문화기술의 융합 (The Journal of the Convergence on Culture Technology)

  • 제10권6호
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  • Pages.253-261
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  • 2024
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  • 2384-0358(pISSN)
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  • 2384-0366(eISSN)
국제문화기술진흥원 (The International Promotion Agency of Culture Technology)
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노인 요양병원 간호사의 임종간호 태도에 영향을 미치는 요인

Factors Influencing Nurses' Attitudes Toward End-of-Life Care in Older Adult Care Hospitals

  • 투고 : 2024.09.15
  • 심사 : 2024.11.01
  • 발행 : 2024.11.30
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초록

본 연구는 요양병원 간호사의 좋은 죽음 인식, 영성 및 회복탄력성, 임종간호 태도 간의 상관관계를 알아보고자 하였다. 본 조사 연구는 2022년 8월 25일부터 9월 20일까지 경기도와 충청도 지역 요양병원에서 6개월 이상 근무한 간호사를 대상으로 실시되었다. 데이터는 SPSS Windows 소프트웨어 버전 26.0을 사용하여 평균, 표준 편차, 독립 t-검정, 일원 분산 분석, Scheffe의 사후검증, Pearson 상관 계수 및 단계적 회귀분석을 사용하여 분석되었다. 연구 대상자의 좋은 죽음 인식은 4점 만점에 평균 3.12±0.72점, 영성은 5점 만점에 평균 3.36±0.85점, 회복탄력성은 5점 만점에 평균 3.57±0.82점, 임종간호 태도는 4점 만점에 평균 3.61±0.28점으로 나타났다. 좋은 죽음 인식은 영성, 회복탄력성, 임종간호 태도와 정적인 상관관계가 있었다. 영성은 회복탄력성과 회복탄력성은 임종간호 태도와 유의한 양의 상관관계가 있었으며, 회복탄력성은 임종간호 태도와 유의한 양의 상관관계가 있었다. 임종간호 태도에 영향을 미치는 다양한 영향요인에 대한 추가 연구 및 요양병원 간호사의 긍정적인 임종간호 태도를 강화할 수 있는 중재 프로그램이 개발되어야 할 것이다.

This study examined the correlation between nursing home nurses' perceptions of a good death, their spirituality and resilience, and their attitudes toward end-of-life care. This descriptive survey study was conducted between August 25 and September 20, 2022, with nurses who had worked in nursing hospitals in Gyeonggi and Chungcheong provinces for over six months. Data were analyzed using SPSS Windows software version 26.0, employing mean, standard deviation, independent t-test, one-way ANOVA, Scheffe's post hoc validation, Pearson correlation coefficients, and stepwise regression analysis. Participants' perception of a good death averaged 3.12±0.72 out of 4, spirituality averaged 3.36±0.85 out of 5, resilience averaged 3.57±0.82 out of 5, and end-of-life care attitude averaged 3.61±0.28 out of 4. Perception of a good death was positively correlated with spirituality, resilience, and end-of-life care attitudes. Spirituality was positively correlated with resilience, resilience was significantly positively correlated with end-of-life care attitudes. A study on various factors affecting end-of-life care attitudes should be proposed, and an intervention program should be developed to reinforce these attitudes among nursing hospital nurses positively.

