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The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Influence of Moral Self-Concept, Ethical Values on Attitude toward Withdrawal of Life-Sustaining Treatment among Nursing Students

간호대학생의 도덕적 자아개념과 윤리적 가치관이 연명치료중단 태도에 미치는 영향

  • Huh, Seong-Soo (Department of Nursing, Christian College of Nursing)
  • 허성수 (기독간호대학교 간호학과)
  • Received : 2019.07.30
  • Accepted : 2019.11.01
  • Published : 2019.11.30
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Abstract

This study was a descriptive study to investigate the influence of moral self-concept and ethical values on attitude toward withdrawal of life-sustaining treatment among nursing students. The study subjects were 296 nursing students from 2 nursing colleges in G city. The data were collected from June 12 to June 23, 2017 and analyzed using the SPSS 23.0 program. The mean score of the moral self-concept was 3.48±0.33, of ethical values was 3.50±0.37 and of attitude toward withdrawal of life-sustaining treatment was 3.13±0.43. In attitude toward withdrawal of life-sustaining treatment, there were significant differences in grade(F=3.21, p=.024), practice(t=2.06, p=.040) and nursing ethics education(t=2.98, p=.003). There was a significant negative correlation between attitude toward withdrawal of life-sustaining treatment and moral self-concept(r=-.14, p=.017) and ethical values(r=-.42, p<.001). The significant predictors that influence the attitude toward withdrawal of life-sustaining treatment were ethical values and nursing ethics education. The explanatory power was 22.5%. Based on the above results, additional studies to determine the various factors affecting attitude toward withdrawal of life-sustaining treatment of nursing students should be conducted and systematic education programs need to be developed to foster utilitarian values in order to form a positive attitude toward withdrawal of life-sustaining treatment.

본 연구는 간호대학생의 도덕적 자아개념, 윤리적 가치관, 연명치료중단 태도 정도를 확인하고 연명치료중단 태도에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 연구대상은 G시에 위치한 2개 대학 간호학과 학생 296명으로, 자료수집을 위한 설문조사는 2017년 6월 12일부터 6월 23일까지 실시하였다. 수집된 자료는 SPSS 23.0 프로그램을 이용하여 분석하였다. 간호대학생의 도덕적 자아개념은 3.48±0.33점, 윤리적 가치관은 3.50±0.37점, 연명치료중단 태도는 3.13±0.43점이었다. 대상자의 일반적 특성에 따른 연명치료중단 태도는 학년(F=3.21, p=.024), 임상실습(t=2.06, p=.040), 간호윤리교육(t=2.98, p=.003)에 따라 유의한 차이가 있었다. 연명치료중단 태도는 도덕적 자아개념(r=-.14, p=.017) 및 윤리적 가치관(r=-.42, p<.001)과 유의한 음의 상관관계가 있었다. 간호대학생의 연명치료중단 태도에 영향을 미치는 요인은 윤리적 가치관(β=-.43, p=<.001), 간호윤리교육(β=.14, p=.010) 순이었으며 이들 예측요인들의 설명력은 22.5%로 나타났다(F=42.09, p<.001). 본 연구결과를 바탕으로 간호대학생의 연명치료중단 태도에 영향을 미치는 다양한 요인을 확인하기 위한 반복연구와 연명치료중단에 대한 긍정적 태도 형성을 위해 공리주의적 가치관을 함양할 수 있는 체계적인 교육 프로그램 개발이 요구된다.

Keywords

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