Thu, Oct 9, 2025
Volume 35, Issue 3 (6-2025)
JHNM 2025, 35(3): 179-187 |
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Tabrizi M, Adib M, Khaleghdoost Mohamadi T, Maroufizadeh S. Nurses' Performance and Related Factors in End-of-Life Care in the Intensive Care Unit: A Cross-sectional Study. JHNM 2025; 35 (3) :179-187
URL: http://hnmj.gums.ac.ir/article-1-2423-en.html
URL: http://hnmj.gums.ac.ir/article-1-2423-en.html
1- Nursing (Msc), Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
2- Associate Professor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. ,adibm.2211@gmail.com
3- Assistant Professor, Department of Biostatistics, School of Health, Guilan University of Medical Sciences, Rasht, Iran.
2- Associate Professor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. ,
3- Assistant Professor, Department of Biostatistics, School of Health, Guilan University of Medical Sciences, Rasht, Iran.
Abstract: (312 Views)
Introduction: One of the challenges of healthcare systems in today’s societies is providing Effective end-of-life (EOL) care to patients.
Objective: This research was conducted to determine factors related to the performance of the Intensive Care Unit (ICU) nurses in EOL care in educational medical centers in Rasht City, Iran.
Materials and Methods: In this descriptive-analytical cross-sectional study, we included all 220 ICU nurses with at least 6 months of work experience in the Rasht City, North of Iran in educational medical centers in 2022. The data collection tool was a two-part questionnaire: Personal-occupational characteristics and a standard questionnaire for assessing ICU nurses’ performance in EOL care. This study used an independent t-test and Pearson correlation coefficient correlation coefficient, and a multiple linear regression model for data analyses.
Results: Based on the results, 83.6% of the samples were women, 92.7% had bachelor’s education, and 50.9% were married. The mean performance score of ICU nurses in EOL care was 180.31±5.1. The highest and lowest scores were related to the managing patients’ signs and symptoms field (43.7±6.4) and the spiritual care field (11.9±5.1). Based on the regression model, the total performance score of nurses regarding EOL care in nurses with master’s education was significantly 22.28 units lower than nurses with bachelor’s education (b=-22.28, 95% CI, -38.62 to -5.96, P=0.008). The coefficient of determination (R2) was 0.05, which indicates that 5.0% of the variations in the total performance score of nurses regarding EOL care are explained by their personal and occupational characteristics.
Conclusion: Based on the findings, the mean score of nurses’ overall performance regarding EOL care was high. The highest possible performance of nurses in the ICU in EOL care can improve the provision of services for patients and their families.
Objective: This research was conducted to determine factors related to the performance of the Intensive Care Unit (ICU) nurses in EOL care in educational medical centers in Rasht City, Iran.
Materials and Methods: In this descriptive-analytical cross-sectional study, we included all 220 ICU nurses with at least 6 months of work experience in the Rasht City, North of Iran in educational medical centers in 2022. The data collection tool was a two-part questionnaire: Personal-occupational characteristics and a standard questionnaire for assessing ICU nurses’ performance in EOL care. This study used an independent t-test and Pearson correlation coefficient correlation coefficient, and a multiple linear regression model for data analyses.
Results: Based on the results, 83.6% of the samples were women, 92.7% had bachelor’s education, and 50.9% were married. The mean performance score of ICU nurses in EOL care was 180.31±5.1. The highest and lowest scores were related to the managing patients’ signs and symptoms field (43.7±6.4) and the spiritual care field (11.9±5.1). Based on the regression model, the total performance score of nurses regarding EOL care in nurses with master’s education was significantly 22.28 units lower than nurses with bachelor’s education (b=-22.28, 95% CI, -38.62 to -5.96, P=0.008). The coefficient of determination (R2) was 0.05, which indicates that 5.0% of the variations in the total performance score of nurses regarding EOL care are explained by their personal and occupational characteristics.
Conclusion: Based on the findings, the mean score of nurses’ overall performance regarding EOL care was high. The highest possible performance of nurses in the ICU in EOL care can improve the provision of services for patients and their families.
Article Type : Research |
Subject:
General
Received: 2024/10/2 | Accepted: 2025/05/4 | Published: 2025/06/10
Received: 2024/10/2 | Accepted: 2025/05/4 | Published: 2025/06/10
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