Browse > Article
http://dx.doi.org/10.9708/jksci.2020.25.02.181

The effects of death orientation and attitude toward withdrawal of life-sustaining treatment on awareness of biomedical ethics among paramedic students  

Park, Yunhee (Dept. of Nursing, Wonkwang University)
Song, Hyo-Suk (Dept. of Emergency Medical Technology, Daejeon Health Institute of Technology)
Abstract
This study was conducted to identify the effects of the degree of death orientation, attitudes toward withdrawing life-sustaining treatment, and awareness of biomedical ethics on paramedic students' own biomedical ethics. The participants of this study were 228 paramedic students from a college located in D city. Data were collected from April to June 2019 through a self-report questionnaire. There was a positive correlation between awareness of biomedical ethics and attitude toward withdrawing life-sustaining treatment (r=.63, p<.001). Multiple linear regression analysis showed that the factors affecting students' awareness of biomedical ethics were religion (β=.12, p=.018) and their attitude toward withdrawal of life-sustaining treatment (β=.61, p<.001), with an explanatory power of 41.0%. Educational programs must focus on attitudes toward withdrawing life-sustaining treatment to improve paramedic students' awareness of biomedical ethics.
Keywords
Death Orientation; Attitude toward withdrawal of life-sustaining treatment; Awareness of biomedical ethics; Paramedic; Students;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 E. K. Byun, H. R. Choi HR, Choi AL, Hong KH, Kim NM, Kim HS. "An Investigative Research on The Attitude of Intensive Care Unit Nurses and Families on Terminating Life Support", Clinical Nursing Research, Vol. 9, No. 1, pp. 112-124, 2003.
2 Y. S. Lee, "A study of the ethical values of Korean nurses", J Nurs Acad Soc, Vol. 20, pp. 249-270, 1990.   DOI
3 S. J. Kwon, "A study on the consciousness of biomedical ethics of the nursing students and medical students", Unpublished master's thesis, University of Keimyung, Deagu, 2003.
4 Y. J. Lee, I. O. Moon, "Development and testing of the Short Form Biomedical Ethics Scale", Global Health & Nursing, Vol. 5, No. 2, pp. 67-77, 2015.
5 K. S. Kang, "A Study on the Nursing Student's Attitude om Death Hospice", Chonnam Journal of Nursing Sciences, Vol. 5, No. 1, pp. 187-201, 2000.
6 Z. S. Lee, "The Death Orientation of Nursing Students in Korea and China", Unpublished master's thesis, Ewha Womans University, Seoul, 2007.
7 S. H. Kim, M. H. Lee, "The influence of moral sensitivity of emergency medical technology students on biomedical ethics", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol. 7, No. 3, pp. 757-764, 2017.
8 M. L. Olsen, K. M. Swetz, P. S. Mueller, "Ethical decision making with end-of-life care: palliative sedation and withholding or withdrawing life-sustaining treatments", In Mayo Clinic Proceedings, Vol. 85, No. 10, pp. 949-954, 2010.
9 S. N. Kim, H. J. Kim, "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, Vol. 19, No. 2, pp. 136-144, 2016.   DOI
10 C. Y. Chang, Y. S. Kim, "Attitude toward forgoing life-sustaining treatment among cancer patient families", Ment Health Soc Work, Vol. 38, pp. 5-30, 2011.
11 H. S. Kim, S. R. Shin, "The Influence of Social Support among Community Dwelling Elderly and their Attitude towards the Withdrawal of Life-sustaining Treatment: A Mediating Effect of Self-esteem", Korean Journal of Adult Nursing, Vol. 29, No. 4, pp. 373-381, 2017.   DOI
12 S. H. Kim, and M. Lee, “The influence of moral sensitivity of emergency medical technology students on biomedical ethics,” Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol. 7, No. 3, pp. 757-764, 2017.
13 Y. M. Jang, E. Ahn, "The Effects of Moral Sensitivity, Biomedical Ethics Awareness on Attitudes toward Withdrawal of Life-Sustaining Treatment of Nursing Students", Journal of Industrial Convergence, Vol. 17, No. 2, pp. 53-61, 2019.   DOI
14 B. Steer, “Paramedics, consent and refusal–are we competent?,” Australasian Journal of Paramedicine, Vol. 5, No. 1, pp. 219-232, 2015.   DOI
15 B. Lord, K. Recoche, M. O'Connor, and P. Yates, "Service M. Paramedics' perceptions of their role in palliative care: analysis of focus group transcripts," Journal of palliative care, Vol. 28, No. 1, pp. 36-40, 2012.   DOI
16 T. Johnston, and J. Acker, "Using a sociological approach to answering questions about paramedic professionalism and identity," Australasian Journal of Paramedicine, Vol. 13, No. 1, pp.1-7, 2016.
17 H. W. Yun, and J. M. Lee, “Perceptions about the professional ethics of EMT,” Fire Science and Engineering, Vol. 28, No. 1, pp. 71-78, 2014.   DOI
18 L. Holmes, R. Jones, R. Brightwell, and L. Cohen, "Student paramedic anticipation, confidence and fears: Do undergraduate courses prepare student paramedics for the mental health challenges of the profession?," Australasian Journal of Paramedicine, Vol. 14, No. 4, 2017.
19 G. S. Park, "Sense Researches of Medical Agent over Euthanasia of Patients Who Can't Resuscitate: Q-methodological Approch," Unpublished master's thesis. University of Dankook, Chunan, 2000.
20 C. Park, "The meaning of death" Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. Vol. 8, No. 5, pp. 589-597, 2018.
21 Y. M. Seo, and S. J. Shin, "The relationship among attitude toward the withdrawal of life-sustaining treatment, death anxiety, and death acceptance among hospitalized elderly cancer patients" Asian Oncology Nursing, Vol. 19, No. 3, pp. 142-149, 2019.   DOI
22 E. J. Choi, and H. S. Jeong, "The effect of nursing students' consciousness of biomedical ethics, good death recognition, and self-esteem on the attitude toward withdrawal of life-sustaining treatment" Journal of the Korea Academia-Industrial cooperation Society, Vol. 19, No. 5, pp. 275-284, 2018.   DOI
23 M. Y. Moon, M. K. Jeon, and A. H. Jaung, "Relationship between Nurses Consciousness of Biomedical ethics, Job satisfaction and nursing performance" Journal of the Korean Bioethics Association, Vol. 14, No. 1, pp. 27-47, 2013.
24 Y. M. Koo, "Biomedical Ethics," 3st ed, Dongnyok, 2010.
25 D. Templer, "The construction and validation of a death anxiety scale" Journal of General psychology, Vol. 82, pp. 165-177, 1970.   DOI
26 J. I. Boyar, "The construction and partial validation of a scale for the measurement of the fear of death" Unpublished doctoral dissertation, University of Rochester, 1964.
27 J. A. Thorson, and F. C. Powell, "Elements of Death Anxiety and Meaning of Death" Journal of Clinical Psychology, Vol. 44, No. 5, pp. 691-701, 1988.   DOI
28 S. C. Park, "A study on the death orientation of hospice volunteers", J of Korean Academy of Nursing, Vol. 22, No. 1, pp. 68-80, 1992.