Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Convergence Effect of Locus of Internal & External Control, Stress and Fatigus on the Geriaic Hospital Nurses' Terminal Care Performance

요양병원 간호사의 내·외적 통제신념과 임종간호 스트레스 및 피로 관계에서 임종간호 수행의 융복합적 영향

  • Received : 2019.10.14
  • Accepted : 2019.12.20
  • Published : 2019.12.28
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Abstract

This study is a descriptive research study that examines the level of terminal care nursing care and the effects on terminal nursing in the internal and external control beliefs of nurses in the nursing geriaic hospital.. The subjects consisted of 442 nurses, and data were collected through structured questionnaires.. The data were analyzed with descriptive that used SPSS WIN 22.0, and AMOS 5.0 statistical program was hypothetical model and path analysis of research hypothesis. As a result, terminal care of geriatric hospital nurses was statininificant to the terminal care stress, fatigue and locus of internal & external control. and the higher the internal control belief, the less stress of the terminal care and the higher the terminal care performance As a result, this study providers a more terminal care performance, It is considered that nursing hospital nurses who develop strategic programs and terminal care nursing will need to provide quality nursing education and work environment improvement.

본 연구의 목적은 요양병원 간호사의 내·외적 통제신념과 임종간호 스트레스 및 피로관계에서 임종간호 수행수준을 알아보고 임종간호에 미치는 영향을 규명하는 서술적 조사연구이다. 요양병원 간호사 422명을 대상으로 구조화 된 설문지를 사용였다. 자료분석은 기술통계는 SPSS Win 22.0와 가설적 모형의 적합도와 연구가설 경로분석은 Amos 5.0 통계 프로그램을 이용하였다. 연구결과 요양병원 간호사의 임종간호 수행에는 임종간호 스트레스, 피로, 내적통제신념이 유의한 상관관계가 나타났으며, 내적통제신념이 높을수록 임종간호 스트레스를 덜 받고 또한 임종간호 수행이 높은 것으로 나타났다. 본 연구를 통해 요양병원 간호사의 임종간호 수행을 향상하기 위한 기초자료를 제공하고자 하였으며, 요양병원간호사의 임종간호 스트레스와 피로를 감소시킬수 있는 전략적 프로그램 개발과 임종간호를 수행하는 요양병원 간호사에게 질적인 간호수행을 할 수 있는 교육이나 업무환경 개선의 노력이 필요할 것으로 생각된다.

