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Lee SJ, Yeom HE. Influence of Spirituality and Job Satisfaction on the Compassion Competence of Hospice Nurses. JOURNAL OF HOSPICE AND PALLIATIVE CARE 2022; 25:169-177. [PMID: 37674670 PMCID: PMC10179992 DOI: 10.14475/jhpc.2022.25.4.169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 11/06/2022] [Accepted: 11/07/2022] [Indexed: 09/08/2023]
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.
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Affiliation(s)
- Su-Jeong Lee
- Department of Nursing, Chungnam National University Hospital, Daejeon, Korea
| | - Hyun-E Yeom
- Department of Nursing, Chungnam National University, Daejeon, Korea
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2
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Relationship between End-of-Life Care Stress, Death Anxiety, and Self-Efficacy of Clinical Nurses in South Korea. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19031082. [PMID: 35162105 PMCID: PMC8833901 DOI: 10.3390/ijerph19031082] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/11/2021] [Revised: 01/14/2022] [Accepted: 01/18/2022] [Indexed: 02/03/2023]
Abstract
In South Korea, the number of cancer patients continues to rise, indicating that nurses have greater access to end-of-life care in clinical settings. This study examined the relationship between the end-of-life care stress, death anxiety, and self-efficacy of clinical nurses in South Korea. A cross-sectional descriptive design was used. Participants were 124 nurses working in university hospitals. Data included the general characteristics of study participants, end-of-life care stress, death anxiety, and self-efficacy. Data were collected from February to March 2021. This study shows that the degrees of end-of-life care stress and death anxiety of clinical nurses in South Korea were higher than the median values. Married nurses had higher self-efficacy than unmarried, and there was a difference between bedside and administrative nurses’ self-efficacy. Nurses with no experience of end-of-life care nursing education had higher death anxiety than nurses with experience. The higher the end-of-life care stress of nurses, the higher the death anxiety. The study suggests that therapeutic and detailed educational programs to reduce end-of-life care stress and death anxiety of clinical nurses are needed, and experimental research to verify this. The results can contribute to countries as an additional and enriching reference.
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Enea V, Candel OS, Zancu SA, Scrumeda A, Bărbuşelu M, Largu AM, Manciuc C. Death anxiety and burnout in intensive care unit specialists facing the COVID-19 outbreak: The mediating role of obsession with COVID-19 and coronaphobia. DEATH STUDIES 2022; 46:2306-2315. [PMID: 34019464 DOI: 10.1080/07481187.2021.1928331] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
The aim of the study was to examine the role of the obsession with COVID-19 thoughts and coronaphobia in the relationship of death anxiety with burnout among staff working at infectious diseases hospitals in the front-line of the fight against COVID-19. A cross-sectional online survey (N = 110) was conducted during the second wave of the COVID-19 pandemic. Results showed that obsession with COVID-19 and coronaphobia mediated the relationship of death anxiety with burnout. Most of the participants reported higher levels of death anxiety compared with the general population and nurses reported higher levels of death anxiety than physicians.
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Affiliation(s)
- Violeta Enea
- Department of Psychology, Alexandru Ioan Cuza University, Iaşi, Romania
| | | | | | - Andreea Scrumeda
- Department of Psychology, Alexandru Ioan Cuza University, Iaşi, Romania
| | - Mariana Bărbuşelu
- Northamptonshire Healthcare NHS Foundation Trust, Memory Assessment Service, UK
| | | | - Carmen Manciuc
- The Saint Parascheva Infectious Diseases Hospital, Iaşi, Romania
- Faculty of Medicine, Grigore T Popa University of Medicine and Pharmacy Iasi, Romania
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The Mediating Effect of Depression on the Relationship between Social Support, Spirituality and Burnout in Family Members of Patients with Cancer. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18041727. [PMID: 33578997 PMCID: PMC7916776 DOI: 10.3390/ijerph18041727] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Revised: 02/05/2021] [Accepted: 02/06/2021] [Indexed: 11/16/2022]
Abstract
When the treatment process of cancer patients changes to outpatient treatment, the burden on family members increases and they often experience burnout. Burnout not only effects the family members themselves but may also have a negative effect on the health of the cancer patient. Therefore, healthcare providers should evaluate burnout in the family members of cancer patients and actively make efforts towards their burnout management. This study investigated the mediating effect of depression on the relationship between social support, spirituality, and burnout in family members of patients with cancer. Participants were 151 family members of patients with cancer who were receiving chemotherapy as outpatients at a single university hospital in Korea. Data was collected from 2 March to 31 May 2016, using self-reported questionnaires. Collected data was analyzed with t-tests, analysis of variance (ANOVA), Pearson's correlations, Baron and Kenny's three-step regression method, and the Sobel test. The participants' mean burnout was below the median. The participants' depression partially mediated the relationship of both social support and spirituality on burnout. Strategies to assess depression and strengthen social support and spirituality should be developed to manage burnout in family members'.
