Importance-performance analysis on effective management of medication education for the elderly - Focusing on home visiting nurses -

Development of a Measuring Tool for the Terminal Care Performance of Hospital Nurses

“…An increase in the elderly population is leading to an increase in the use of medical services by them and elderly deaths in hospitals through an increase in demand for medical services for the elderly and patients with geriatric diseases [2]. Care for elderly patients at home is difficult due to the prevalence of nuclear families and increased social and professional activities of family members, forcing the care for and death of the elderly to occur in hospitals [3]. The provision of terminal care by medical personnel in other countries has also been shown to reduce the number of emergency hospitalizations, and alleviate family suffering and the burden on medical providers [4] [5][6].…”

“…Terminal care performance helps terminally ill patients to die with dignity and comfort [9]. One of the important roles of nurses is to care for patients who are in the last stage of life and help them face death positively [3]. Nurses caring for terminally ill patients, however, may experience difficulties in terminal care performance due to psychological pain, such as feelings of helplessness, death anxiety, and hopelessness, because there is nothing they can do to save their patients' lives [10].…”

The effects of ego integrity and readiness for death on the preferences of care near the end-of-life of hospitalized older adults in long-term care hospitals: A cross-sectional correlation study

“…임종간호선호도는 크게 자율적 의사결정, 영성, 가족, 의료인에 의한 의사결정, 통증 영 역에서 살펴볼 수 있다 [6]. 임종기에 있는 요양병원 입원 환자와 가 족들은 고통을 경감시키는 전문적인 통증관리, 의료인의 정확한 치 료에 대한 정보제공과 정서적 지지를 원하는 것으로 나타났고 [7], 임 종기에 입원 노인이 원하는 간호 영역을 파악하여 자율성을 가지도 록 하는 것은 삶의 마지막에서 신체적• 정신적• 사회적• 영적 욕구를 충족한다는 의미도 포함한다 [8]. 그러나 임종기 치료를 결정하는 데 보호자와 의료진이 주체가 되는 경우가 많아 [6], 환자의 임종간호선 호도가 고려되지 않으므로 환자와 가족 모두에게 우선순위가 잘못 설정되어 부적절한 죽음의 과정과 비효율적인 치료가 수행될 수 있 다 [9].…”