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일개 종합병원 간호사의 임종간호 스트레스에 영향을 미치는 융합적인 요인

Convergence Factors Influencing Terminal Care Stress in General Hospital Nurses

  • 박미선 (전북대학교병원) ;
  • 김혜영 (전북대학교 간호대학 간호과학연구소) ;
  • 김지영 (전북대학교 간호대학 간호과학연구소)
  • Park, Mi Sun (Chonbuk National University Hospital) ;
  • Kim, Hye Young (College of Nursing, Research Institute of Nursing Science, Chonbuk National University) ;
  • Kim, Ji Young (College of Nursing, Research Institute of Nursing Science, Chonbuk National University)
  • 투고 : 2019.02.25
  • 심사 : 2019.04.20
  • 발행 : 2019.04.28

초록

연구의 목적은 종합병원 간호사의 임종간호 스트레스에 영향을 미치는 요인을 파악하는 것이다. 연구의 대상자는 J시 소재의 일개 종합병원에서 근무하는 간호사 197명이다. 자료수집 기간은 2017년 12월 25일부터 31일까지이며, 구조화된 설문지를 사용하여 자료를 수집하였다. 수집된 자료는 SPSS/WIN 25.0 Program을 이용하여 기술통계, independent t-test, one-way ANOVA, Pearson's correlation coefficient와 hierarchial multiple regression으로 분석하였다. 임종간호 스트레스 예측요인은 품위 있는 죽음에 대한 태도, 이직의도, 존엄사에 대한 태도 및 영성이 임종간호 스트레스를 설명하는 유의한 변수로 나타났으며, 이들 변인들은 임종간호 스트레스를 39.6% 설명하였다. 본 연구결과에 비추어 볼 때 임종간호 스트레스를 감소시키기 위해 임종간호 스트레스에 영향을 미치는 변인들을 체계적으로 사정하고 이들 변인을 모두 고려한 구체적인 중재를 개발하여 이에 대한 효과를 검증하는 연구가 필요할 것이다.

This study aimed to explore predictors of terminal care stress of nurses. Participants were 197 nurses from a C university hospital in J city. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA, pearson's correlation coefficient and stepwise multiple regression. On hierarchial multiple regression, dignified dying attitude, turnover intention, well dying attitude, and spirituality explained 39.6% of variance in terminal care stress. The results suggest that dignified dying attitude, well dying attitude, spirituality need to be properly assessed and managed to reduce terminal care stress of nurses.

키워드

Table 1. Participants’ Characteristics

JKOHBZ_2019_v9n4_28_t0001.png 이미지

Table 2. The Levels of Dignified Dying Attitude, Well Dying Attitude, Spirituality, and Terminal Care Stress

JKOHBZ_2019_v9n4_28_t0002.png 이미지

Table 3. Related Variables in Terminal Care Stress According to Participant's Characteristics

JKOHBZ_2019_v9n4_28_t0003.png 이미지

Table 4. Multiple Regression Results with Terminal Care Stress as Dependent Variable