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Shin SH, Kim HY, Woo HY, Lee MN, Kim YJ. Content Analysis of the Meaning of Spiritual Care as Perceived by Nursing Students. HAN'GUK HOSUP'ISU WANHWA UIRYO HAKHOE CHI = THE KOREAN JOURNAL OF HOSPICE AND PALLIATIVE CARE 2020; 23:151-161. [PMID: 37497370 PMCID: PMC10332718 DOI: 10.14475/kjhpc.2020.23.3.151] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Revised: 06/22/2020] [Accepted: 07/21/2020] [Indexed: 07/28/2023]
Abstract
Purpose This study aimed to describe the meaning of spiritual care as perceived by nursing students. Methods This study used a descriptive research design, and the participants were 126 fourth-year nursing students from three nursing colleges. Data were collected from August to September 2019, and were analyzed using the content analysis method. Results Four themes of spiritual care with 15 sub-themes were extracted from the content analysis 1) "promoting spiritual well-being" (sub-themes "providing religious help", "caring for the patient as a spiritual being", and "presupposing human dignity regardless of religion"); 2) "taking place in actual nursing practice" (representative sub-themes "considering the perspective of the patient", "reducing suffering"); 3) "caring for the multifaceted needs of human beings" (representative sub-themes "providing physical, mental, and spiritual care", "caring for both the mental and physical health of the patient"), and 4) "growing together" (sub-themes "positively affecting patient well-being", "beginning with the nurse's self-transcendence"). Conclusion These results suggest that nursing students consider spiritual care to be a highly positive and practical form of nursing care. However, because few students have been exposed to religion and spirituality, more systematic training should be provided.
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Affiliation(s)
- Sun-Hwa Shin
- College of Nursing, Sahmyook University, Seoul, Korea
| | | | - Hee-Yeong Woo
- School of Nursing, Sahmyook Health University, Seoul, Korea
| | - Myung-Nam Lee
- Department of Nursing, College of Health Science, Kangwon National University, Samcheok, Korea
| | - Ye-Jean Kim
- School of Nursing, Sahmyook Health University, Seoul, Korea
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6
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Ghosh D, Gupta B. End-of-Life Issues in the Era of the COVID-19 Pandemic. HAN'GUK HOSUP'ISU WANHWA UIRYO HAKHOE CHI = THE KOREAN JOURNAL OF HOSPICE AND PALLIATIVE CARE 2020; 23:162-165. [PMID: 37497369 PMCID: PMC10332721 DOI: 10.14475/kjhpc.2020.23.3.162] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Revised: 07/27/2020] [Accepted: 08/04/2020] [Indexed: 07/28/2023]
Abstract
Purpose The coronavirus disease 2019 (COVID-19) pandemic has brought the world to a standstill and has exposed the lack of preparedness of most nations' health care systems. Even in usual times, palliative care has not received its fair share of recognition as an important component of patient care; instead, the emphasis is often placed on aggressive patient management. Now, with the entire medical community and decision-making committees focussed on intensive patient care, end-of-life care has taken a backseat. Methods This article is a brief communication. Results COVID 19 infection has been shown to lead to greater mortality and morbidity in patients with pre-existing illnesses such as hypertension, diabetes, renal failure, and cancer. Patients typically in need of end-of-life care, such as those with late-stage cancer or heart failure, are therefore at a higher risk of both contracting COVID-19 and suffering a more severe disease course. The strict nationwide lockdowns being imposed in most countries have deterred patients from seeking medical attention or hospice care. Every day new research is coming to light regarding COVID 19. This has helped significantly in creating awareness and limiting the spread of disease. However, misinformation is also rampant, leading to discrimination and mistreatment of infected patients. Conclusion This pandemic has been a terrifying ordeal for all and has exposed our entire population physically, psychologically, emotionally, and financially to unimaginable stresses. In the present scenario, EOL care is as much a necessity as intensive care and should be given at least a fraction of its importance.
