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요양병원 간호사의 임종간호경험

End-of-life Care Experiences of Long-Term Care Hospital Nurses

  • Yeong-Nam, Yeo (Dept. of Nursing, College of Nursing, Changshin Univ)
  • 투고 : 2023.07.30
  • 심사 : 2023.09.01
  • 발행 : 2023.09.30

초록

현재 우리나라 요양병원은 노인인구 증가와 함께 지속적으로 증가하고 있다. 요양병원에 입원하는 환자는 주로 만성질환을 가진 노인들로서 장기요양을 목적으로 하기 때문에 요양병원에서 임종하는 경우가 많아 요양병원에서의 임종간호 중요성이 점점 커지고 있다. 이러한 특징에도 불구하고 요양병원 간호사를 대상으로 임종간호에 대한 연구로는 주로 양적연구들로서 임종간호 경험에 대해 심층적으로 파악하기에 제한이 있다. 따라서 본 연구의 목적은 현상학적 방법을 통해 요양병원 간호사의 임종환자 간호경험의 의미가 무엇인지 이해하고 그 현상의 의미를 심층적으로 기술하고 이해하고자 함이다. 본 연구의 대상자는 C 시에 위치한 요양병원에서 6개월 이상 근무하고 있는 간호사 7명을 선정하였다. 연구방법은 심층 인터뷰로 2021년 12월부터 2022년 3월까지 자료를 수집하였다. 인터뷰 자료는 Giorgi의 현상학적 방법으로 분석하였다. 연구 결과 '임종간호에 대한 간호사의 태도', '연명에 대한 양가 감정', '요양병원의 임종간호에 대한 현실', '삶과 죽음에 대한 성찰'으로 나타났다. 따라서 요양병원 간호사의 임종간호 태도를 변화시키고 대처능력을 향상시킬 수 있는 임종간호 보수교육 및 중재 교육프로그램이 개발되어야 할 것으로 사료된다.

Currently, the number of Long-Term Care Hospital in Korea is continuously increasing with the increase in the elderly population. Patients admitted to Long-Term Care Hospital are mainly elderly with chronic diseases, and because they are for long-term care, they often die in Long-Term Care Hospital, and the importance of end-of-life care is gradually increasing. In spite of these characteristics Studies on end-of-life care for nurses in Long-Term Care Hospital are mainly quantitative studies, and there is a limit to in-depth understanding of end-of-life care experiences. Therefore, The purpose of this study is to understand the meaning of Long-Term Care Hospital nurses' nursing experienceof end-of-life patients through a phenomenological method, and to describe and understand the meaning of the phenomenon in depth. The subjects of this study were 7 nurses who had worked for more than 6 months at a nursing hospital located in C city. The research method was in-depth interviews, and data were collected from December 2021 to March 2022. The interview date were analyzed by Giorgi's phenomenological method. As a result of the study, 'nurses' attitude toward end-of-life care', 'ambivalence toward life prolongation', 'reality of end-of-life care in Long-Term Care Hospital', and 'reflection on life and death' were found. Therefore, it is thought that End-of-life nursing Continuing educationand interventional education programs should be developed to change Long-Term Care Hospital nurses' end-of-life care attitudes and improve coping skills.

