Purpose Over 10% of intensive care unit (ICU) patients die; however, research aimed at assessing and improving the quality of their deaths remains scarce. This study investigated the impact of communication among healthcare professionals and person-centered care provided by ICU nurses on the quality of dying and death (QODD) experienced by ICU patients.
Methods We measured general characteristics of ICU nurses, interprofessional communication, and person-centered care, and identified their impact on the quality of death for patients who died in the ICU. Participants consisted of 103 ICU nurses employed at two tertiary hospitals in South Korea. Data were collected between January and May 2023. Descriptive statistics, the t-test, analysis of variance, the Mann-Whitney U test, Pearson correlation coefficients, and multiple linear regression analyses were conducted using SPSS version 23.0.
Results The mean QODD score was 44.73±21.26. QODD was positively correlated with openness (nurse-physician), understanding (nurse-physician), satisfaction (nurse-physician), and person-centered care. Factors significantly influencing QODD included nurse-physician communication, specifically understanding (β=.35, p=.010), and person-centered care (β=.19, p=.033), explaining 20.2% of the total variance (F=7.44, p<.001).
Conclusion Improved communication among healthcare professionals and enhanced person-centered care are essential for improving the QODD for ICU patients. To achieve this, educational initiatives focusing on end-of-life care and communication training programs for healthcare professionals should be implemented.
Purpose The triage process in the emergency department is a complex decision-making task influenced by individual competence and a multitude of factors. Unlike patient-related factors, nurse-related factors can be improved through education. This study sought to determine the impact of grit, self-leadership, and communication skills of emergency department nurses on their triage competency. Methods We surveyed a convenience sample of 152 emergency department nurses to evaluate their grit, self-leadership, communication skills, and triage competency. The differences in these skills and competencies were analyzed according to the participants' general characteristics using the independent t-test and one-way analysis of variance. Hierarchical regression analysis was performed to identify the factors influencing nurses' triage competency. Results Triage experience, self-leadership, and communication skills influenced triage competency. Although triage competency can be positively impacted by knowledge gained from experience, expert assessment was identified as the least developed category of triage competency. Conclusion To improve nurses' triage competency, it is necessary to implement educational programs that utilize various methods to address self-leadership and communication skills. Moreover, reflective methods can be employed to help develop self-leadership, thereby improving triage competency. These findings can contribute to improving the work culture and the development of educational programs. Specifically, these programs should treat nurses' mistakes during work as learning opportunities rather than failures, thereby significantly advancing their competency.
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Purpose This study was conducted to identify the factors affecting the performance of person-centered care among Intensive Care Unit (ICU) nurses from an ecological perspective. Methods The participants were 172 ICU nurses working in eight hospitals in B city. Data were collected from July to August, 2020. The questionnaire consisted of measuring tools for general characteristics, performance of person-centered care, compassion satisfaction, communication competence, and teamwork. The SPSS/25.0 program was used to analyze the data using hierarchical multiple regression. Results According to the hierarchical multiple regression analysis, total nursing experience, compassion satisfaction, communication competence, and team work accounted for 44.1% of the variance in performance of person-centered care among ICU nurses (p<.001). Conclusion Enhancing compassion satisfaction, communication competence, and teamwork can help increase the performance of ICU nurses’ person-centered care. In addition, in order to improve the performance of person-centered care among ICU nurses, it is necessary to investigate and explore the factors hindering the performance of person-centered care among ICU nurses with more than 5 years of experience. Therefore, multidimensional efforts are needed to develop educational programs to increase the performance of person-centered care among ICU nurses.
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PURPOSE The aim of the study was to identify factors influencing quality of communication life of older adults in the community. METHODS Participants in this study were 128 older adults who registered at the community welfare center. The data were collected from September to October 2015 by using audiometer and three self-administered questionnaires including Korean Evaluation Scale for Hearing Handicap, Korean-Perceived Stress Scale, and Quality of Communication Life Scale. Mean minimal threshold of both ears was defined as 40dB and above for hearing handicap in this study. Data analysis included descriptive statistics, t-test, Pearson correlation coefficients, and hierarchical regression. RESULTS According to the screening test result from audiometer measurement, 53.9% of the participants were found to have hearing impairment. The main factors influencing quality of communication life in older adults were subjective hearing handicap of social domain and perceived stress. They explained about 41% of quality of communication life. CONCLUSION This study identified that subjective hearing handicap on social domain and self perceived stress in older adults were more important factors for their quality of communication life compared to physical hearing loss. Nurses caring for older people should include strategies to increases communication skills and to decrease communication related stress.
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PURPOSE The purpose of this study is to examine the factors influencing the barriers faced by Korean nurses in addressing the patients' sexual health. METHODS The subjects in this study were nurses working at hospitals in Seoul and Jeonju. The data for this study were collected between November 2008 and December 2008. The subjects were assured of anonymity and confidentiality. RESULTS The barriers to addressing the patients' sexual health were moderate in the subjects. The nurses had moderate sexual knowledge and communication skills. In a stepwise regression analysis, the areas of work, communication skills, participation in sexual health training, and experience in Obstetrics and Gynecology accounted for 18.3% of the variance of the barrier for addressing the patients' sexual health. CONCLUSION These findings emphasize the need for the development of a patient-centered sexual health-related curriculum for nurses, which has been briefly discussed in Korea. An educational program that improves the nurses' communication skills will be effective in reducing the barriers to addressing the patients' sexual health and will help the nurses become sexual health specialists.
PURPOSE The purpose of this study was to understand the experiences of interpersonal relationships of head nurses in interacting with others in general hospital settings. METHODS The data were collected by individual in-depth interviews from seven head nurses and were analyzed using qualitative content analysis. RESULTS Five major categories emerged and they represent a major strategy according to five different groups of interacting people. 'Establishing trust' was identified as the key strategy in dealing with patients and family members. 'Embracing with sisterly love' and 'helping with self-defense' were major strategies for subordinate nurses and physicians, respectively. 'Respecting and recognizing' was the main approach for other professionals such as dietitians and 'emphasizing rules and educating' were a major one for non-professionals. Head nurses paid more attention and made efforts in dealing with their subordinate nurses than with other groups of people, because they felt the most difficulty in their relationship with subordinate nurses. CONCLUSION The results of the study showed that head nurses employ unique strategies in interacting with different groups of people to increase the efficiency of communication. This study would help nurse administrators establish an effective program for improving interpersonal relationships of head nurse.
PURPOSE The purpose of the study was to describe nonverbal behaviors of nurses in communication with patients with dementia in an elderly care institution in Korea. METHODS Conversation analysis was utilized to analyze the data which were collected using video camera to capture non-verbal as well as verbal behaviors. A total of 66 episodes of everyday conversations were analyzed using seven nonverbal categories: affirmative head nodding; illustrative gestures; patient-directed eye gaze; smiling and/or laughing; forward leaning; affective touch; and instrumental touch. RESULTS Among seven categories, patient-directed eye gaze(94%) was the most frequently utilized among nurses followed by affirmative head nodding(67%) and forward leaning(67%), while smiling was the least used(32%). Affective touch was identified in 39 episodes(59%). Among them, the most frequently touched area was hand or handshaking(59%) followed by shoulder or back, arm, and face. There were wide differences among nurses in terms of using affective touch, ranging from 0% to 98%. Nonverbal behaviors were more frequently identified in effective episodes than in ineffective episodes. CONCLUSION Actively utilizing effective nonverbal behaviors may help geriatric nurses in promoting communication and in establishing rapport with patients with dementia.
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