키워드

참고문헌

  1. Statistics Korea. Population dash board [Internet]. Daejeon: Statistics Korea; 2023 [citied 2023 September 28]. Available from: https://kosis.kr/visual/populationKorea/PopulationDashBoardMain.do
  2. Statistics Korea. 2022 Cause of Death Statistics [Internet]. Seoul: Statistics Korea; 2022 [cited 2022 September 27]. Available from: https://www.korea.kr/docViewer/skin/doc.html?fn=192687b5f0b741fcf2b212cfaac12a12&rs=/docViewer/result/2022.09/29/192687b5f0b741fcf2b212cfaac12a12
  3. Medical and Welfare News. 1 in 3 people die in nursing homes [Internet]. Seoul: Medical & Welfare News; 2020 [cited 2020 October 17]. Available from: https://www.mediwelfare.com/news/articleView.html?idxno=673
  4. Lee KJ, Park YS. Nurses' spirituality and attitude toward terminal care in geriatric hospital. Journal of Digital Convergence. 2015;13(12):347-357. https://doi.org/10.14400/JDC.2015.13.12.347
  5. Park HJ, Kang EH. Factors influencing nurses' attitudes toward terminal care. Journal of Korean Critical Care Nursing. 2020;13(1):76-86. https://doi.org/10.34250/jkccn.2020.13.1.76
  6. Chi KA. Factors influencing nurse's attitude toward hospice. Journal of Korean Academy of Psychiatric Mental Health Nursing. 2005;14(3):285-291.
  7. Detering KM, Hancock AD, Reade MC, Silverster W. The impact of advance care planning on end life care elderly patients: randomised controlled trial. British Medical Journal. 2010;340(7751):847-847.
  8. Kim EH, Lim YM. The mediating effect of compassionate competence on the relationship between nurses' spirituality and attitude toward care of dying patients. Journal of East-West Nursing Research. 2019;25(2):166-173. https://doi.org/10.14370/JEWNR.2019.25.2.166
  9. Lee KG, Hwang KH, Ra JR, Hong JA, Park JS. Concept analysis of good death. The Journal of Hospice & Palliative Care. 2006;10;23-39.
  10. Yang SA. Convergence analysis of factors influencing the end-of-life care attitude in undergraduate nursing student. Journal of the Korea Convergence Society. 2016;7(4):141-154. https://doi.org/10.15207/JKCS.2016.7.4.141
  11. An MS, Lee KJ. Awareness of good death and attitudes toward terminal care among geriatric hospital nurses. The Korean journal of hospice and palliative care. 2014;17(3):122-133. https://doi.org/10.14475/kjhpc.2014.17.3.122
  12. Kang SR. Concept analysis of spiritual care. Journal of Korean Academy of Nursing. 2006;36(5):803-812.
  13. Seo IS, Yong, JS, Park JY, Kim, JH. Spiritual and psychosocial effects of the spirituality promotion program on clinical nurses. Journal of Korean Academy of Nursing. 2014;44(6):726-734. https://doi.org/10.4040/jkan.2014.44.6.726
  14. Pines EW, Rauschhuber M, Cook JD, Norgan GH, Canchola L, Richardson C, et al. Enhancing resilience, empowerment, and conflict management among baccalaureate students: outcomes of a pilot study. Nurse Educator. 2014;39(2):85-90.
  15. Ryu K, Kim JK. A study on relationships among resilience, stress, burnout and organizational commitment of hospital nurses. The Journal of the Korea Contents Association. 2016;16(7):439-450. https://doi.org/10.5392/JKCA.2016.16.07.439
  16. No JY. Factors Influencing on Clinical Decision Making Ability of Nurses in Long-term Care Hospitals. Journal of Digital Convergence. 2022;20(4): 769-777.
  17. Park HJ, Kang EH. Factors Influencing Nurses' Attitudes Toward Terminal Care. Journal of Korean Critical Care Nursing. 2020;13(1):76-86. http://doi.org/10.34250/jkccn.2020.13.1.76
  18. Schwartz S, Mazor M, Rogers R, Ma M, Reed R. Validation of a new measure of concept of a good death. Palliative and Supportive Care. 2003;1(3):291-300.
  19. Jeong HS. Recognition towards good death among physicians and nurses in an area [master's thesis]. Pusan: Catholic University; 2010. p.1-53.
  20. Howden JW. Development and psychometric characteristics of the spirituality assessment scale. Dissertation Abstracts International. 1992:54(1):166B.
  21. Oh PJ, Kang KA. Spirituality: concept analysis. Journal of Korean Academy of Nursing. 2000;30(5):1145-1155.
  22. Park HJ. The development of spirituality measurement tools and the spirituality of catholic social workers. WooriI Theology. 2003;2:196-223.
  23. Shin WY, Kim MG, Kim JH. Developing measures of resilience for korean adolescents and testing cross, convergent, and discriminant validity. Studies on Korean Youth. 2009;20(4):105-131.
  24. 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.
  25. Cho HJ, Kim ES. 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):163-172.
  26. Song EH. A study on good death awareness, spiritual well-being and elderly nursing performance of geriatric hospital caregivers [master's thesis]. Kongju: Kongju National University; 2017. p. 1-54.
  27. Im J, Chae MJ. Influencing factors on terminal care performance in long-term care hospital nursing staff. The Journal of Humanities and Social science. 2022;13(6):767-782. http://dx.doi.org/10.22143/HSS21.13.6.52
  28. Kim EH, Lim MI. The mediating effect of compassionate competence on the relationship between nurses' spirituality and attitude toward care of dying patients. Journal of East-West Nursing Research. 2019;25(2):166-173. https://doi.org/10.14370/JEWNR.2019.25.2.166
  29. JO KH, Park AR, Lee JJ, Choi SJ. The effect of painful experiences, compassionate competence, caring behaviors on the terminal care performance of clinical nurses. Korean Journal of Medical Ethics. 2015;18(2):103-116. https://doi.org/10.35301/ksme.2015.18.2.103
  30. Jung JY, Park MJ. The effects of emotional labor, resilience, and nursing work environment on turnover intentions of comprehensive nursing care medical service nurses. Journal of Digital Convergence. 2019;17(3):281-290. http://dx.doi.org/10.14400/JDC.2019.17.3.281
  31. Kim JW. Resilience. Goyang: Wisdom house Inc; 2011.
  32. Hwang SH. The influence of nurses' spirituality and awareness of death on the attitudes toward care of the dying [master's thesis]. Pusan: Pusan National University; 2018. p. 1-58.
  33. Kim JM. Attitudes toward terminal care and Job Stress among Nurses in Cancer ward [master's thesis]. Seoul: Kyung Hee University; 2016. p. 1-40.
  34. Lee SH. Concept of a Good Death and Attitude Toward Care of the Dying in General Hospital Nurses [master's thesis]. Seoul: Seoul National University; 2017. p. 1-78.