DOI QR코드

DOI QR Code

Attitude, Role perception and Nursing stress on Life Sustaining Treatment of Nurses

간호사의 연명의료에 대한 태도, 역할 인식 및 간호 스트레스

  • Lee, Mi-Ra (Department of Nursing, Pyeongtaek University)
  • Received : 2020.06.09
  • Accepted : 2020.07.20
  • Published : 2020.07.28

Abstract

The purpose of this study was to identify the attitude, role perception and nursing stress on life sustaining treatment of nurses. The participants were 160 nurses in G hospital of P city. Data were collected by using self-report questionnaires. The mean score of attitude toward life sustaining treatment was 3.33, role perception was 3.94 and nursing stress was 3.78. Attitude toward life sustaining treatment was significant difference for work unit and nursing stress was significant difference for gender, marital status and work unit. The nursing stress was positively correlated with role perception. The influencing factors of nursing stress were gender, medical ward, intensive care unit and role perception. Therefore, it is necessary to develop education program to reduce nursing stress and research is needed to verify the effectiveness of the program.

본 연구의 목적은 간호사의 연명의료에 대한 태도, 역할 인식 및 간호 스트레스에 대하여 조사하고 관련 요인을 파악하는 것이다. 연구 대상자는 P시에 소재한 G 병원에 근무하는 간호사 160명이며, 구조화된 설문지를 이용하여 자료를 수집하였다. 연명의료에 대한 태도는 5점 만점에 3.33점, 역할 인식은 3.94점 그리고 간호 스트레스는 3.78점이었다. 연명의료에 대한 태도는 근무 병동 그리고 간호 스트레스는 성별, 결혼 상태, 근무 병동에서 유의한 차이가 있었다. 간호 스트레스는 역할 인식과 양의 상관관계가 있었으며, 간호 스트레스에 영향을 미치는 요인은 성별, 내과 병동, 중환자실, 역할 인식이었다. 그러므로 간호사의 연명의료 간호 스트레스 감소를 위한 교육프로그램의 개발과 효과를 확인하는 연구가 필요하다.

