Nurses' roles and challenges in providing end-of-life care in neonatal intensive care units in South Korea

被引:22
作者
Kim, Sujeong [1 ]
Savage, Teresa A. [2 ]
Song, Mi-Kyung [3 ,4 ]
Vincent, Catherine [2 ]
Park, Chang G. [2 ]
Ferrans, Carol Estwing [2 ]
Kavanaugh, Karen [2 ,5 ]
机构
[1] Seattle Univ, Coll Nursing, 901 12th Ave, Seattle, WA 98122 USA
[2] Univ Illinois, Coll Nursing, 845 S Damen Ave, Chicago, IL 60612 USA
[3] Emory Univ, Nell Hodgson Woodruff Sch Nursing, 1520 Clifton Rd, Atlanta, GA 30322 USA
[4] Emory Univ, Ctr Nursing Excellence Palliat Care, 1520 Clifton Rd, Atlanta, GA 30322 USA
[5] Childrens Hosp Wisconsin, 8915 W Connell Ct, Milwaukee, WI 53226 USA
关键词
NICU; End-of-life care; Neonates; South Korea; Nursing role; PALLIATIVE CARE; SUPPORT DECISIONS; BARRIERS; NICU;
D O I
10.1016/j.apnr.2019.151204
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background: Neonatal Intensive Care Unit (NICU) nurses in Korea often experience challenges in providing care for dying infants and their families. However, there is limited understanding about what contributes to the challenges related to end-of-life care. Purpose: To describe NICU nurses' perceived roles and challenges faced while providing end-of-life care in South Korea. Methods: A qualitative descriptive study was conducted with 20 NICU nurses in South Korea using semi-structured interviews. Participants were recruited from two NICUs in Seoul, where infant mortality is the highest in South Korea. Transcribed interviews were coded by two research personnel, and subsequently, a developed coding book was translated by three research personnel. The codes developed were categorized and peer-reviewed to develop themes using conventional content analysis. Results: Nurses' roles during end-of-life care were grouped into four categories: providing information and support, enhancing attachment between the parents and infants, providing direct care to the infant, and completing documentation. Nurses' perceived challenges during end-of-life care included providing end-of-life care without adequate experience and knowledge, environmental constraints on end-of-life care, and conflicted situations during end-of-life care. Conclusion: Although the nurses provided the best care they could, their end-of-life care practice was hindered for various reasons. To enhance NICU nurses' ability to provide and make them more capable of providing high quality EOL care, hospitals need to support nurse education and improve staffing level, and create in NICUs an environment that is favorable for providing EOL care.
引用
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页数:7
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