.Results: In total, 42.0% of patients participated in the decision-making process regarding LST for their hematologic neoplasms, while 58.0% of decisions were made with family involvement. Among these patients, 65.1% died in general wards and 34.9% in intensive care units (ICUs) as a result of decisions such as the suspension of LST. The period from the LST decision to death was longer when the decision was made by the patient (average, 27.15 days) than when it was made by the family (average, 7.48 days). Most decisions were made by doctors and family members in the ICU, where only 20.6% of patients exercised their right to make decisions regarding LST, a rate considerably lower than 79.4% observed in general wards. Decisions to withhold or withdraw LST were more commonly made by patients themselves than by their families.Conclusion: The key to discussing the decision to suspend hospice care and LST is respecting the patient's self-determination. If a patient is lucid prior to admission to the ICU, considerations about suspending LST should involve the patient input.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"26 2","pages":"69-79"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3f/49/jhpc-26-2-69.PMC10519723.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41124809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ethical Issue of Physician-Assisted Suicide and Euthanasia. 医生协助自杀和安乐死的伦理问题。

Journal of hospice and palliative care Pub Date : 2023-06-01 DOI: 10.14475/jhpc.2023.26.2.95

Myung Ah Lee

{"title":"Ethical Issue of Physician-Assisted Suicide and Euthanasia.","authors":"Myung Ah Lee","doi":"10.14475/jhpc.2023.26.2.95","DOIUrl":"https://doi.org/10.14475/jhpc.2023.26.2.95","url":null,"abstract":"With the implementation of Act on Hospice and Palliative Care and Decisions on Life-Sustaining Treatment for Patients at the End of Life, interests of the general public on self-determination right and dignified death of patients have increased markedly in Korea. However, \"self-determination\" on medical care is misunderstood as decision not to sustain life, and \"dignified death\" as terminating life before suffering from disease in terminal stage. This belief leads that physician-assisted suicide should be accommodated is being proliferated widely in the society even without accepting euthanasia. Artificially terminating the life of a human is an unethical act even though there is any rational or motivation by the person requesting euthanasia, and there is agreement thereof has been reached while there are overseas countries that allow euthanasia. Given the fact that the essence of medical care is to enable the human to live their lives in greater comfort by enhancing their health throughout their lives, physician-assisted suicide should be deemed as one of the means of euthanasia, not as a means of dignified death. Accordingly, institutional organization and improvement of the quality of hospice palliative care to assist the patients suffering from terminal stage or intractable diseases in putting their lives in order and to more comfortably accept the end of life physically, mentally, socially, psychologically and spiritually need to be implemented first to ensure their dignified death.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"26 2","pages":"95-100"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/01/10/jhpc-26-2-95.PMC10519727.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41171980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Analysis of John Bowlby's Mourning Stages in Family Art Therapy as a Way to Help the Family Mourning Process. 约翰·鲍尔比在家庭艺术治疗中的哀悼阶段分析，以帮助家庭哀悼过程。

Journal of hospice and palliative care Pub Date : 2023-06-01 DOI: 10.14475/jhpc.2023.26.2.27

Seon Ah Yang, Sung Hee An, Cho Hee Kim, Min-Sun Kim

{"title":"An Analysis of John Bowlby's Mourning Stages in Family Art Therapy as a Way to Help the Family Mourning Process.","authors":"Seon Ah Yang, Sung Hee An, Cho Hee Kim, Min-Sun Kim","doi":"10.14475/jhpc.2023.26.2.27","DOIUrl":"10.14475/jhpc.2023.26.2.27","url":null,"abstract":"Purpose: Pediatric palliative care is a rapidly developing multidisciplinary approach that supports children with life-limiting conditions and their families. However, there is limited evidence on how to effectively support bereaved parents and siblings. The purpose of this study is to explore the therapeutic impact of art therapy for bereaved families, in accordance with John Bowlby's four-stage theory of mourning.Methods: This single-case study employed the consensual qualitative research method. Art therapy records of bereaved families were reviewed individually, and records from one case were selected. Verbal statements made during the art therapy sessions and photocopies of the artworks were analyzed to understand the mourning process of the family.Results: A total of 113 statements and 12 artworks from 19 art therapy sessions were analyzed. As the art therapy progressed, each family member exhibited a pattern of engaging in more positive and healthy conversations in daily life, demonstrating the final stage of mourning reorganization and recovery. The family dynamics also revealed that they reconstructed their inner world and redefined the meaning of loss, which is the final stage of mourning. The art therapy provided a safe environment for the family, allowing them to fulfill their wishes and regain the strength needed for recovery.Conclusion: This study suggests that art therapy supports bereaved families in alleviating their psychological difficulties, engaging in a healthy mourning process, and functioning as members of society. Further research is needed to better understand the effect of art therapy as a bereavement support tool in pediatric palliative care.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"26 2","pages":"27-41"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e9/08/jhpc-26-2-27.PMC10519726.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41173801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Current Status of the Pediatric Palliative Care Pilot Project in South Korea Based on the Experience of a Single Center. 基于单一中心经验的韩国儿科姑息治疗试点项目的现状。

