기본간호학회지 (Journal of Korean Academy of Fundamentals of Nursing)

  • 제23권2호
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  • Pages.172-183
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  • 2016
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  • 1225-9012(pISSN)
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  • 2287-1802(eISSN)
기본간호학회 (Korean Academy of Fundamentals of Nursing)
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중환자실 간호사의 연명치료환자 간호 경험: 현상학적 접근

Experience of Life-sustaining Treatment in Patient Care among Intensive Care Unit Nurses: Phenomenological Approach

  • 이수정 (대구 파티마병원 중환자실) ;
  • 김혜영 (계명대학교 간호대학)
  • 투고 : 2016.03.10
  • 심사 : 2016.05.25
  • 발행 : 2016.05.31
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초록

Purpose: The purpose of this study was to explore the subjective experience of life-sustaining treatment care among nurses in intensive care units. Method: A phenomenology was used for the study. Data were collected from October to December, 2015 using open-ended questions during in-depth interviews. Participants were nurses working in intensive care units and were contacted through purposive techniques. Eight nurses participated in this study. Results: Four categories emerged from the analysis using Colaizzi's method: (a) difficulties due to life-sustaining treatment care, (b) dilemma of extension or cessation of life-sustaining treatment, (c) repressed feelings and emotional exhaustion, and (d) forming values for life-sustaining treatment from nursing experience. Conclusion: Provision of clearer guidelines on life-sustaining treatment which reflect a family-oriented culture is important for nurses in ICU and will promote nurses involvement in the decision-making process of life-sustaining treatment of patients.

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참고문헌

  1. Yaguchi A, Truog RD, Curtis JR, Luce JM, Levy MM, Melot C, et al. International differences in end-of-life attitudes in the intensive care unit: Results of a survey. Archives of Internal Medicine. 2005;165(17):1970-1975. http://dx.doi.org/10.1001/archinte.165.17.1970
  2. Korean Medical Association, Korean Academy of Medical Sciences, Korean Hospital Association. Guideline to withdrawal of a life-sustaining therapy [Internet]. Seoul: 2009 [cited 2016 January 15]. Available from: http://www.kams.or.kr/notice/view.php?code=news&number=277.
  3. Jox RJ, Krebs M, Fegg M, Reiter-Theil S, Frey L, Eisenmenger W, et al. Limiting life-sustaining treatment in German intensive care units: A multiprofessional survey. Journal of Critical Care. 2010;25(3):413-419. http://dx.doi.org/10.1016/j.jcrc.2009.06.012
  4. Kim AK, Park GS. The study of meaning in euthanasia and hospiece nursing among nurses. Journal of Korean Academy of Fundamentals of Nursing. 2000;7(3):379-390.
  5. Monteiro F. Family reliance on physicians' decisions in life-sustaining treatments in acute-on-chronic respiratory diseases in a respiratory ICU: A single-center study. Respiratory Care. 2014;59(3):411-419. http://dx.doi.org/10.4187/respcare.02695
  6. Vanderspank-Wright B, Fothergill-Bourbonnais F, Brajtman S, Gagnon P. Caring for patients and families at end of life: The experiences of nurses during withdrawal of life-sustaining treatment. Dynamics. 2011;22(4):31-35.
  7. Kim BH, Kang HJ. Experience of home-based hospice care of terminal cancer patients. Korean Journal of Hospice and Palliative Care. 2014;17(4):223-231. http://dx.doi.org/10.14475/kjhpc.2014.17.4.223
  8. Yi M, Oh SE, Choi EO, Kwon IG, Kwon S, Cho K, et al. Hospital nurses' experience of do-not-resuscitate in Korea. Journal of Korean Academy of Nursing. 2008;38(2):298-309. https://doi.org/10.4040/jkan.2008.38.2.298
  9. Lee BH. A study on the physician's withdrawal of life-sustaining treatment in criminal law [dissertation]. Seoul: Hanyang University; 2010.
  10. Ministry of Health and Welfare. Provided the legal basis for hospice care, palliative care and withdrawing of life-sustaining treatment [Internet]. Seoul: Ministry of health and welfare; 2016 [cited 2016 February 7]. Available from: http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=329848.
  11. Phua J, Joynt GM, Nishimura M, Deng Y, Myatra SN, Chan YH, et al. Withholding and withdrawal of life-sustaining treatments in intensive care units in Asia. Journal of the American Medical Association Internal Medicine. 2015; 175(3):363-371. http://dx.doi.org/10.1001/jamainternmed.2014.7386
  12. Meltzer LS, Huckabay LM. Critical care nurses' perceptions of futile care and its effect on burnout. American Journal of Critical Care. 2004;13(3):202-208.
  13. Lee NI. Phenomenology and analytics. Seoul: Seoul National University Press; 2004.
  14. Colaizzi PF. Psychological research as the phenomenologist views it. In: Valle RS, King M, editors. Existential-Phenomenological Alternatives for Psychology. New York: Oxford University Press; 1978. p. 48-71.
  15. Sandelowski M. The problem of rigor in qualitative research. Advances in Nursing Science. 1986;8(3):27-37. http://dx.doi.org/10.1097/00012272-198604000-00005
  16. Jo Kh. The meaning of dignified dying perceived by nursing students. Journal of Korean Academic Society of Nursing Education. 2010;16(1):72-82. https://doi.org/10.5977/JKASNE.2010.16.1.072
  17. Yeo SH. Ethical dilemmas of nurses in the intensive care unit. [master's thesis]. Seoul: Hanyang University; 2007.
  18. Kim MH, Kang EH, Kim MY. Family decision-making to withdraw life-sustaining treatment for terminally-ill patients in an unconscious state. Korean Journal of Hospice Palliative Care. 2012;15(3):147-154.
  19. Yi MJ, Lee JS. Nurse's experiences of the death of patients in geriatric hospitals. Journal of Korean Academy of Nursing. 2015;45(4):513-522. http://dx.doi.org/10.4040/jkan.2015.45.4.513
  20. Jeong MK. A Study on experiences of terminal care by nurses in the hospice.palliative Care Unit. Qualitative Research. 2012;13(1):50-65. https://doi.org/10.22284/qr.2012.13.1.50
  21. Ro YJ, Han SS, AN SH, Kim CK. Hospice & Death. Seoul: Hyunmoon; 1994.
  22. Yi M. Nurses' experience of caring for dying patients in hospitals. Journal of Korean Academy of Nursing. 2003; 33(5):553-561. https://doi.org/10.4040/jkan.2003.33.5.553
  23. Kim SH. Decision making process in do-not-resuscitate orders for patients with cancer [master's thesis]. Seoul: Yonsei University; 1998.
  24. Lee HK, Kang HS. Attitudes and awareness towards the withdrawal of life-sustaining treatment among nurses, physicians, and families of intensive care unit patients. Journal of Korean Clinical Nursing Research. 2010;16(3):85-98.
  25. Heo DS. Withholding futile interventions from terminally ill cancer patients. Journal of the Korean Medical Association 2001;44:956-962. https://doi.org/10.5124/jkma.2001.44.9.956
  26. Heo DS. Symposium: Overview and issues. Korean Journal of Medicine. 2009;77(4s):1026-1034.
  27. Sohn MS. Ethical and legal aspect of termination of hospital care. Journal of the Korean Medical Association 1998;41: 707-711. https://doi.org/10.5124/jkma.1998.41.7.707

