Development and Evaluation of a Self-Reflection Program for Intensive Care Unit Nurses Who Have Experienced the Death of Pediatric Patients.
10.4040/jkan.2017.47.3.392
- Author:
Hyun Ju KANG
1
;
Kyung Sook BANG
Author Information
1. Department of Nursing, Kangwon National University, Chuncheon, Korea.
- Publication Type:Original Article
- Keywords:
Death;
Intensive care unit;
Nurses;
Program development
- MeSH:
Critical Care*;
Humans;
Intensive Care Units*;
Nursing;
Program Development
- From:Journal of Korean Academy of Nursing
2017;47(3):392-405
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study aims to develop a self-reflection program for nurses who have experienced the death of pediatric patients in the intensive care unit and to evaluate its effectiveness. METHODS: The self-reflection program was developed by means of the following four steps: establishment of the goal through investigation of an initial request, drawing up the program, preliminary research, and implementation and improvement of the program. The study employed a methodological triangulation to evaluate the effectiveness of the program. Participants were 38 nurses who had experienced the death of pediatric patients (experimental group=15, control group=23); they were recruited using convenience sampling. The self-reflection program was provided over 6 weeks (6 sessions). Data were collected from April to August, 2014 and analyzed using t-tests and content analysis. RESULTS: The quantitative results showed that changes in personal growth (t=-6.33, p<.001) and burnout scores (z=-2.76, p=.005) were better in the experimental group compared to the control group. The qualitative results exhibited two themes, namely “personal growth” and “professional growth”, and ten sub-themes. CONCLUSION: The self-reflection program developed by this study was effective in helping nurses who had experienced the death of pediatric patients to achieve personal growth through self-reflection, and it was confirmed that the program can be applied in a realistic clinical nursing setting. Furthermore, it can be recommended as an intervention program for clinical nurses.
