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Relationship Among Nurses' Knowledge, Attitude Towards Palliative Care and Perception of Death in Neonatal Intensive Care Units

신생아중환자실 간호사의 완화간호에 대한 지식과 태도 및 죽음에 대한 인식 간의 관계

  • 위다희 (이화여자대학교 간호대학) ;
  • 강숙정 (이화여자대학교 간호대학)
  • Received : 2016.07.26
  • Accepted : 2016.09.24
  • Published : 2016.10.31

Abstract

Purpose: The purpose of this study was to investigate the relationship among knowledge and attitude toward palliative care and perception of death for Neonatal Intensive Care Unit (NICU) nurses. Methods: A cross-sectional descriptive study was conducted with 110 nurses who work in NICUs in South Korea. The participants filled out a questionnaire regarding their knowledge, attitude towards palliative care and perception of death. The attitude scale was divided into 3 subscales: comfort level, nurses' role and nurses' involvement with family. Results: Comfort level regarding attitude towards palliative care was positively correlated with knowledge (r=.220, p=.016) and the perception of death (r=.194, p=.042). Nurses' role showed a positive correlation with perception of death (r=.395, p=.001). Conclusion: NICU nurses' knowledge of palliative care was below standard across the board, implying that there is a definite need for palliative care education for nurses. The education program for palliative care should include a section that focuses on fostering a positive perception of death as well as defining and delineating the role of nurses.