피인용 문헌

  1. Attitude, Role Perception and Nursing Stress on Life Sustaining Treatment among Intensive Care Unit Nurses vol.29, pp.2, 2017, https://doi.org/10.7475/kjan.2017.29.2.131
  2. Relationship of ICU Nurses' Difficulties in End-of-Life Care to Moral Distress, Burnout and Job Satisfaction vol.25, pp.1, 2019, https://doi.org/10.11111/jkana.2019.25.1.42
  3. Bioethics of Empathy : Centering on a Lonely Death and the Holistic Care vol.1, pp.121, 2016, https://doi.org/10.15801/je.1.121.201809.343
  4. 간호사 자신과 간호사 가족의 연명의료 결정과 관련요인 vol.32, pp.2, 2016, https://doi.org/10.5932/jkphn.2018.32.2.167
  5. Characteristics and Outcomes of Potentially Inappropriate Admissions to the Intensive Care Unit vol.34, pp.1, 2019, https://doi.org/10.4266/acc.2018.00388
  6. 종합병원 간호사의 임종간호 수행에 미치는 영향 vol.22, pp.1, 2016, https://doi.org/10.35301/ksme.2019.22.1.53
  7. 중환자실 간호사의 도덕적 민감성과 도덕적 고뇌가 임종간호수행에 미치는 영향 vol.22, pp.2, 2019, https://doi.org/10.35301/ksme.2019.22.2.140
  8. 생애말 치료결정 과정에 대한 중환자실 간호사의 인식, 태도, 경험: 국내 연구논문의 통합적 고찰 vol.13, pp.1, 2016, https://doi.org/10.34250/jkccn.2020.13.1.27
  9. 요양병원 간호사의 노인 환자 임종간호 경험 vol.31, pp.2, 2020, https://doi.org/10.12799/jkachn.2020.31.2.199
  10. The Effects of Nurses' Knowledge of Withdrawal of Life-Sustaining Treatment, Death Anxiety, Perceptions of Hospice on Their Attitudes toward Withdrawal of Life-Sustaining Treatment vol.23, pp.3, 2020, https://doi.org/10.14475/kjhpc.2020.23.3.114
  11. 요양병원 간호사의 임종간호 대처 경험 vol.21, pp.1, 2016, https://doi.org/10.5392/jkca.2021.21.01.710