Journal of hospice and palliative care Pub Date : 2023-06-01 DOI: 10.14475/jhpc.2023.26.2.51

Sun Hee Choi, Na Ri Yoon, Yeonhee Lee

{"title":"Current Status of the Pediatric Palliative Care Pilot Project in South Korea Based on the Experience of a Single Center.","authors":"Sun Hee Choi, Na Ri Yoon, Yeonhee Lee","doi":"10.14475/jhpc.2023.26.2.51","DOIUrl":"https://doi.org/10.14475/jhpc.2023.26.2.51","url":null,"abstract":"Purpose: We evaluated the status of patients enrolled in South Korea's pediatric palliative care pilot project based on the experience of a single center. This study examined factors related to end-of-life services and differences in medical costs.Methods: The medical records of 120 patients referred by a pediatric palliative care team were analyzed retrospectively. Data from July 1 to February 28, 2022 were collected and analyzed using the chi-square test and the Mann-Whitney U test.Results: Volunteer programs and psychological support (100%), family support and education (99.2%), and financial support through institutional linkage (62.5%) were provided to the participants. In the deceased group, there were no significant differences in general characteristics, which included age, gender, primary disease, religion, duration of hospitalization in an intensive care unit (ICU) and non-intensive care unit (non-ICU). However, the ICU group had fewer opportunities to access individual pain and physical symptom management than the non-ICU group and there were limitations in linking with external resources. Medical expenses were significantly different for the ICU group, with a 3-times higher average cost than the non-ICU group.Conclusion: Although an individualized approach is needed for each patient in pediatric palliative care, psychosocial care is essential. In addition, if early intervention for end-of-life pediatric patients is available from a palliative care team, the cost burden of medical care for patients and their families should be minimal.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"26 2","pages":"51-59"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f6/2c/jhpc-26-2-51.PMC10519722.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41174234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hospice and Palliative Care for Patients in the Intensive Care Unit: Current Status in Countries Other than Korea. 重症监护室患者的临终关怀和姑息治疗：韩国以外国家的现状。

Journal of hospice and palliative care Pub Date : 2023-03-01 DOI: 10.14475/jhpc.2023.26.1.22

Minkyu Jung

{"title":"Hospice and Palliative Care for Patients in the Intensive Care Unit: Current Status in Countries Other than Korea.","authors":"Minkyu Jung","doi":"10.14475/jhpc.2023.26.1.22","DOIUrl":"https://doi.org/10.14475/jhpc.2023.26.1.22","url":null,"abstract":"Although most patients prefer dying at home, patients whose condition rapidly becomes critical need care in the intensive care unit (ICU), and it is rare for them to die at home with their families. Therefore, interest in hospice and palliative care for patients in the ICU is increasing. Hospice and palliative care (PC) is necessary for all patients with life-threatening diseases. The following patients need palliative care in the ICU: patients with chronic critical illnesses who need tracheostomy, percutaneous gastrostomy tube, and extracorporeal life support; patients aged 80 years or older; stage 4 cancer patients; patients with specific acute diseases with a poor prognosis (e.g., anoxic brain injury and intracerebral hemorrhage requiring mechanical ventilation); and patients for whom the attending physician expects a poor prognosis. There are two PC models-a consultative model and an integrative model-in the ICU setting. Since these two models have advantages and disadvantages, it is necessary to apply the model that best fits each hospital's circumstances. Furthermore, interdisciplinary decision-making between the ICU care team and PC specialists should be strengthened to increase the provision of hospice and palliative care services for patients expected to have poor outcomes and their families.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"26 1","pages":"22-25"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cd/7f/jhpc-26-1-22.PMC10519717.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41161114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prediction of Survival in Patients with Advanced Cancer: A Narrative Review and Future Research Priorities. 晚期癌症患者生存率的预测：叙述性回顾和未来的研究重点。

Journal of hospice and palliative care Pub Date : 2023-03-01 DOI: 10.14475/jhpc.2023.26.1.1

