End-of-Life Care Mobile App for Intensive-Care Unit Nurses: A Quasi-Experimental Study

Abstract

Intensive-care unit nurses may experience difficulties in end-of-life care because of frustration or lethargy. The purpose of this study was to develop a mobile end-of-life care program for intensive-care unit nurses and evaluate the effects on competence factors such as knowledge, self-efficacy, and compassion. A quasi-experimental design was used. The participants included 44 nurses who had less than three years of experience in the intensive-care unit, divided into the experimental group and control group. After the intervention, the experimental group showed a significant improvement in self-efficacy in end-of-life care and compassion in end-of-life care. Based on the results of this study, the end-of-life care mobile app was an effective educational method for nurses with experience of less than 3 years in an intensive-care unit. To improve the quality of end-of-life care, it is necessary to develop various educational programs considering the greater role of the fourth industrial revolution in the future.

Exploring the Potential of Chatbots in Critical Care Nephrology

“…Chatbots stand well-poised to act as virtual collaborators, allowing healthcare providers to navigate intricate and sensitive facets with heightened proficiency and empathy [138]. Chatbots can assist with navigating critical conversations, meaningful engagement, and support for patients and their families in the context of advance care planning and palliative care.…”

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

“…학습평 가(leaning evaluation)는 학습자의 학업성취 도를 파악하는 것으로 지식과 기능, 태도가 향 상되었는 지를 파악하는데 사전-사후의 차이 점이 보이면 효과적이라 할 수 있다. 이러한 학 습평가는 분석된 총 15편(100% [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23])의 모 든 문헌에서 다루었는데, 각각 임종간호 지 식 총 9편(60% [9,11,[13][14][15][18][19][20][21]), 임종간 호수행 7편(46.67% [9,11,12,14,17,18,21]), 의사소통 능력 3편(20% [10,16,22]), 임종간 호 태도 2편(13.33% [13,18]), 자기효능감 2 편(13.33% [20,23])이었다. 그 외에도 임종간 호 수행자신감 [12], 의사소통에서의 자신감 [10] 도 각각 1편씩(6.67%)이었다.…”

“…본 연구에서 총 15편의 임종간호교육 문헌 을 분석한 결과는 <Table 1>, <Figure 2>에서 확인할 수 있으며, 종합하면 임종간호교육효과 로 관련 지식(p<.05 [11,15], p<.001 [19,21], p =.000 [14,18])과, 자기효능감(p <.001 [23], p<.005 [20]), 태도(p<.001 [18]), 수행(p<.001 [18,21], p=.000 [14]…”

“…Attitude assessment [18], Frommelt Attitudes Toward Care of the Dying (FATCOD) [13] Compassion Compassion in End-of-Life care (EOLC) [20] Communication confidence Confidence to perform in communication [10] Communication skill Palliative care communication [16], palliative communication survey instrument [22], skill in communicating [10] Competence Palliative care practice [12] Knowledge End of life care knowledge (education questionnaire) [13], ELNEC Knowledge Assessment Test (ELNEC-KAT) [21], End-of-Life Professional Caregiver Survey (EPCS) [19], geriatric palliative care knowledge [14], knowledge assessment questionnaire (about EOLC for hepatic patients) [11], management at the End-of-Life [15], palliative care knowledge [9], palliative care knowledge [18], palliative care quiz for nursing [20] Practice EOLC practice [17], geriatric palliative care practices [14], nurses performance checklist [11], palliative care practice [18], palliative care practice [9], the Program in Palliative Care Education and Practice Questionnaire-German Revised Version (PCEP-GR) [21] Self-Efficacy Palliative care self-efficacy scale [23], self-efficacy in EOLC [20] 의 지식 총점과 수행 총점이 유의하게 증가하였 고 [9,14], 임종간호에 대한 태도 또한 향상됨을 확인하였다 [18]…”

Adecuación a un sistema de Prescripción Informatizada para enfermeras de la Unidad de Cuidados Intensivos (UCI)

“…Las aplicaciones como: Omnio, Cortext, DICOM Medical Selfie, DICOM Viewer o PatientTouch, pueden ser especialmente beneficiosas para mejorar la atención al paciente (62). Muchos son los autores: Klepser (2016), Bayrak (2016), Osmani (2017), Santiago (2019), Baccin (2020), Yang (2021); que han construido, diseñado y establecido programas y protocolos propios para el uso de software, aplicaciones o herramientas tecnológicas para dar respuesta a las necesidades de la UCI, con la finalidad de reducir los errores y mejorar la calidad de servicio ofrecido al paciente (63)(64)(65)(66)(67)(68). Las organizaciones sanitarias, deben ser selectivas a la hora de elegir la tecnología, ya que algunas tienen una evidencia limitada en la mejora de los resultados de seguridad del paciente (61).…”