Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Perception on Hospice, Self-esteem, Knowledge on Advance Directives in Nursing Student on Attitudes toward Advance Directives

간호대학생의 호스피스 인식, 자아존중감, 사전의료의향서에 대한 지식이 사전의료의향서에 대한 태도에 미치는 영향

  • Jung, Mi-Ra (Department of Nursing, Hanyeong College University) ;
  • Jeong, Eun (Department of Nursing, Gwangyang Health Sciences University)
  • 정미라 (한영대학교 간호학과) ;
  • 정은 (광양보건대학교 간호학과)
  • Received : 2019.04.28
  • Accepted : 2019.07.20
  • Published : 2019.07.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to examine relationships among perception on hospice, self-esteem, knowledge on advance directives and attitudes toward advance directives and identify the factors that affect attitudes toward advance directives in nursing students. The data were collected from 216 nursing students in the two colleges located Jeonnam and December 03 2018 to December 07 2018. The data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe, Pearson's correlation coefficient, and multiple regression with SPSS 20.0 program. The result of the multiple regression indicates the perception on hospice, gender, intention to execute advance directives and influence of religion on one's life predict 29.7% (F=12.566, P=.000) of attitudes toward advance directives. Therefore, it is necessary to develop a program to establish attitudes toward advance directives by providing professional education on perception on hospice of nursing students.

본 연구는 간호대학생의 호스피스 인식, 자아존중감, 사전의료의향서에 대한 지식과 태도의 관계를 파악하고 간호대학생의 사전의료의향서에 대한 태도에 영향을 미치는 요인을 규명하기 위한 서술적 조사연구이다. 자료수집은 전라남도 2개 대학교에 재학 중인 간호대학생 216명을 대상으로 2018년 12월 03일부터 12월 07일까지 이루어졌다. 자료분석은 SPSS Statistics 20.0 프로그램을 사용하여 기술통계, t-test, ANOVA, Scheffe, 피어슨 상관관계, 다중회귀분석을 하였다. 연구결과 사전의료의향서에 대한 태도에 영향을 미치는 요인은 호스피스 인식, 성별, 사전의료의향서작성여부, 종교가 삶에 미치는 영향이었으며, 이들의 설명력은 29.7%(F=12.566, P=.000)이었다. 본 연구결과를 바탕으로 간호대학생의 호스피스 인식에 대한 전문성 교육을 제공함으로써 사전의료의향서에 대한 태도의 확립을 위한 프로그램 개발이 필요할 것으로 생각된다.

Keywords

Table 1. General characteristics of participants

DJTJBT_2019_v17n7_255_t0001.png 이미지

Table 2. Degree of perception of hospice, self-esteem, knowledge on advance directives, attitudes toward advance directives

DJTJBT_2019_v17n7_255_t0002.png 이미지

Table 3. Differences of attitudes toward advance directives by general characteristics of participants

DJTJBT_2019_v17n7_255_t0003.png 이미지

Table 4. Correlations among perception of hospice, self-esteem, knowledge on advance directives, attitudes toward advance directives