Keywords

References

  1. Ministry of Health and Welfare. (2019). Revised the life-sustaining treatment Act. http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&BOARD_ID=140&BOARD_FLAG=00&CONT_SEQ=348830.
  2. National Health Insurance service. (2017). Efficient management plan for elderly medical expenses in preparation for an aging society. https://www.nhis.or.kr/bbs7/boards/B0069/23576?bodKey=39&boardName=B0069.
  3. National Health Insurance service. (2014). Analysis of the use of wages before death by the long-term care insurance recipient. https://www.nhis.or.kr/bbs7/boards/B0069/12977?bodKey=39&boardName=B0069.
  4. Ministry of Health and Welfare(2020). 2 years of life-sustaining treatment Act. http://www.mohw.go.kr/react/al/sal0301vw.jsp?PA
  5. After the implementation of the life sustaining treatment Act. (2019. July.9). MEDI:GATE NEWS. https://medigatenews.com/news/702311991.
  6. D. H. Park. (2018). Attitude toward the termination of life-sustaining treatment of nurse in general hospital and life-sustaining treatment nursing care stress. Unpublished Master,s thesis, Changwon National University, Changwon.
  7. E. J. Yeun & M. S. Song. (2011). Attitude toward the life-sustaining treatment(LST) among Korean adults: An application of Q-methodology. Journal of Korean Society for Scientific Study of Subjectivity, 22(1). 129-145.
  8. E. J. Yeun, Y. P. Hong & H. H. An. (2016). Attitude toward life-sustaining treatment(LST) of health professionals and general public: A Co-orientational look. Journal of the Korean society for Wellness, 11(2), 1-14. DOI: 10.21097/ksw.2016.05.11.2.1.
  9. M. O. Park & H. J. Yun. (2016). Nurse,s experience dealing with ethical dilemma in intensive care unit. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities and Sociology, 6(8), 81-93. DOI:10.14257/AJMAHS.2016.08.36.
  10. J. K. Um. (2017). Life-sustaining treatment Attitude, Stress and Advanced Directives Awareness in ICU Nurses. Unpublished Master's thesis. Gangneung-Wonju National Univesity, Wonju.
  11. M. S. Haras, S. K. Astroth & S. P. Kossman (2015). Exploring advanced care planning from the nephrology nurse perspective: A literature review. Journal of American Neprology Nurses Association, 42(1), 23-35. PMID: 26290915.
  12. E. K. Byun, H. R. Choi, A. L. Choi, N. M. Kim. K. H. Hong & H. S. Kim. (2003). An Investigative research on the attitudes of Intensive Care Unit nurses and families on terminate life support, Clinical nursing Research, 9(1), 112-124. UCL:G704-000921.203.9.1.005.
  13. S. O. Kim.(1999). Characteristic analysis of stop treatment at intensive care unit. Unpublished Master,s thesis. Yonsei University, Seoul.
  14. M. S. Yi, S. E. Oh, E. O. Choi, I. G. Kwon, S. B. Kwon, K. M. Cho et al. (2008). Hospital nurses, experience of Do-Not-Resuscitate in Korea. Journal of Korean Academy of Nursing, 38(2), 298-309. DOI: 10.4040/jkan2008.38.2.298.
  15. J. I. Yu. (2019). Knowledge on advance directive, attitude and role perception on life sustaining treatment among nurses in general hospitals. Unpublished Master,s thesis. Hanyang University, Seoul.
  16. S. J. Lee & H. Y. Kim. (2017). Attitude, role perception and nursing stress on life sustaining treatment among Intensive Care Unit nurses. Korean Journal of Adult Nursing, 29(2), 131-142. DOI: 10.7475/kjan.2017.29.2.131.
  17. J. K. Um, G. H. Suh & S, Park. (2018). Life-sustaining treatment attitude, stress and advanced directive awareness in ICU nurses. J Korean Bioethics Assoc, 19(1), 37-50. DOI: 10.305. https://doi.org/10.37305/JKBA.2018.06.19.1.37
  18. S. J. Lee. (2016). The role perception, nursing stress and attitude on life sustaining treatment among Intensive Care Unit nurses. Unpublished Master's thesis. Keimyung University. Daegu.
  19. G. S. Park. (2000). Sense researches of medical agent over euthanasia of patients who can,t resuscitate: Q-Methodological approach. Unpublished Master's thesis. Dankook University. Seoul.
  20. H. S. Hwang. (2019). Effects of nurses knowledge of advanced directive, role perception of life sustaining treatment and death orientation on their attitude toward withdrawal from life sustaining treatment. Unpublished Master's thesis. Korea Bible University. Seoul.
  21. H. T. Chang, M. H. Lin, C. K. Chen, T. H. Chen & S. J. Hwang (20200. Nurses experience and factors related to their attitudes regarding discussions with patients and family members about Do-Not-Resuscitate decision and Life-sustaining treatment withdrawal: A hospital-based cross-sectional study. Int J Environ Res Public Health, 17(2). 1-6. DOI:10.3390/ijerph17020557.
  22. S. K. Kim, S. H. Kim & H. Y. Yun. (2019). Factors that influence end-of-life care provided by nurses in general hospitals. Korean J Med Ethics, 22(1), 53-72. https://doi.org/10.35301/ksme.2019.22.1.53
  23. I. H. F. Taylor, A. Dihle, K. Hofso & S. A. Steindal (2020). Intensive care nurses, experience of withdrawal of life -sustaining treatments in intensive care patients: A qualitative study. Intensive and Critical Care Nursing 56, 1-23. DOI:10.1016/j.iccn.2019.201768.
  24. M. J. Bloomer, R. Endacott, K. Ranse & M. Coombs. (2016). Navigation communication with families during withdrawal of life-sustaining treatment in intensive care: A qualitative descriptive study in Australia and New Zealand. J Clin Nurs, 26, 690-697. DOI:10.1111/jocn.13585.
  25. B. D. Sachs, J. R. Ni & M. Caron. (2014). Sex differences in response to chronic mild stress and congenital serotonin deficiency.Psychoneuroendocrinology, 40, 123-129. DOI: 10.1016/j.psyneuen.2013.11.008.