JKOHBZ_2019_v9n4_28_t0004.png 이미지

참고문헌

  1. Statistics Korea. (2018). Expected life tables for Korea. Statistics Korea(Online). http://kostat.go.kr/portal/korea/kor_nw/2/2/3/index.board?bmode=read&bSeq=&aSeq=366414&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt=
  2. S. N. Kim & S. O. Choi (2011). Effects of a hospice and palliative care education program including meaning in life on attitudes toward end-of-life care and meaning in life among nursing college students. Journal of Korean Academic Society of Nursing Education, 17(4), 454-463. DOI : 10.5977/JKASNE.2011.17.3.454
  3. H. K. Moon, M. R. Jung & W. J. Noh. (2019). Convergence Study of Relation between Job stress and Self-efficacy of Nurses. Journal of Convergence for Information Technology, 9(3), 146-151. DOI :10/22156/CS4SMB.2019.9.3.146 https://doi.org/10.22156/CS4SMB.2019.9.3.146
  4. M. Y. Lee (2012). Nurses' End-of-life care stress and coping and solution plan. Master's thesis, Hanyang University. Seoul.
  5. S. Y. Kang & B. S. Lee. (2001). The Lived experience of nursing care for the dying patients in clinical nurses. Journal of Korean Academy of Nursing, 7(2), 237-251.
  6. M. J. Ko & S. H. Moon. (2016). Factors influencing performance of end-of-life care by ICU nurses. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 25(4), 327-337. DOI : 10.12934/jkpmhn.2016.25.4.327
  7. Y. M. Park (2007). Death with dignity. Master's thesis. Hanyang University, Seoul.
  8. G. H. Ko & I. S. Cho. (2015). Attitudes towards death and euthanasia among nurses and general population. Journal of the Korea Contents Association, 15(3), 229-240. DOI : /10.5392/JKCA.2015.15.03.229
  9. S. S. Park. (2009). A discussion on euthanasia and an examination of euthanasia Bill directions - Focusing on passive euthanasia (dead with dignity). Law Review, 17(1), 43-57.
  10. A. K. Kim. (2012). The study of attitude to passive euthanasia among Korean nurses. Korean Journal of Fundamentals of Nursing, 9(1), 76-85.
  11. S. N. Kim & H. J. Kim. (2016). Recognition of good death, attitude towards the withdrawal of life-Sustaining treatment, and attitude towards euthanasia in nurses. Korean Journal of Hospice and Palliative Care, 19(2), 136-144. https://doi.org/10.14475/kjhpc.2016.19.2.136
  12. Y, M. Lee, K. A. Jung & M. A. Son. (2015). Attitudes towards death and euthanasia among nurses and nursing students : In Convergence era. Journal of Convergence for Information Technology, 13(6), 213-224. DOI :10.14400/JDC.2015.13.6.213
  13. K. J. Lee & Y. S. Park. (2015). Nurses' spirituality and attitude toward terminal care in geriatric hospital. Journal of Digital Convergence, 13(12), 347-357. DOI : 10.14400/JDC.2015.13.12.347
  14. L. P. Lewinson, P. McSherry & P. Kevern. (2015). Spirituality in pre-registration nurse education and practice: A review of the literature. Nurse Education Today, 35(6), 806-814. DOI : 10.1016/j.nedt.2015.01.011
  15. M. O. Yoon. (2009). The spiritual well-being and the spiritual nursing care of nurses for cancer patients. Korean Journal of Hospice and Palliative Care, 12(2), 72-79. https://doi.org/10.14475/kjhpc.2009.12.2.72
  16. Y. S. Seo & K. W. Sung. (2012). Influence of nurses' spirituality on hospice nursing intervention in long-term care facilities. Journal of Korean Gerontological Nursing, 14(1), 12-20.
  17. S. I. Ji, & H. S. You. (2014). The Impact of Clinical Nurses' Terminal Care Attitude and Spiritual Health on Their Terminal Care Stress. Korean Journal of Hospice and Palliative Care, 17(4), 232-240. DOI : 10.14475%2Fkjhpc.2014.17.4.232 https://doi.org/10.14475/kjhpc.2014.17.4.232
  18. J. O. Lee. (2017). Nurses's perception of death and death nursing stress. Master's thesis. Catholic University of Pusan, Pusan.
  19. E. K. Baek & E. J. Cho. (2015). Terminal care stress, job satisfaction and terminal care performance for nurses in internal medicine wards. Korean Journal of Hospice and Palliative Care, 18(4), 267-275. DOI : 10.14475/kjhpc.2015.18.4.267
  20. W. S. Kim, H. H. Cho & S. H. Kwon. (2016). The influence of terminal care performance, death anxiety and self-esteem on terminal care stress of geriatric hospital nurses. Korean Journal of Hospice and Palliative Care, 19(2), 154-162. DOI : 10.14475/kjhpc.2016.19.2.154
  21. 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 Journal of Hospice and Palliative Care, 16(1), 33-41. https://doi.org/10.14475/kjhpc.2013.16.1.033
  22. K. H. Jo. (2001). Development and evaluation of a Dignified Dying Scale for Korean adults. Journal of Korean Academy of Nursing, 41(3), 313-324. https://doi.org/10.4040/jkan.2011.41.3.313
  23. A. K. Kim. (2001). Development of a scale to measure attitude euthanasia by Korean nurses. Korean Journal of Fundamentals of Nursing, 8(1), 95-105.
  24. K. Y. Lee, C. H. Kim & D. W. Kim. (2003), Development of the Spirituality Scale. Korean Journal of Counseling and Psychotherapy, 15(4), 711-728.
  25. Y. O. Lee. (2004). A study of cancer unit nurses' stress from bereavement support. Master's thesis. Kyunghee University. Seoul.
  26. Y. A. Yoon. (2010). Clinical nurses' perception of death and end of life care stress. Master's thesis. Kwungbook University. Daegu.
  27. J. H. Yang & S. R. Shin (2016). A study of relationship between death perception, spiritual well being and terminal care stress of geriatric hospital nurses. Journal of the Korea Academy Industrial Cooperation Society, 17(6), 510-520. DOI : 10.5762/KAIS.2016.17.6.510
  28. S. A. Yang. (2015). Convergence analysis of the factors influencing terminal care attitude. Journal of the Korea Convergence Society, 6(4), 73-88. DOI : 10.15207/JKCS.2015.6.4.073
  29. S. A. Yang. (2016). Convergence analysis of factors influencing the end-of-life attitude in undergraduate nursing students. Journal of Convergence for Information Technology, 7(4), 141-154. DOI : 0.15207/JKCS.2016.7.4.141
  30. H. Y. Lee, Y. O, Lee. E. Y. Choi & Y. M. Park. (2007). A comparison on stress and coping of bereavement care between nurses in the cancer unit and nurses in the general unit. Asian Oncology Nursing, 7(1), 26-35.
  31. K. H. Jo & Y. J. Kim. (2013). The impact of nurses' attitude toward dignified death and moral sensitivity on their end-of-life care performance. Korean Journal of Hospice and Palliative Care, 16(4), 223-231. DOI : 10.14475/kjhpc.2013.16.4.223
  32. K. H. Jo & H. J. Han. (2001) Nurses' painful experiences through terminal patient. Journal of Korean Academy of Nursing, 31, 1055-1066. https://doi.org/10.4040/jkan.2001.31.6.1055
  33. S. S. Han, I. S. Sohn & N. E. Kim. (2009). New nurse turnover intention and influencing factors. Journal of Korean Academy of Nursing, 39(6), 878-887. https://doi.org/10.4040/jkan.2009.39.6.878
  34. M. J. Chung & Y. Eun. (2011). Development and effectiveness of a spiritual care education program for nursing students. Journal of Korean Academy of Nursing, 41(5), 673-683. DOI : 10.4040/jkan.2011.41.5.673