키워드

과제정보

이 논문은 2022년도 창신대학교의 연구지원에 의하여 연구 되었음

참고문헌

  1. http://kostat.go.kr/wnsearch/search.jsp, Retrieved 2019.10.12.
  2. K.W. Kim, and S.N. Jang, "Characteristics and mortality risk factors in geriatric hospital patients visiting one region-wide emergency department." Journal of Korean Academy of Community Health Nursing, Vol.27, No. 4, pp. 327-336, 2016 https://doi.org/10.12799/jkachn.2016.27.4.327
  3. G.S. Kang, and J.S. Kim, "Change of life of the older due to social admission in long-term care hospital." Korea Gerontological Society, Vol. 37, No. 1, pp. 103-123, 2017
  4. S.R. Do, and E.S. S, "Implications and increasement of medical care use of the elderly." Health and Welfare Issue & Focus, Vol.167, No. 5, pp. 1-8. 2012.
  5. M.J. Yi, and J.S. Lee, "Nurses' Experiences of the death of patients in geriatric hospitals." Journal of Korean Academy of Nursing, Vol. 45, No. 4, pp. 513-522, 2015. https://doi.org/10.4040/jkan.2015.45.4.513
  6. Peters, R. Cant, S. Payne, M.. O'Connor, F. McDermott, K.. Hood, J. Morphet, and K. Shimoinaba, "How death anxiety impacts nurses' caring for patients at the end of life: A review of literature," Open Journal of Nursing, Vol. 7, pp. 14-21, 2013. DOI: 10.2174/1874434601307010014
  7. J.H. Lee, and J.S. Park, "End of life care stress and Nursing Work Environment in Geriatric Hospitals Nurses affect burn out." Journal of Korea Academia-Industrial cooperation Society, Vol. 18, No. 6, pp. 449-458,
  8. W.S. Kim, H.H. Cho, and S.H. Kwon, "The influence of terminal care performance, death anxiety and self-esteem on terminal care stress of geriatric hospital nurses." The Korean Journal of Hospice and Palliative Care, Vol. 19, No. 2, pp. 154-162, 2016. https://doi.org/10.14475/kjhpc.2016.19.2.154
  9. M.S. Yi, "Nurses' experience of caring for dying patients in hospitals." Journal of Korean Academy Nursing, Vol. 33, No. 5, pp. 553-561, 2003. https://doi.org/10.4040/jkan.2003.33.5.553
  10. M.O. Cho, "Experiences of icu nurses on temporality and spatiality in caring for dying patients." Journal of Qualitative Research, Vol. 11, No. 2, pp. 80-93. 2010.
  11. H.J. Kang, and K.S. Bang, "Neonatal Intensive Care Unit Nurses' Experience in Caring for Infants Who Are Dying.", Child Health Nursing Research, Vol. 19, No. 4, pp. 252-261, 2013. https://doi.org/10.4094/chnr.2013.19.4.252
  12. Y.M. Kim, H.Y. Yoon, Y.J. Choi, and D.S. Shin, "Neonatal ICU Nurses' Coping with Death of High Risk Newborn." Journal of Hwalth Information and Statistics, Vol. 44, No. 2, pp. 103-110, 2019. https://doi.org/10.21032/jhis.2019.44.2.103
  13. B.S. Lee, and S.Y. Kwak, "Experience of Spiritual Conflict in Hospice Nurses: A Phenomenological Study." Journal of Korean Academy of Nursing, Vol. 47 No. 1, pp. 98-109, 2017. https://doi.org/10.4040/jkan.2017.47.1.98
  14. W.S, Kim, H.H, Cho, and S.H. Kwon, "The influence of terminal care performance, death anxiety and self-esteem on terminal care stress of geriatric hospital nurses." The Korean Journal of Hospice and Palliative Care, Vol. 19, No. 2, pp. 154-162. 2016. https://doi.org/10.14475/kjhpc.2016.19.2.154
  15. E.H, Park, and N.Y. Kim, "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 Vol. 30, No. 2, pp. 183-193, 2018. https://doi.org/10.7475/kjan.2018.30.2.183
  16. R.J, Lee, and H.S. Park, "Death anxiety and terminal care performance of nurses at long termcare hospitals." Korean Journal of Hosꠓpice and Palliative Care, Vol. 20, No .1, pp. 37-45, 2017. https://doi.org/10.14475/kjhpc.2017.20.1.37
  17. S.Y, Ahn, H.K, Kim, E,S, Kong, N.C, Kim, C.G. Kim, S.O. Chang, et al. "Nurses' experience of end-of life care for older adults." Journal of Korean Gerontological Nursing, Vol. 16, No. 2, pp. 118-129,2014. https://doi.org/10.17079/jkgn.2014.16.2.118
  18. A. Giorgi, Advanced workshop on the descriptive phenomenological method: Qualitative research methodology, Seoul: Qualitative research center. 2004.
  19. Y. S. Lincoln, and E. G. Guba, Naturalistic inquiry, Beverly Hills, CA: Sage.1985.
  20. H.J. Park, and E.H. Kang, "Factors Influencing Nurses' Attitudes Toward Terminal Care." Journal of Korean Critical Care Nursing Vol. 13, No. 1, pp. 76-86, 2020. https://doi.org/10.34250/jkccn.2020.13.1.76
  21. M.J. Ko, and S.H. Moon, "Factors Influencing Performance of End-of-life Care by ICU Nurses." Journal of Korean Academy of Psychiatric Mental Health Nursing, Vol. 25, No. 4, pp. 327-337, 2016. https://doi.org/10.12934/jkpmhn.2016.25.4.327 Published online January 17, 2017.
  22. Y.H. Jeong, and K.J. June, "End of Life Care Competencies and Terminal Care Stress of Nurses in Long Term Care Hospitals." The Korean journal of hospice and palliative care, Vol. 22, No. 3 pp. 125-133, 2019, https://doi.org/10.14475/kjhpc.2019.22.3.125
  23. M.S, Lee, and Y.J. Kim, "Good death recognized by the elderly." Journal of the Korea Contents Association, Vol. 13, No. 6, pp. 283-299. 2013. https://doi.org/10.5392/JKCA.2013.13.06.283
  24. S.Y, Ahn, H.K, Kim, E.S, Kong, N.C, Kim, C.G, Kim, S.O, Changet al. "Nurses' experience of end-of life care for older adults." Journal of Korean Gerontological Nursing, Vol. 16, No. 2, pp. 118-129. 2014. https://doi.org/10.17079/jkgn.2014.16.2.118