Dignity Therapy for End-stage Patients: Concept Analysis / 한국호스피스완화의료학회지

PURPOSE: Dignity therapy is a very effective intervention to improve the dignity of end-stage patients. A concept analysis by Walker and Avant (2005) was adopted to define, describe, and delimitate the concept of dignity therapy. METHODS: Nursing literature in the National Digital Science Links (NDSL) and Medline database were searched for the definitions of "dignity" and "dignity therapy". Definitions, uses, and defining attributes of dignity therapy were identified; model and contrary cases were developed; and antecedents, consequences, and empirical references were determined. RESULTS: Through dignity therapy patients and their families share their stories, and that in turn improves the quality of life and death. Five attributes were identified: higher quality of life and death, therapeutic conversation, respect of human dignity and worth, expressing thoughts about life and death and systematic process. CONCLUSION: Patients at the end of their lives feel more comfortable about death. Hospice care providers should try to protect dignity of patients in their care. The attributes of the dignity therapy clarified in this study should be applied for terminally ill patients to improve their quality of life and death.

Influential Factors Related to Job Satisfaction in Hospice Nurses: Focus on Emotional Labor and Burnout / 간호행정학회지

PURPOSE: The purpose of this study was to identify factors influencing job satisfaction in hospice nurses. The focus was on emotional labor and burnout. METHODS: Between September 30 and October 18, 2013, hospice nurses (n=63) in 5 hospitals in 4 cities completed measures of emotional labor, burnout, and job satisfaction. Data were collected using questionnaires and analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multiple regression with the SPSS/Win 21.0 program. RESULTS: The mean score per item for emotional labor was 3.0, the mean of burnout score was 2.7, and the mean job satisfaction score was 3.4. Emotional labor showed a positive correlation with burnout (r=.61), and a negative correlation with job satisfaction (r=-.52). Burnout showed a negative correlation with job satisfaction (r=-.64). The factors influencing job satisfaction were burnout (beta=-.65, p<.001) and clinical experience (beta=.25, p=.007). Burnout and clinical experience explained 57.0% of the variance in hospice nurses' job satisfaction. CONCLUSION: The findings of this study indicate a need to develop strategies to prevent burnout and control emotional labor in order to increase job satisfaction for hospice nurses.