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Affiliation(s)
- Deyashinee Ghosh
- Department of Anesthesiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
| | - Bhavna Gupta
- Department of Anesthesiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
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Lázaro-Pérez C, Martínez-López JÁ, Gómez-Galán J, López-Meneses E. Anxiety About the Risk of Death of Their Patients in Health Professionals in Spain: Analysis at the Peak of the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E5938. [PMID: 32824258 PMCID: PMC7460391 DOI: 10.3390/ijerph17165938] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/19/2020] [Revised: 08/08/2020] [Accepted: 08/12/2020] [Indexed: 12/20/2022]
Abstract
The COVID-19 health crisis has had a global effect, but the consequences in the different countries affected have been very different. In Spain, in a short period of time, health professionals went from a situation of stability to living with a working environment characterized by overcrowded hospitals, lack of individual protection equipment, non-existent or contradictory work protocols, as well as an unknown increase in mortality. Although in their professional activity health workers are closely linked to death processes, in recent months, working conditions and health emergencies have drawn an unheard of working scenario, with the stress and anxiety they may suffer when faced with the death of their patients. The present quantitative research was carried out in different hospitals in Spain on health professionals during the month of April 2020. Through the subscale of anxiety in the face of the death of others, developed by Collett-Lester, it has been verified that health professionals have had to develop their work in a context of precariousness, putting at risk both their individual and collective health, notably increasing anxiety in the face of the death of their patients. The predictive variables of this anxiety have been the absence of individual protection equipment, as well as high levels in the burnout subscales of emotional exhaustion and depersonalization.
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Affiliation(s)
- Cristina Lázaro-Pérez
- Department of Sociology, University of Murcia, Campus Universitario, 11, 30100 Murcia, Spain;
| | - Jose Ángel Martínez-López
- Department of Social Work and Social Services, University of Murcia, Avda. Teniente Flomesta, 5, 30003 Murcia, Spain;
| | - José Gómez-Galán
- Department of Education, University of Extremadura, Avda. de Elvas, s/n, 06006 Badajoz, Spain
- College of Education, Ana G. Méndez University, Cupey Campus, San Juan, PR 00926, USA
| | - Eloy López-Meneses
- Department of Education and Social Psychology, Faculty of Social Sciences, University Pablo de Olavide, 41013 Seville, Spain;
- Research Institute in Social Sciences and Education, Vice-Rectory for Research and Postgraduate, University of Atacama, Copiapó 1530000, Chile
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Comparison of Death Anxiety, Death Obsession, and Humor Among Nurses Working in Medical-Surgical Departments and Intensive Care Units. ARCHIVES OF NEUROSCIENCE 2019. [DOI: 10.5812/ans.86398] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Kim HS, Yeom HA. The association between spiritual well-being and burnout in intensive care unit nurses: A descriptive study. Intensive Crit Care Nurs 2018; 46:92-97. [PMID: 29625870 DOI: 10.1016/j.iccn.2017.11.005] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2017] [Revised: 11/15/2017] [Accepted: 11/26/2017] [Indexed: 10/17/2022]
Abstract
OBJECTIVES To describe the spiritual well-being and burnout of intensive care unit nurses and examine the relationship between these factors. RESEARCH METHODOLOGY This was a cross-sectional descriptive study. The participants were 318 intensive care unit recruited from three university hospitals in South Korea. The survey questionnaire included demographic information, work-related characteristics and end-of-life care experience, along with the Spiritual Well-Being Scale and Burnout Questionnaire. The data were analysed using descriptive statistics, t-tests, ANOVA with Scheffé test and a multiple regression analysis. RESULTS The burnout level among intensive care unit nurses was 3.15 out of 5. A higher level of burnout was significantly associated with younger age, lower education level, single marital status, having no religion, less work experience and previous end-of-life care experience. Higher levels of spiritual well-being were associated with lower levels of burnout, even after controlling for the general characteristics in the regression model. CONCLUSION Intensive care unit nurses experience a high level of burnout in general. Increased spiritual well-being might reduce burnout among intensive care unit nurses. Younger and less experienced nurses should receive more attention as a vulnerable group with lower spirituality and greater burnout in intensive care unit settings.
