Influence of Terminal Care Stress and Communication Skill on Terminal Care Performance of Visiting Nurse within Long-term Care Insurance

초록

Aim(s): The purpose of this study were to examine terminal care stress, communication skill and terminal care performance, and to identify the factors contributing to terminal care performance of visiting nurses.Method(s): The subjects for this descriptive correlational study were 134 visiting nurses who have been providing visting nursing service for more than 6 months within long-term care insurance. Data was collected using a structured questionnaire including general characteristics, end-of-life care stress, communication skill, and terminal care performance from April 8 to April 28, 2021. Data were analyzed using descriptive statistics, ANOVA, Scheffe test, Pearson correlation coefficient, and multiple regression analysis.Result(s): The mean scores of terminal care stress, communication skill, and terminal care performance were 4.04±0.52, 4.12±0.44, and 3.85±0.50, respectively. Terminal care performance showed a significant difference according to the position (t=18.40, p<.001) and the number of patient death experiences while working at the hospital (F=2.84, p=.027). As a result of multiple regression analysis, the number of patient death experiences while working in a hospital (β=.198, t=2.42, p<.017), end-of-life care stress (β=.393, t=4.76, p<.001), and communication skills (β=.302, t=3.75, p<.001) were found to have significant influences. Those three variables explained 29% of the total variance. Conclusion(s): Patient death experiences, end-of-life care stress, and communication skills were significantly affect terminal care performance while working in long-term care field. It is necessary to consider interventions that can properly manage end-of-life care stress and improve communication skills. In addition, it is required to consider other factors that affect terminal care performance such as, expanding opportunities for appropriate training recommending active training methods.