중환자실 간호사의 생애말 의사결정 과정에서 경험하는 인식과 스트레스가 생애말 간호역량에 미치는 영향

Abstract

Purpose: This study aimed to investigate the influence of perceptions and stress experienced during the end-of-life decision-making process on end-of-life care competence among intensive care unit (ICU) nurses.

Methods: Data were collected from February 1 to March 1, 2023, and analyzed using the IBM SPSS/WIN 27.0 program.

Results: Factors influencing end-of-life care competence among ICU nurses included role clarity in the end-of-life context (β=.34, p<.001), collaboration in the end-of-life context (β=.25, p=.002), and work-related interruptions of communication with families (β=-.15, p=.029). These factors, which were subdomains of perceptions and stress experienced during end-of-life decision making process, collectively explained 51.0% of the variance (F=13.09, p<.001).

Conclusion: Enhancing end-of-life care competence among ICU nurses requires targeted interventions. These measures should include the development of clear guidelines, the provision of education, and the implementation of institutional strategies aimed at clarifying nurses' roles in end-of-life situations, fostering collaboration among nursing staff, and reducing work-related interruptions in communication with families.