DJTJBT_2019_v17n7_255_t0004.png 이미지

Table 5. Influencing factors on attitudes toward advance directives

DJTJBT_2019_v17n7_255_t0005.png 이미지

References

  1. J. K. Hwa. (2011). Development and evaluation of a dignified dying scale for korean adults. Journal of Korean Academy of Nursing, 41(3), 313-324. DOI: 10.4040/jkan.2011.41.3.313
  2. J. E. Lee, A. J. Goo & B. R. Cho. (2016). The current status of end-of-life care in korea and legislation of well-dying act. Annals of geriatric medicine and research, 20(2), 65-70. DOI : 10.4235/jkgs.2016.20.2.65
  3. G. D. Kim. (2016). The effects of hospice unit practice education on spiritual well-being, attitude to death, and hospice awareness of nursing students. Asian Oncology Nursing, 16(4), 176-184. DOI: http://dx.doi.org/10.5388/aon.2016.16.4.176
  4. H. J. Lee. (2013). A study on the nursing student' attitude toward death and perception on hospice care. Journal of East-West Nursing Research, 19(2), 88-95. DOI: http://dx.doi.org/10.14370/jewnr.2013.19.2.88
  5. J. B. Lee & H. S. Kim. (2007). Studies on hospice service through case management practice : focusing on the case study of s-hospice. Korean Academy of Care Work, 8, 159-184.
  6. M. Rogenberg. (1995). Society and the adolescent self-image, princeton New Jersey: Princeton University press.
  7. K. H. Kim, K. D. Kim, H. S. Byun & B. Y. Chung. (2010). Spiritual well-being, self esteem, and attitude to death among nursing students. Journal of Korean Oncology Nursing, 10(1), 1-9.
  8. S. H. Kim, D. H. Kim & H. M. Son. (2011). Comparison of attitudes of nursing students toward death, self-esteem and life satisfaction according to clinical experience. Korean Journal of Hospice and Palliative Care, 14(3), 144-151. https://doi.org/10.14475/kjhpc.2011.14.3.144
  9. H. S. Kim & S. R. Shin. (2017). The influence of social support among community dwelling elderly and their attitude towards the withdrawal of life-sustaining treatment: Korean Journal of Adult Nursing, 29(4), 373-381. DOI: https://doi.org/10.7475/kjan.2017.29.4.373
  10. 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, 30(2), 183-193. DOI: https://doi.org/10.7475/kjan.2018.30.2.183
  11. M. J. Silveira, S. Y. Kim & K. M. Langa. (2010). Advance directives and outcomes of surrogate decision making before death. The New England Journal of Medicine, 36(13), 1211-1218. DOI: https://doi.org/10.7475/kjan.2018.30.2.183
  12. A. O. Calvin & A. P. Clark. (2002). How are you facilitating advance directives in your clinical nurse specialist practice? Clinical Nurse Specialist, 16(6), 293-294. https://doi.org/10.1097/00002800-200211000-00010
  13. S. M. Kim, S. W. Hong, Y. Eun & S. J. Go. (2012). Prerequisite for Korean Advance Directives: From the View of Healthcare Providers. Journal of Korean Academy Nursing , 42(4), 486-495. DOI: http://dx.doi.org/10. 4040/jkan.2012.42.4.486 https://doi.org/10.4040/jkan.2012.42.4.486
  14. Y. S. Hong & D. I. Lee. (2008). Moral reflextion in hospice-centring on advance medical directive. Korean journal of hospice and palliative care, 11(2), 73-77. DOI: http://dx.doi.org/10.4040/jkan.
  15. B. H. Kim, K. J. Ahn, J. H. Kim & S. J. Yang. (2017). Development of hospice & palliative care awareness survey and marketing strategy. National Health Insurance Service
  16. J. S. Cho. (2018). Perception of hospice, knowledge and attitude toward advance directives in health care workers. Catholic National University, Pusan.
  17. M. S. Kwon & J. Y. Hong. (2019). Perception of good death and knowledge, attitude for advanced directives of nursing students. Korean Association for Learner-centered Curriculum and Instruction, 19(3), 825-843. DOI: http://dx.doi.org/10.22251/jlcci.2019.19.3.825
  18. H. J. Kim, M. S. Son & I. S. Kang. (2019). Nurses' Knowledge, Attitudes, Experience, and Confidence toward Advance Directives. Global Health and Nursing, 9(1), 19-27. DOI: http://dx.doi.org/10.1007/s40684-018-0041-6
  19. K. R. Park, Y. S. Cho & S. H. Jang. (2018). A correlation study of perception to hospice and awareness and attitude to advanced directives in adults in a local community. Korean Nursing Science Society Conference. 318-318.
  20. S. S. Choi. (2016). Knowledge and attitudes of residents' primary guardian in a long term care home regarding advance directives. Seoul National University, Seoul.
  21. E. J. Choi & H. S. Jeong. (2018). The effect of nursing students' consciousness of biomedical Ethics, good death recognition, and self-esteem on the attitude toward withdrawal of life-sustaining treatment. Journal of the Korea Academia- Industrial cooperation Society, 19(5), 275-284. DOI: http://dx.doi.org/10.5762/KAIS.2018.19.5.275
  22. E. Y. Kim, E. H. Seo & E. Y. Jung. (2017). Knowledge and Attitudes toward the Withdrawal of Life-Sustaining Treatment among Nursing Students. Journal of East-West Nursing Research, 23(1), 1-8. DOI: http://dx.doi.org/10.14370/jewnr.2017.23.1.1
  23. D. Ryan & M. A. Jezewski. (2012). Knowledge, attitudes, experiences, and confidence of nurses in completing advance directives: a systematic synthesis of three studies. The Journal of Nursing Research, (22)2, 131-141. DOI: http://dx.doi.org/10.1097/jnr.0b013e318256095f
  24. I. H. Kwon. (2018). Comparison on awareness of good death and knowledge and attitude of advance directives of nursing students and non-nursing students in universities. Kosin National University, Pusan.
  25. J. H. Kim. (1990). A study of attitude about death and hospice of medical professionals. master's thesis. hanyang university, seoul.
  26. M. S. Kim, C. S. Lee & H. C. Kim. (2007). The effects of hospice volunteer education program on perceptions about hospice and the meaning of life. Journal of Korean oncology nursing, 7(2), 131-139.
  27. B. J. Jon. (1974). Self-esteem: A test of its measurability. Yonsei review. 11(1). 107-130.
  28. S. W. Hong & S. M. Kim. (2013). Knowledge regarding advance directives among community-dwelling elderly. The Journal of Korean Academic Society of Nursing Education, 19(3), 330-340. DOI: http://dx.doi.org/10.5977/jkasne.2013.19.3.330
  29. M. T. Nolan & M. Bruder. (1997). Patients' attitudes toward advance directives and end-of-life treatment decisions. Nursing Outlook, 45(5), 204-209. https://doi.org/10.1016/S0029-6554(97)90066-X
  30. H. L. Lee & Y. H. Park. (2014). Attitudes toward advance directives of older adults using senior centers. Journal of Korean Gerontological Nursing, 16(2), 160-169. DOI: http://dx.doi.org/10.17079/jkgn.2015.17.1.29
  31. M. O. Yoon & K. H. Yang. (2017). The effects of well-dying education program-based hospice care education for nursing students. Academy for 21Century Christian Society & Culture, 31(4), 171-198. DOI: http://dx.doi.org/10.7737/JKORMS.2017.42.4.091
  32. M. H. Lim, J. H. Wi & B. H. Jang. (2016). Biomedical ethics awareness, self-Esteem, family strengths between nursing and non-nursing students. The Korean Society for Medical Ethics, 19(3), 297-311. https://doi.org/10.35301/ksme.2016.19.3.297
  33. J. M. Park & M. K. Sim. (2017). The influence of spirituality, meaning in life and hospice perception on attitudes towards terminal care in nursing students. Journal of the Korea Academia-Industrial cooperation Society, 18(7), 290-299. DOI: http://dx.doi.org/10.5762/KAIS.2017.18.7.290