Keywords

References

  1. Statics Korea. (2017). statistics on the aged [Internet]. Seoul: Statistics Korea; 2017 Sep 29 [updated 2017 Sep 29; cited 2018 May 16]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/6/1/index.boa rd?bmode=read&aSeq=330349
  2. Statistics Korea. (2018). Korean Statistical Information Service. Available at http://kosis.kr/statHtml/statHtml.do?orgId=354&tblId=DT_MIRE01&conn_path=I2 [accessed on 1 October, 2018].
  3. S. H. Kim & Y. M. Song. (2013). The Effects of Death Education for the Elderly on Life Satisfaction and Psychological Well-Being, and the Mediating Effect of Death Anxiety, Health and social wlefare review, 33(1), 190-219. https://doi.org/10.15709/hswr.2013.33.1.190
  4. S. K. Park (2017), Estimating the Needs of Terminal Cancer Patients for Hospice and Palliative Care Beds, Health and social wlefare review, 37(1), 495-514. DOI: 1788-1913. 2015.01.20.
  5. K. J. Lee & Y. S. Park. (2015). Nurses' spirituality and attitude toward terminal care in geriatric hospital. The society of digital policy & management, 13(12), 347-357. DOI : 10.14400/JDC.2015.13.12.347 http://dx.doi.org/10.21742/AJMAHS.2019.04.19
  6. J. T. Lee. (2018). Activation of senior care service and public-private cooperation: a study on the role of nursing homes and long- term care hospitals. Korea Insurance Research Institute Report. Seoul City: Korea Insurance Research Institute Sep 7. Report No. KIRI_20180906_124058. 21(2)
  7. R. Deady & J. McCarthy. (2010). A study of the situation, features, and coping mechanisms experienced by Irish psychiatric nurses experiencing moral distress. Persp ective Paychiatri Care, 46, 209-220. DOI : 10.1111/j.1744-6163.2010.00260.x
  8. G. Y. Lim & S. Y. Choi. (2019). The influence of ethical dilemma and ene-of-life care stress on burnout in long-term care hospital nurses, Journal of the korea convergence society, 10(6), 355-363. DOI: https://doi.org/10.15207/JKCS.2019.10.6.355.
  9. W. S. Kim, H. W. Cho & S. H. Kwon (2016), The influence of terminal care performance, death anxiety and self-esteem on terminal care stress of geriatric hospital nurses, Journal of hospital & palliative care, 19(2), 154-162. DOI: 10.14475/kjhpc.2016.19.2.154.
  10. Y. K. Kim & S. H. Kwon. (2019). Effects of empathy and attitude in caring for elders by nurses in geriatric nursing practice in long-term care hospitals, Journal of the korean gerontol nurs, 19(3), 203-213. DOI: https://doi/10.17079/jkgn.2017.19.3.203
  11. Rosser & King. (2003). Transition experiences of qualified nurses moving into hospice nursing. Journal of Adqanced Nursing, 23(2), 206-215. https://doi.org/10.1046/j.1365-2648.2003.02695.x
  12. Brissett, Nowicki, Brisset, M. & Nowicki, S. J. (1973). Internal versus external control of reinforcement and reation to frustration. journal of Personality and Social Psychology, 25(1), 35-44. https://doi.org/10.1037/h0034247
  13. J. K. Kim. (2009). The effect of internal and external control and irrational beliefs of pastor's wife upon their stress, master degree, Keimyung University, Seoul.
  14. J. L. Lee. (2016). The effect of examines's control beief, self-esteem, and self-love on academic achievement, master degree, Korea University, Seoul.
  15. S. E. Choi & E. S. Kang. (2009). Effects of holistic hopice nursing intervention program on self esteem and spiritual well-being for inpatients of hospice palliative care unit, The korean journal of hospice and palliative care, 12(4), 209-219. https://doi.org/10.14475/kjhpc.2009.12.4.209
  16. Munley A. (1985). Sources of hospice staff stress and how to cope with it. Nurs Clin North Am 20, 343-55.
  17. Y. W. Woo, K. H. Kim & K. S. Kim. (2013). Death anxiety and terminal care stress among nurses and the relationship to terminal care performance. Korean J Hosp Palliat Care, 16, 33-41. https://doi.org/10.14475/kjhpc.2013.16.1.33
  18. K. H. Jo, A. R. Park & J. J. Lee. (2015). The effect of suffering experience, empathy ability, caring behaviors on terminal care performance of clinical nurses. Korean J Hosp Palliat Care, 18, 276-284. https://doi.org/10.14475/kjhpc.2015.18.4.276
  19. Glasser. W. (2005). Defining mental health as a public health issue: A new leadership role for the helping and teaching professions chatsworth, CA: William Glasser, Inc.
  20. M. S. Go. (2015). The development and validation of the scale of internal-external control for adolescents based on Glasser's choice theory, unpublished doctoral dissertation, Keimyung University, Daegu.
  21. M. S. Go. (2018). Development and Validation of the Internal-External Control Scale for Adolescents Based on Glasser's Choice Theory, Korea academy of welfare counseling, 7(1), 223-249. http://www.riss.kr/link?id=A105484133 https://doi.org/10.20497/jwce.2018.7.1.223
  22. Y. O. LEE. (2004). Nurse's stress from bereavement support, master degree, Kyung Hee University, Seoul.
  23. E. H. Park & N. Y. Kim. (2018). The influence of Nursing Professionalism, Attitudes toward Advance Directive, and Death Anxiety on Terminal Care Performance of Nurses in Long-term Care Hospitals. Korean Journal of Adult Nursing, 3(2), 183-193. http://dx.doi.org.eproxy.pusan.ac.kr/10.7475/kjan.2018.30.2.183.
  24. Schwartz J. E., Jandorf L., Krupp L. (1993). The measurement of fatigue: a new instrument. J Psychosom Res, 37(7), 753-762. https://doi.org/10.1016/0022-3999(93)90104-N
  25. R. J. Lee & H. S. Park. (2017). Death anxiety and terminal care performance of nursing at long term care hospitals, Korean Journal of Hospice & Palliative Care, 20(1), 37-45. DOI: 10.14475/kjhpc.2017.20.1.37.
  26. J. H. Yun & J. Y. Hwa. (2013). Nurses' awareness of death and meaning of life, Journal of korean academy of fundamentals of nursing, 20(4), 381-388. https://doi.org/10.7739/jkafn.2013.20.4.381