Yusuke Hiratsuka, Jun Hamano, Masanori Mori, Isseki Maeda, Tatsuya Morita, Sang-Yeon Suh

{"title":"Prediction of Survival in Patients with Advanced Cancer: A Narrative Review and Future Research Priorities.","authors":"Yusuke Hiratsuka, Jun Hamano, Masanori Mori, Isseki Maeda, Tatsuya Morita, Sang-Yeon Suh","doi":"10.14475/jhpc.2023.26.1.1","DOIUrl":"https://doi.org/10.14475/jhpc.2023.26.1.1","url":null,"abstract":"This paper aimed to summarize the current situation of prognostication for patients with an expected survival of weeks or months, and to clarify future research priorities. Prognostic information is essential for patients, their families, and medical professionals to make end-of-life decisions. The clinician's prediction of survival is often used, but this may be inaccurate and optimistic. Many prognostic tools, such as the Palliative Performance Scale, Palliative Prognostic Index, Palliative Prognostic Score, and Prognosis in Palliative Care Study, have been developed and validated to reduce the inaccuracy of the clinician's prediction of survival. To date, there is no consensus on the most appropriate method of comparing tools that use different formats to predict survival. Therefore, the feasibility of using prognostic scales in clinical practice and the information wanted by the end users can determine the appropriate prognostic tool to use. We propose four major themes for further prognostication research: (1) functional prognosis, (2) outcomes of prognostic communication, (3) artificial intelligence, and (4) education for clinicians.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"26 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/26/18/jhpc-26-1-1.PMC10519719.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41142980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treatment of Opioid Withdrawal Syndrome Triggered by Oxycodone/Naloxone with Dexmedetomidine. 羟考酮/纳洛酮联合右美托咪定治疗阿片类药物戒断综合征。

Journal of hospice and palliative care Pub Date : 2023-03-01 DOI: 10.14475/jhpc.2023.26.1.18

Se-Il Go, Jung Hoon Kim, Jung Hun Kang

{"title":"Treatment of Opioid Withdrawal Syndrome Triggered by Oxycodone/Naloxone with Dexmedetomidine.","authors":"Se-Il Go, Jung Hoon Kim, Jung Hun Kang","doi":"10.14475/jhpc.2023.26.1.18","DOIUrl":"10.14475/jhpc.2023.26.1.18","url":null,"abstract":"The combination of oxycodone and naloxone is useful for cancer pain management. Naloxone, as a pure opioid antagonist, cannot be used simultaneously with opioids. However, owing to its low bioavailability, it can be used in an oral composite formulation. We present the case of a 55-year-old man with gastric cancer who experienced severe opioid withdrawal syndrome (OWS) triggered by oxycodone/naloxone that was successfully managed with dexmedetomidine. He had been in a stable condition on intravenous morphine to alleviate cancer pain. Intravenous morphine was switched to oral oxycodone/naloxone for discharge from the hospital. The patient suddenly developed restlessness, heartburn, and violent behavior 30 minutes after taking oxycodone/naloxone. We attempted sedation with midazolam and propofol, but paradoxical agitation and desaturation occurred. Next, we tried dexmedetomidine and the patient showed a decreased heart rate and reduced agitation. The patient was eventually stabilized by increasing the dose of dexmedetomidine. This report informs clinicians of the possibility of OWS when switching from opioids to oxycodone/naloxone, which can be overcome with the appropriate use of sedatives and dexmedetomidine depending on the patient's condition.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"26 1","pages":"18-21"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/47/b1/jhpc-26-1-18.PMC10519718.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41180680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Decision and Practice of End-of-Life Care in Lung Disease Patients with Physicians Orders for Life Sustaining Treatment. 肺病患者临终关怀的决策与实践——附医生的生命维持治疗命令。

Journal of hospice and palliative care Pub Date : 2023-03-01 DOI: 10.14475/jhpc.2023.26.1.7