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Affiliation(s)
- Hyun Sook Kim
- Department of Nursing, Yonsei University Health System, Yonsei Cancer Center, South Korea
| | - Hye-Ah Yeom
- The Catholic University of Korea College of Nursing, 222 Banpo-Daero, Seocho-Gu, Seoul 06591, South Korea.
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Soleimani MA, Pahlevan Sharif S, Allen KA, Yaghoobzadeh A, Sharif Nia H, Gorgulu O. Psychometric Properties of the Persian Version of Spiritual Well-Being Scale in Patients with Acute Myocardial Infarction. JOURNAL OF RELIGION AND HEALTH 2017; 56:1981-1997. [PMID: 27629419 PMCID: PMC5653727 DOI: 10.1007/s10943-016-0305-9] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
The purpose of this study was to assess the psychometric properties of the Persian version of Spiritual Well-Being Scale (SWBS) in patients with acute myocardial infarction. A multisite, cross-sectional survey was employed to determine the instrument's reliability (Cronbach's α and construct reliability) and validity (face, content, and construct). Using systematic sampling of adult outpatients at primary care clinic sites in the Qazvin City, Iran (N = 300), it was found that the Cronbach's alpha and construct reliability of both factors associated with the SWBS were above 0.7. The construct validity of the scale was determined using exploratory factor analysis. The findings supported two factors: relation with God and relation with life. Further investigation through confirmatory factor analysis (eigenvalues of greater than one) confirmed a third factor construct associated with the SWBS. A total of 50.65 % of the variance were explained by these three factors. The overall findings of the study demonstrated that the SWBS is a valid and reliable instrument that has potential utility in future research and clinical practice settings.
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Affiliation(s)
- Mohammad Ali Soleimani
- Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Saeed Pahlevan Sharif
- Taylor’s Business School, Taylor’s University, No. 1, Jalan Taylor’s, 47500 Subang Jaya, Selangor Malaysia
| | - Kelly A. Allen
- The Melbourne Graduate School of Education, The University of Melbourne, Melbourne, Australia
| | - Ameneh Yaghoobzadeh
- Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Hamid Sharif Nia
- School of Nursing and Midwifery Amol, Mazandaran University of Medical Sciences, Sari, Iran
| | - Ozkan Gorgulu
- Department of Biostatistics and Medical Informatics, Faculty of Medicine, Ahi Evran University, Kırşehir, Turkey
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Lee LJ, Park HS. Death Anxiety and Terminal Care Performance of Nurses at Long Term Care Hospitals. ACTA ACUST UNITED AC 2017. [DOI: 10.14475/kjhpc.2017.20.1.37] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- La Jin Lee
- Graduate School, Pusan National University, Busan, Korea
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Lee BS, Kwak SY. Experience of Spiritual Conflict in Hospice Nurses: A Phenomenological Study. J Korean Acad Nurs 2017; 47:98-109. [DOI: 10.4040/jkan.2017.47.1.98] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2016] [Revised: 08/18/2016] [Accepted: 12/02/2016] [Indexed: 11/09/2022]
Affiliation(s)
| | - Su Young Kwak
- Department of Nursing, Keimyung College University, Daegu, Korea
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Kim WS, Cho HH, Kwon S. The Influence of Terminal Care Performance, Death Anxiety and Self-Esteem on Terminal Care Stress of Geriatric Hospital Nurses. ACTA ACUST UNITED AC 2016. [DOI: 10.14475/kjhpc.2016.19.2.154] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- Won Soon Kim
- College of Nursing, Graduate School, Kosin University, Busan, Korea
| | - Hun Ha Cho
- College of Nursing, Kosin University, Busan, Korea
| | - Suhye Kwon
- College of Nursing, Kosin University, Busan, Korea
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Yang KH, Kwon SI. The Effects of Attitude to Death in the Hospice and Palliative Professionals on Their Terminal Care Stress. ACTA ACUST UNITED AC 2015. [DOI: 10.14475/kjhpc.2015.18.4.285] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- Kyung Hee Yang
- Department of Nursing, Wonkwang Health Science University, Iksan, Korea
| | - Seong Il Kwon
- Department of Psychology, The College of Arts and Sciences, Graduated from Syracuse University, New York, U.S.A
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Son YL, Seo YS. A Study on Ethical Attitude to DNR and Terminal Care Performance of Hospital Nurse. ACTA ACUST UNITED AC 2015. [DOI: 10.15205/kschs.2015.3.2.361] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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