Keywords

References

  1. Statistics Korea. Birth certificate data 2014 [Internet]. Seoul: Statistics Korea; 2015 [cited 2016 January 5]. Available from: http://kostat.go.kr/ portal/korea/kor_nw/2/1/index.board? bmode=read&aSeq=347963.
  2. Kim SH, Im SJ, Kang HR, Choi EH, Kim ER, Kim AR. Study on improving pregnancy and delivery support. Research Report. Seoul: National Health Insurance Service, 2015 December. Report No.: 2015-1- 0008.
  3. Kang HJ, Bang KS. Neonatal intensive care unit nurses' experience in caring for infants who are dying. Child Health Nursing Research. 2013;19(4):252-261. http://dx.doi. org/10.4094/chnr.2013.19.4.252.
  4. Statistics Korea. Infant, maternal and perinatal mortality statistics 2014 [Internet]. Seoul: Statistics Korea; 2015 [cited 2016 March 20]. Available from: http://kostat.go.kr.
  5. Peng NH, Chen CH, Liu HL, Lee HY. To explore the conditions of dying infants in NICU in Taiwan. Journal of Critical Care. 2012;27(1):102.e7-102.e13. http://dx.doi.org/10.1016/j.jcrc .2011.02.045.
  6. Armstrong-Dailey A, Zarbock SF. Hospice care for children. 2nd ed. New York: Oxford University Press; 2001.
  7. Mancini A, Kelly P, Bluebond-Langner M. Training neonatal staff for the future in neonatal palliative care. Seminars in Fetal and Neonatal Medicine. 2013;18(2):111-115. http://dx.doi.org/10.1016/j.siny.2012.10.009.
  8. Kang KA, Kim SJ. The present and future of children’s hospice care in Korea. Child Health Nursing Research. 2003;9(2):190-197.
  9. Koo HY, Choi SH, Park HR. Cognition and needs for hospice care among parents of children with cancer. Child Health Nursing Research. 2009;15(3):325-333. http://dx.doi.org/10.4094/jkachn.2009.15.3.325.
  10. Haut CM, Michael M. Moloney-Harmon P. Implementing a program to improve pediatric and pediatric ICU nurses' knowledge of and attitudes toward palliative care. The Korean Journal of Hospice and Palliative Nursing. 2012;14(1):71-79. http://doi.org/10.1097/NJH.0b013e318236 df44.
  11. Field MJ, Behrman RE. When children die: Improving palliative and end-of-life care for children and their families. 1st ed. Washington D.C.: National Academies Press; 2003.
  12. Kang JH, Han SJ. A study of Intensive Care Unit nurses' understanding of the meaning of death, death anxiety, death concern and respect for life. The Korean Journal of Hospice and Palliative Care. 2013;16(2): 80-89. http://doi.org/10.14475/kjhpc.2013.16.2.080.
  13. Couhen BA. "Sometimes I want to run": A nurse reflection on loss in the intensive care unit. Journal of Loss & Trauma. 2002;7(1):35-45. https://doi.org/10.1080/108114402753344472
  14. Yam BM, Rossiter JC, Cheung KY. Caring for dying infants: Experiences of neonatal intensive care nurses in Hong Kong. Journal of Clinical Nursing. 2001;10(5):651-659. https://doi.org/10.1046/j.1365-2702.2001.00532.x
  15. Seo MJ, Kim JY, Kim SH, Lee TW. Nurses attitudes toward death, coping with death and understanding and performance regarding EOL care: Focus on nurses at ED, ICU and oncology department. The Korean Journal of Hospice and Palliative Care. 2013;16(2):108-117. http://dx.doi.org/10.14475/kjhpc.2013.16.2.108.
  16. Yi YH, Yang HM. Nurse's grief experience and attitudes toward bereavement/ End-of-life care of families of dying infants in the neonatal intensive care units. Journal of the Korean Data Analysis Society. 2015;17(2):1045-1060.
  17. Basic Korean Dictionary [Internet]. National institute of Korean language; 2015 [cited 2016 January 9]. Available from; http://stdweb2.korean.go.kr/main.jsp.
  18. Ross M, McDonald B, McGuinness J. The palliative care quiz for nursing (PCQN): The development of an instrument to measure nurses' knowledge of palliative care. Journal of Advanced Nursing. 1996;23(1):126-137. https://doi.org/10.1111/j.1365-2648.1996.tb03106.x
  19. Korea Hospice Association. Hospice introduction. Seoul: Korea Hospice Association Press; 2010.
  20. Engler AJ, Cusson RM, Brockett RT, Cannon-Heinrich C, Goldberg, MA, West MG, et al. Neonatal staff and advanced practice nurses' perceptions of bereavement/end-of-life care of families of critically ill and/or dying infants. American Journal of Critical Care. 2004;13(6): 489-498.
  21. Kim MS. Philosophical studies on cognition and attitude of Koreans towards death. The Journal of Confucianism Research Institute. 2010; 22(1):73-108. https://doi.org/10.18216/yuhak.2010.22..004
  22. Kim BH, Kim HK, Tak YR. Measuring the effects of hospice program on death. Korean Society for the Scientific Study of Subjectivity. 1997; 2:132-145.
  23. Kim HS, Kim BH, Yu SJ, Kim S, Park SH, Choi S, et al. The effect of an End-of-Life nursing education consortium course on nurses' knowledge of hospice and palliative care in Korea. Journal of Hospice & Palliative Nursing. 2011;13(4):222-229. http://dx.doi.org/10.1097/ NJH.0b013e318210fdec.
  24. Han MS. An analysis of cancer care unit nurses' perception of death [master's thesis]. Seoul: Hanyang University; 1998. p.1-71.
  25. Kim MA. The perception of death to life style, quality of life, spiritual health in adult [master's thesis]. Seoul: Hanyang university; 2006. p.1-95.
  26. Cho YC. Emergency nurses' perception of death and terminal care attitude [master's thesis]. Suwon: Ajou University; 2011. p.1-40.
  27. Nunnally J. Psychometric methods. New York: McGroaw-Hill; 1978.
  28. Youn JH, Ha JY. Nurses' awareness of death and meaning of life. Journal of the Korean Academy of Fundamentals of Nursing. 2013;20(4): 381-388. http://dx.doi.org/10.7739/jkafn. 2013.20.4.381.
  29. Lee JH, Lee HK. The mediating role of meaning in life in the relationship between religious coping styles and posttraumatic growth among Christians. Korean Journal of Religious Education. 2011;36:171-192.
  30. Hong E, Jun M, Park ES, Ryu E. Death perceptions, death anxiety, and attitudes to death in oncology nurses. Asian Oncology Nursing. 2013; 13(4):265-272. http://dx.doi.org/10.5388 /aon.2013.13.4.265. https://doi.org/10.5388/aon.2013.13.4.265

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