Yu Mi Oh, Yoon Na Kang, Soo Jung Han, Jeong Hye Kim

{"title":"Decision and Practice of End-of-Life Care in Lung Disease Patients with Physicians Orders for Life Sustaining Treatment.","authors":"Yu Mi Oh, Yoon Na Kang, Soo Jung Han, Jeong Hye Kim","doi":"10.14475/jhpc.2023.26.1.7","DOIUrl":"https://doi.org/10.14475/jhpc.2023.26.1.7","url":null,"abstract":"Purpose: The purpose of this study was to analyze end-of-life care practices in lung disease patients with physician orders for life-sustaining treatment (POLSTs).Methods: We retrospectively analyzed data from medical records regarding the end-of-life care practices of POLST decisions for patients with lung disease hospitalized at a tertiary hospital in Seoul, South Korea. Data were collected from January 1 to June 30, 2021.Results: Of 300 total patients, 198 had lung cancer (66.0%) and 102 had non-malignant lung diseases (34.0%). A POLST was written for 187 patients (62.3%), and an advance directive was written for 20 patients (6.7%). Subsequent treatments were hemodialysis in 13 patients (4.3%), surgery in 3 patients (1.0%), and cardiopulmonary cerebral resuscitation in 1 patient (0.3%). Among cancer patients, chemotherapy was performed in 11 patients (3.7%), targeted therapy in 11 patients (3.7%), immunotherapy in 6 patients (2.0%), and radiation therapy in 13 patients (4.3%). Depending on the type of lung disease, types of treatment differed, including hemodialysis, ventilators, bilevel positive airway pressure, high-flow nasal cannulas, nebulizers, enteral nutrition, central line, inotropic agents, and opioids.Conclusion: Although the goals of hospice care are the same whether a patient has lung cancer or a non-malignant lung disease, because the characteristics of the respective diseases differ, end-of-life care practices and hospice approaches must be considered differently.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"26 1","pages":"7-17"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9f/25/jhpc-26-1-7.PMC10519720.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41177651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors Affecting Psychological Burnout in Nurses Caring for Terminal Cancer Patients. 影响癌症晚期护理人员心理倦怠的因素

Journal of hospice and palliative care Pub Date : 2022-12-01 DOI: 10.14475/jhpc.2022.25.4.159

Na-Ri Seo, Hyun-E Yeom

{"title":"Factors Affecting Psychological Burnout in Nurses Caring for Terminal Cancer Patients.","authors":"Na-Ri Seo, Hyun-E Yeom","doi":"10.14475/jhpc.2022.25.4.159","DOIUrl":"https://doi.org/10.14475/jhpc.2022.25.4.159","url":null,"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-of-life care competency, ethical dilemmas, psychological burnout, and general sociodemographic characteristics. Data were analyzed using descriptive statistics, the independent t-test, 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 end-of-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.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"25 4","pages":"159-168"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/36/92/jhpc-25-4-159.PMC10179995.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10177850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Influence of Spirituality and Job Satisfaction on the Compassion Competence of Hospice Nurses. 灵性和工作满意度对安宁疗护护士同情能力的影响。

Journal of hospice and palliative care Pub Date : 2022-12-01 DOI: 10.14475/jhpc.2022.25.4.169

Su-Jeong Lee, Hyun-E Yeom

{"title":"Influence of Spirituality and Job Satisfaction on the Compassion Competence of Hospice Nurses.","authors":"Su-Jeong Lee, Hyun-E Yeom","doi":"10.14475/jhpc.2022.25.4.169","DOIUrl":"https://doi.org/10.14475/jhpc.2022.25.4.169","url":null,"abstract":"Purpose: The aim of this study was to examine the influence of spirituality and job satisfaction on the compassion competence of hospice nurses.Methods: This was a cross-sectional study of 118 hospice nurses from 16 hospitals in Daejeon, Chungcheong Province, and Jeolla Province. A self-administered survey was conducted using a structured questionnaire including the Spirituality Scale, Index of Work Satisfaction, the Compassion Competence Scale for Nurses, and general socio-demographic information. The data were analyzed using descriptive statistics, the t-test, Pearson correlation coefficients, and hierarchical linear regression analysis using SPSS for Windows version 26.0.Results: Compassion competence was correlated with spirituality (r=0.66, P<0.001) and job satisfaction (r=0.52, P<0.001), and spirituality was correlated with job satisfaction (r=0.44, P<0.001). Spirituality (β=0.513, P<0.001) and job satisfaction (β=0.273, P<0.001) were significant factors affecting the compassion competence of hospice nurses, after adjusting for the sociodemographic and work-related covariates. The step-by-step results from hierarchical linear regression analysis also indicated that spirituality had a stronger impact than job satisfaction on compassion competence.Conclusion: Our findings demonstrate the importance of spirituality, which plays a role in guiding the compassion competence of hospice nurses. It is necessary to support the spirituality and job satisfaction of hospice nurses, which could facilitate their compassion competence and thereby contribute to improving the quality of hospice and palliative care.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"25 4","pages":"169-177"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e4/e2/jhpc-25-4-169.PMC10179992.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10171073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0