Relationship of ICU Nurses' Difficulties in End-of-Life Care to Moral Distress, Burnout and Job Satisfaction
10.11111/jkana.2019.25.1.42
- Author:
Kkot Bi JEON
1
;
Mihyun PARK
Author Information
1. College of Nursing, The Catholic University of Korea, Seoul, Korea. cleanfr@cyworld.com
- Publication Type:Original Article
- Keywords:
Intensive care units;
End of life care;
Moral distress;
Burnout;
Job satisfaction
- MeSH:
Education;
Hospitals, University;
Intensive Care Units;
Job Satisfaction;
Nursing;
Terminal Care
- From:Journal of Korean Academy of Nursing Administration
2019;25(1):42-51
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The aim of this study was to identify the relationships between the difficulty of end-of-life care and moral distress, burnout and job satisfaction of nurses working in intensive care units (ICUs). METHODS: This descriptive study was conducted using self-report questionnaires. Participants were nurses who had more than one year of ICU experience and were recruited from three university hospitals (N=168). RESULTS: The mean scores for ICU nurses' difficulty in end-of-life care, moral distress, burnout and job satisfaction were 3.42, 113.88, 3.16 and 2.58 points, respectively. Difficulty in end-of-life care was positively correlated with moral distress (r=.48, p < .001) and burnout (r=.26, p=.001) and was negatively correlated with job satisfaction (r=−.17, p=.024). Difficulties in end-of-life was identified as a predictor of moral distress (β=.44, p < .001), burnout (β=.26, p=.001) and job satisfaction (β=−.18, p=.024). CONCLUSION: The results of this study suggest the following: it is important to have a deep understanding of ICU nurses who experience various difficulties in end-of-life care and to provide realist support for these nurses. And practical efforts by nursing organizations are needed, including support systems and education programs to alleviate ICU nurses' difficulties in end-of-life care.
