The Impact of Stress on the Quality End-of-Life Care among Nurses in Intensive Care Units in Jordan
نویسندگان
1 Department of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur Malaysia
2 Yarmouk University, Faculty of Medicine, Irbid, Jordan
3 Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
4 Princess Aisha bint AL-Hussein College of Nursing and Health Science, Al-Hussein Bin Talal University, Maan, Jordan
5 Department of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur Malaysia
6 Department of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur Malaysia
doi
10.22034/ircmj.2025.481786.1526چکیده
Background and Objectives: End-of-life care (EOLC) constitutes a vital aspect of the responsibilities undertaken by intensive care nurses, positioning them uniquely to collaborate with families in delivering compassionate care to patients approaching the end of their lives. Therefore, this study aims to determine the effect of stress on the quality of end-of-life care provided by Jordanian nurses working in intensive care units. Methods: Cross sectional survey was conducted from November 2022 until May 2023 using Nursing Stress Scale (NSS) and Specific quality end-of-life care questionnaires. Intensive Care nurses in eight government hospitals (N=200) were recruited in this study. A linear regression test was used to identify the effect of stress levels and death anxiety levels on the quality of EOLC. Results: The study yielded a comprehensive response rate of 72%, revealing a notable prevalence of stress among Intensive care nurses. Despite high stress levels, these nurses demonstrated commendable performance in delivering End-of-Life Care, with mean scores indicating proficiency (Mean±SD=74±22, 15.26±7.15, respectively). Noteworthy findings from the analysis indicated a low impact of stress on the quality of end-of-life care (β=0.379, SE, 0.68, P <0.001). Conclusion: Despite facing numerous stress-inducing factors during their work, Jordanian intensive care nurses exhibit resilience. Even in the face of moderate to high stress levels and the existence of various obstacles that may hinder the provision of quality End-of-Life Care, these nurses consistently deliver commendable care to patients approaching the end of their lives.