DOI QR코드

DOI QR Code

일 종합병원 간호사의 영성과 임종간호태도와의 관계에서 공감역량의 매개효과

The Mediating Effect of Compassionate Competence on the Relationship between Nurses' Spirituality and Attitude toward Care of Dying Patients

  • 김은희 (원주세브란스기독병원) ;
  • 임영미 (연세대학교 원주의과대학 간호학과)
  • 투고 : 2019.04.12
  • 심사 : 2019.10.04
  • 발행 : 2019.11.30

초록

Purpose: The purpose of this study was to identify the mediating effect of compassionate competence on the relationship between nurses' spirituality and attitude toward care of dying patients. Methods: A cross-sectional correlational research design was conducted. The total subjects were 172 nurses at one general hospital in Gangwon-do. Data were collected using self-report questionnaires and analyzed using t-test, one-way ANOVA, Scheffe's test, Pearson's correlation coefficients, and multiple regression analysis. Results: Compassionate competence showed the mediating effect (${\beta}=.19$, p=.025) on the relationship between nurses' vertical spirituality and attitudes toward care of dying patients. However, no mediating effect of compassionate competence on the relationship between nurses' horizontal spirituality and attitudes toward care of dying patients was found. Conclusions: Based on the findings of this study, development of training programs with a focus on spirituality and compassionate competence was highly recommended to improve and maintain nurses' positive attitudes toward caring of the dying patients.

키워드

참고문헌

  1. Statistics Korea. 2015 Birth, death statistics [Internet]. 2018 May [cited 2018 May 31]. Available from: [http://kostat.go.kr/portal/korea/index.action]
  2. No SS. A study on death perception, terminal care attitude, and terminal care performance of clinical nurses caring for cancer patients [master's thesis]. Seoul: Sungkyunkwan University; 2010. pp.1-55.
  3. Chi K, Kim E. Factors influencing nurse's attitude toward hospice. Journal of Korean Academy Psychiatric Mental Health Nursing. 2005;14(3):285-91.
  4. Yoon MO. The spiritual well-being and the spiritual nursing care of nurses for cancer patients. The Korean Journal of Hospice and Palliative Care. 2009;12(2):72-9. https://doi.org/10.14475/kjhpc.2009.12.2.72
  5. Noh SS, Lee CK, Sung YH. Predictors of terminal care performance of clinical nurses for cancer patients. Journal of Korean Critical Care Nursing. 2016;9(2):61-70.
  6. Ko IS, Choi SY, Kim JS. Evolutionary concept analysis of spirituality. Journal of Korean Academy of Nursing, 2017;47(2):242-56. https://doi.org/10.4040/jkan.2017.47.2.242
  7. Oh PJ, Kang KA. Spirituality: Concept analysis. Journal of Korean Academy of Nursing. 2000;30(5):1145-55. https://doi.org/10.4040/jkan.2000.30.5.1145
  8. McSherry W, Ross L. Dilemmas of spiritual assessment: Considerations for nursing practice. Journal of Advanced Nursing. 2002;38(5):479-88. https://doi.org/10.1046/j.1365-2648.2002.02209.x
  9. Lee YJ. Development of the Compassionate Competence Scale for Nurses [master's thesis]. Korea University, Seoul. 2014. pp.1-148.
  10. Lee KJ, Park YS. Nurses' spirituality and attitude toward terminal care in geriatric hospital. Journal of Digital Convergence. 2015;13(12): 347-57. https://doi.org/10.14400/JDC.2015.13.12.347
  11. Sim MK, Park JM. The influence of spirituality, meaning in life and hospice perception on attitudes toward terminal care in nursing students. Journal of the Korea Academia-industrial Cooperation Society, 2017;18(7):290-99. https://doi.org/10.5762/KAIS.2017.18.7.290
  12. Jo MJ, Jun WH. Effects of end-of life care education using self-reflection diary on spirituality, death orientation, and attitudes toward nursing care of the dying patients in nursing students. Journal of the Korea Contents Association, 2015;15(12):294-303. https://doi.org/10.5392/JKCA.2015.15.12.294
  13. Jo KW, Park AR, Lee JJ, Choi SJ. The effect of suffering experiences, empathy ability, caring behaviors on terminal care performance of clinical nurses. The Korean Journal of Hospice and Palliative Care, 2015;18(4):276-84. https://doi.org/10.14475/kjhpc.2015.18.4.276
  14. Lee JY Mediating effects of psychosocial maturity on the relationships between spirituality and empathy of secondary school teachers. Secondary Education Research, 2011;59(2):481-508. https://doi.org/10.25152/ser.2011.59.2.481
  15. Saslow L, John OP, Piff PK, Willer R, Wong E, Impett EA, Feinberg M. The social significance of spirituality: New perspectives on the compassion-altruism relationship. Psychology of Religion and Spirituality, 2013;5(3):201-8. https://doi.org/10.1037/a0031870
  16. Park HJ. Development of spirituality scale and spirituality of Catholic social workers. Woori Theology. 2003;2:196-223.
  17. Howden J. Development and psychometric characteristics of the Spirituality Assessment Scale, [master's thesis], Houston: Texas Women's University; 1992.
  18. Frommelt KHM. The effects of death education on nurses' attitudes toward caring for terminally ill persons and their families. American Journal of Hospice and Palliative Medicine, 1991;8(5):37-43. https://doi.org/10.1177/104990919100800509
  19. Cho H-J, Kim E-S. The effect of the death education program on the death anxiety and attitudes toward nursing care of the dying patients of nursing student. The Korean Journal of Hospice and Palliative Care. 2005;8(2):163-72.
  20. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology. 1986;51(6):1173-82. https://doi.org/10.1037/0022-3514.51.6.1173
  21. Lee, S-H. Concept of a good death and attitude toward care of the dying in general hospital nurses [master's thesis] Seoul: Seoul National University, 2017. pp.1-78.
  22. Hong E, Jun M, Park ES, Rhu E. Death perceptions, death anxiety, and attitudes to death in oncology nurses. Asian Oncological Nursing, 2013;13(4):265-72. https://doi.org/10.5388/aon.2013.13.4.265
  23. An MS, Lee KJ. Awareness of good death and attitudes toward terminal care among geriatric hospital nurses. Korean Journal of Hospice and Palliative Care. 2014;17(3):122-33. https://doi.org/10.14475/kjhpc.2014.17.3.122
  24. Huber JT, MacDonald DA. An investigation of the relations between altruism, empathy, and spirituality. Journal of Humanistic Psychology. 2012;52(2):206-21. https://doi.org/10.1177/0022167811399442
  25. Kim HY, Nam KH, Kwon SH. Mediating effects of empathy and resilience on the relationship between terminal care stress and performance for nurses in a tertiary hospital. Korean Journal of Hospice and Palliative Care. 2017;20(4):253-63. https://doi.org/10.14475/kjhpc.2017.20.4.253
  26. Yoon M. Development of the Korean version of the spirituality scale and the mediating effects of compassion in the relationship between spirituality and altruism [dissertation]. Seoul: Korea University; 2018. pp.1-168.

피인용 문헌

  1. Moderating Effect of Nurse’s Character on the Relationship between Attitudes toward Nursing Care of the Dying and Performance of Terminal Care in South Korea vol.9, pp.9, 2019, https://doi.org/10.3390/healthcare9091195
  2. Relationship of Communication Competence with Caring Behavior in Clinical Nurses: The Mediating Effect of Compassion Competence vol.28, pp.4, 2019, https://doi.org/10.7739/jkafn.2021.28.4.411