동서간호학연구지 (Journal of East-West Nursing Research)

  • 제28권2호
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  • Pages.142-150
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  • 2022
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  • 1226-4938(pISSN)
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  • 2671-8448(eISSN)
경희대학교 동서간호학연구소 (East-west Nursing Research Institute, Kyung Hee University)
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종합병원 간호사의 연명의료중단 역할인식 영향요인

Factors Affecting the Role of Nurses Related to Withdrawing Life-sustaining Treatment in a General Hospital

  • Jo, Jae Jung (Department of Nursing, Graduate School, Kyung Hee University) ;
  • Lee, Jia (College of Nursing Science, Kyung Hee University)
  • 투고 : 2022.05.30
  • 심사 : 2022.11.09
  • 발행 : 2022.11.30
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초록

Purpose: The purpose of this study is to identify the factors affecting the role of nurses with regard to the perception of good death, knowledge of advance directives, and stress and attitude toward withdrawing life-sustaining treatment. Methods: Data were collected from 102 nurses working at a general hospital. Data were analyzed by descriptive statistics, independent t-test, one-way ANOVA, Scheffé test, Pearson correlation coefficient, and multiple linear regression using the SPSS 28.0.1.0 program. Results: Educational level (β=.37, p=.001 for bachelor; β=.33, p=.005 for master or higher) and good death perception (β=.22, p=.024) were significant factors of the role of nurses associated with withdrawing life-sustaining treatment. Conclusion: Based on the result of this study, information about awareness of good death should be included in development of an educational program in order to strengthen the role of nurses in withdrawing life-sustaining treatment of patients.

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참고문헌

  1. Kim YJ, Lee MN. Attitude on nursing ethical values and on brain death organ donation of hospital nurses. Journal of the Korea Contents Association. 2011;11(10):312-23. https://doi.org/10.5392/JKCA.2011.11.10.312
  2. Lee JA. Customized consultation manual for consultation on the letter of intent for life-sustaining treatment. Korea National Institute for Bioethics Policy: 2020 p.8-21
  3. Lee YJ, Moon IO. Development and testing of the Short Form Biomedical Ethics Scale. Global Health & Nursing. 2015;5(2):67-77.
  4. Lee SM, Kim SJ, Choi YS, Heo DS, Baik SJ, Choi BM, et al. Consensus guidelines for the definition of the end stage of disease and last days of life and criteria for medical judgment. Journal of the Korean Medical Association. 2018;61(8):509-21. https://doi.org/10.5124/jkma.2018.61.8.509
  5. Jeong HS. Recognition to wards good death among physicians and nurses in an area. [master's thesis]. Pusan: Catholic University of Pusan; 2010 p.1-53.
  6. Lee, MS, Kim, YJ. Good Death Recognized by the Elderly. The Journal of the Korea Contents Association, 2013;13(6):283-99. https://doi.org/10.5392/JKCA.2013.13.06.283
  7. Kim SN, Kim HJ. Recognition of good death, attitude towards the withdrawal of life-sustaining treatment, and attitude towards euthanasia in nurses. The Korean Journal of Hospice and Palliative Care. 2013;19(2):136-44. https://doi.org/10.14475/kjhpc.2016.19.2.136
  8. Park JA, Jung DY. The comparing perception of advance directives in one general hospital doctors and nurses. Health and Nursing. 2013;25(2):25-33.
  9. Lee, SJ, Kim HY. Attitude, role perception and nursing stress on life sustaining treatment among intensive care unit nurses. Korean Journal of Adult Nursing. 2017;29(2):131. https://doi.org/10.7475/kjan.2017.29.2.131
  10. Um JK, Gil HS, Park SA. Life-sustaining treatment attitude, stress and advanced directives awareness in ICU nurses. Journal of the Korean Bioethics Association. 2018;19(1):37-50. https://doi.org/10.37305/jkba.2018.06.19.1.37
  11. Lee Mi-Ra. Attitude, role perception and nursing stress on life sustaining treatment of nurses. Journal of Digital Convergence. 2020;18(7):347-55. https://doi.org/10.14400/JDC.2020.18.7.347
  12. Byun EK, Choi HR, Choi AL, Hong KH, Kim MN, Kim HS. An investigative research on the attitudes of intensive care unit nurses and families on terminating life support. Journal of Korean Clinical Nursing Research. 2003;9(1):112-24
  13. Lee HK, Kang HS. Attitudes and awareness towards the withdrawal of life-sustaining treatment among nurses, physicians, and families of intensive care unit patients. Journal of Korean Clinical Nursing Research. 2010;16(3):85-98. https://doi.org/10.22650/JKCNR.2010.16.3.85
  14. Kwon YO, Ahn SH. The attitude and perception on withdrawal of futile life sustaining treatment and patient self determination right among home care nurses. Journal of the Korean Bioethics Association. 2013;14(2):53-66.
  15. Schwartz CE, Mazor K, Rogers J, Ma Y, Reed G. Validation of a new measure of concept of a good death. Journal of Palliative Medicine. 2003;6(4):575-84. https://doi.org/10.1089/109662103768253687.
  16. Hong SW, Kim SM. Knowledge regarding advance directives among community-dwelling elderly. The Journal of Korean Academic Society of Nursing Education. 2013;19(3):330-40. https://doi.org/10.5977/jkasne.2013.19.3.330
  17. Seo SY. The knowledge and attitude about the advance directives : focused on the home-based cancer patients registered in community health centers. [master's thesis]. Pusan: Catholic University of Pusan; 2019. p.1-55.
  18. Park GS. The Study of consciousness of euthanasia among health professionals: Q-methodological Approach. [master's thesis]. Seoul: Dankook University; 2000. p.1-98.
  19. Jeong JH, Cheon JY. Relationship of knowledge of end-of-life care, life-sustaining treatment, and advance directive with the educational needs regarding advance directives writing among nurses in general hospital in convergence era. Journal of The Korea Internet of Things Society. 2020;6(1):45-53. https://doi.org/10.20465/KIOTS.2020.6.1.045
  20. Cho EA, Jeong SK. Effects of perception of good death and knowledge toward advance directive on attitude toward withdrawal of life-sustaining treatment among university hospital nurses. The Journal of the Korea Contents Association. 2021;21(4):688-98. https://doi.org/10.5392/JKCA.2021.21.04.688
  21. Kim S, Sohn M, Kim G, Choi M. Impact of chronic elderly patients with private health insurance on medical use. Health and Social Welfare Review. 2020;40(3):152-77. https://doi.org/10.15709/hswr.2020.40.3.152