A Scoping Review of End-Of-Life Care Education Programs for Critical Care Nurses (중환자실 간호사를 위한 임종간호교육: 주제범위 문헌고찰)

HAN EUGENE (한유진); 최수미; 윤기영; 김성하; SANGHEE KIM (김상희); 윤혜영

A Scoping Review of End-Of-Life Care Education Programs for Critical Care Nurses

Korean Journal of Medical Ethics
Abbr : 의료윤리
2023, 26(3), pp.185-207
Publisher : The Korean Society For Medical Ethics
Research Area : Medicine and Pharmacy > General Medicine
Received : August 8, 2023
Accepted : September 6, 2023
Published : September 30, 2023

HAN EUGENE ¹, 최수미 ², 윤기영 ², 김성하 ³, SANGHEE KIM ⁴, 윤혜영 ¹

¹세브란스병원
²세브란스병원 연세암병원
³세브란스 병원 연세암병원
⁴연세대학교

Accredited

ABSTRACT

This article reports on a scoping review that was designed to identify research trends and contents related to End-Of- Life care guidelines in education programs for nurses working in intensive care units. Following the methodology of Arksey and O’Malley, we conducted a scoping review of articles published (in either English or Korean) within the last 10 years that focus on educational interventions for critical care nurses concerning End-Of-Life care. The following domains were abstracted from the collected data: study design, program details, program evaluation, and results. A total 15 studies were extracted and reviewed. The predominant educational approach in these studies was competency enhancement education. The teaching methods employed included lectures, demonstrations, simulations, role-play, workshops, discussions, mentoring, and online training. Most of the educational program evaluations measured changes in knowledge, attitude, or confidence levels related to various aspects of End-Of- Life care, including communication with patients, legal considerations, ethical decision-making, and symptoms management. This study suggests that educational interventions can improve the End-Of-Life care provided by critical care nurses, and future research should target programs aimed at enhancing the relevant skills and competencies of these nurses.

KEYWORDS

terminal care, intensive care units, nurses, critical care nursing, education

Citation status

* References for papers published after 2023 are currently being built.

[journal] 박경숙 / 2015 / Dilemma in Decision Making about Life-Sustaining Treatment and its Social Context / 사회와 이론 / 한국이론사회학회 (26) : 255~302

[journal] 안경진 / 2020 / A Study on the Life-sustaining Treatment Decision-making and End-of-Life Care Experiences of Intensive Care Nurses after the Enforcement of the Life-sustaining Treatment Decision-making Act / 생명윤리 / 한국생명윤리학회 21(2) : 31~53

[journal] 문재영 / 2013 / The End-of-Life Care in the Intensive Care Unit / Acute and Critical Care / 대한중환자의학회 28(3) : 163~172

[journal] Yu HU / 2010 / Nurses’ response to death and dying in an intensive care unit : a qualitative study / J Clin Nurs 19(7-8) : 1167~1169

[journal] 김현숙 / 2019 / Difficulties in End-of-Life Care and Educational Needs of Intensive Care Unit Nurses: A Mixed Methods Study / Journal of Hospice and Palliative Care / 한국호스피스완화의료학회 22(2) : 87~99

[journal] Kim J / 2022 / Development of an end-of-life nursing care protocol for intensive care units: delphi survey method / J Hosp Palliat Nurs 24(4) : E159~E165

[journal] Arksey H / 2005 / Scoping studies : towards a methodological framework / Int J Soc Res Methodol 8(1) : 19~32

[web] Nusser H. / 2020 / Does EOL and palliative care training increase clinicians’ self-perceived knowledge and/or confidence with EOL care and communication? Findings from a systematic review / Carolina Digital Repository / https://doi.org/10.17615/ptek-z478

[journal] Abd-Elaziz WW / 2014 / Impact of implementing a designed intervention palliative care program on critical care nurses’knowledge and practice / Mansoura Nurs J 1(1) : 45~58

[journal] Milic MM / 2015 / Communicating with patients’ families and physicians about prognosis and goals of care / Am J Crit Care 24(4) : e56~e64

[journal] Nasr NH / 2018 / Effect of an teaching program on critical care nurses’s performance about end of life care for hepatic patients / Assiut Sci Nurs J 6(14) : 133~143

[journal] Bishop CT / 2019 / Online end-of-life nursing education consortium core curriculum for staff nurses : an education strategy to improve clinical practice / J Hosp Palliat Nurs 21(6) : 531~539

[thesis] Hare KA / 2020 / Evidence-based end-of-life care education for intensive care nurses / Doctor / Walden University

[journal] Abd Elhameed SH / Effect of implementing geriatric palliative care guideline on nurses knowledge and practices / QJM Int J Med 111(suppl_1)

[journal] Shifrin MM / 2016 / An evidence-based practice approach to end-of-life nursing education in intensive care units / J Hosp Palliat Nurs 18(4) : 342~348

[journal] Anderson WG / 2017 / Palliative care professional development for critical care nurses : a multicenter program / Am J Crit Care 26(5) : 361~371

[journal] Noome M / 2016 / Effectiveness of supporting intensive care units on implementing the guideline ‘end-of-life care in the intensive care unit, nursing care’ : a cluster randomized controlled trial / J Adv Nurs 73(6) : 1339~1354

[journal] Mohamed RF / 2021 / Effect of palliative care guideline on nurses’ knowledge, attitude, and practice at intensive care unit / Egypt J Nurs Health Sci 2(2) : 81~109

[journal] Manning J / 2021 / Effectiveness of an end-of-life nursing education consortium training on registered nurses’ educational needs in providing palliative and end-of-life patient care / J Hosp Palliat Nurs 23(1) : 84~88

[journal] Yang JH / 2021 / End-of-life care mobile app for intensive-care unit nurses : a quasi-experimental study / Int J Environ Res Public Health 18(3) : 1253~

[journal] Ghaemizade Shushtari SS / 2022 / Effect of end-of-life nursing education on the knowledge and performance of nurses in the intensive care unit : a quasi-experimental study / BMC Nurs 21 : 102~

[web] Harrison S / 2022 / Increasing knowledge and comfort levels of ICU nurses in goals of care discussions through palliative care education / Gardner-Webb University / https://digitalcommons.gardner-webb.edu/nursingdnp/41/

[journal] DeFusco C / 2023 / Improving critical care nurses perceived self-efficacy in providing palliative care : a quasi-experimental study / Am J Hosp Palliat Med 40(2) : 117~121

[journal] 김건우 / 2020 / Analysis of domestic education trends after COVID-19: focusing on non-face-to-face education / 차세대컨버전스정보서비스기술논문지 / 차세대컨버전스정보서비스학회 9(4) : 377~390

[book] Kirkpatrick DL / 2006 / Evaluating training programs: the four levels / BerrettKoehler Publishers

[journal] Myers JC / 2021 / End-of-life care : improving communication and reducing stress / Crit Care Nurs Q 44(2) : 235~247

KJCKorea
Journal Central

Korean Journal of Medical Ethics 2023 KCI Impact Factor : 1.21