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http://dx.doi.org/10.5762/KAIS.2017.18.7.290

The Influence of Spirituality, Meaning in Life and Hospice Perception on Attitudes towards Terminal Care in Nursing Students  

Sim, Mi-Kyung (Division of Nursing, Shinsung University)
Park, Jeong-Mo (Department of Nursing, Kyung-In Women's University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.18, no.7, 2017 , pp. 290-299 More about this Journal
Abstract
This study was conducted to evaluate the spirituality, perceived meaning in life, hospice perception, and attitudes towards terminal care among nursing students, as well as to identify the relationships between variables and examine factors influencing their attitudes towards terminal care. Data were collected using a self-reported questionnaire completed by 308 nursing students at two universities from April 11, 2017 to April 17, 2017. Data were analyzed using descriptive analysis, a t-test, Pearson's correlation coefficients and stepwise multiple regression with the SPSS/Win 14.0 program. Attitudes toward terminal care among nursing students were significantly correlated with hospice perception(r=0.30, p<0.001) and meaning in life(r=0.30, p<0.001). Meaning in life among nursing students was significantly correlated with hospice perception(r=0.25, p<0.01) and spirituality(r=0.53, p<0.01). The significant predictors of the attitudes towards terminal care in nursing students were hospice perception(${\beta}=0.40$, p<0.001) and meaning in life(${\beta}=0.27$, p<0.001). Hospice perception explained 22.7% and meaning in life explained 5.0% of the variance. These variables explained 27.7% of the variance in attitudes toward terminal care. Overall, these findings suggest that the terminal care education program, including hospice perception and meaning in life, is necessary to enhance the positive attitude toward terminal care among nursing students.
Keywords
Attitude; Hospice; Nursing students; Spirituality; Terminal care;
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1 K. H. Formmelt, "The effect of death education on nurses' attitudes toward caring for terminally ill person and their families", The American Journal of Hospice & Palliative Care, vol. 8, no. 5, pp. 37-43, 1991. DOI: https://doi.org/10.1177/104990919100800509   DOI
2 H. J. Cho, E. S. Kim, "The effect of the death education program on the death anxiety and attitudes toward nursing care of the dying patients of nursing students", The Korean Journal of Hospice and Palliative Care, vol. 18, no. 2, pp. 163-172, 2005.
3 R. F. Paloutzian, C. W. Ellison, Loneliness, spiritual well-being and the quality of life. In loneliness: a sourcebook of current theory, research and therapy, New York, L. A. Peplau & D. Perlman, 1982.
4 J. S. Park, "A correlation study among loneliness, spiritual well-being, and quality of life in the elderly", Unpublished master's thesis, Seoul, Koreaa University, 2005.
5 Y. J. Roh, Hospice & death.. Seoul, Hyunmoonsa, 1994.
6 J. H. Kim, "A study of attitude about death and hospice of medical professionals", Unpublished master's thesis, Seoul, Hanyang University, 1990.
7 M. S. Kim, C. S. Lee, H. C. Kim, "The effect of hospice volunteer education program on perceptions about hospice and the meaning of life", Asian Oncology Nursing. vol. 7, no. 2, pp. 131-139. 2007.
8 Y. E. Lee, H. S. Park, S. K. Son, "The relationship between spiritual well-being and attitude toward death in nursing students", Faith & Scholarship. vol. 12, pp. 195-232, 2007.
9 S. M. Kim, S. O. Kim, "Factors influencing meaning in life of nursing students", The Journal of Korean Academic Society of Nursing Education. vol. 23, no. 1 pp. 57-65, 2017. DOI: http://dx.doi.org/10.5977/jkasne.2017.23.1.57   DOI
10 Atul G, Being mortal, H. J. Kim, Translator Seoul: Bookie Publishing House, pp. 23-287, 2015.
11 S. N. Kim, S. O. Choi, "Nurses' death anxiety and spirituality", The Journal of Korean Academic Society of Nursing Education, vol. 16, no. 1, pp. 101-110, 2010. DOI: https://doi.org/10.5977/JKASNE.2010.16.1.101   DOI
12 G. H. Kim, "The perceptions of hospice palliative care and terminal care attitudes of nurses at long-term care hospitals", Unpublished master' thesis, Pusan, Catholic University, 2016.
13 S. O. Chang, P. M. Burbank, "Meaning in life among the elderly", Journal of Korean Academy of Nursing, vol. 30, no. 2, pp. 259-271, 2000. DOI: https://doi.org/10.4040/jkan.2000.30.2.259   DOI
14 D. Simmons, "Purpose in life and the three aspects of valuing", Journal of Clinical Psychololgy, vol. 36, pp. 921-922, 1980. DOI: https://doi.org/10.1002/1097-4679(198010)36:4<921::AID-JCLP2270360414>3.0.CO;2-N   DOI
15 S. O. Choi, S. N. Kim, K. I. Shin, J. J Lee, "Development of Meaning in Life Scale II", Journal of Korean Academy of Nursing, vol. 35, no. 5, pp. 931-942, 2005   DOI
16 S. O. Choi, S. N. Kim, "Inquisition of meaning in life for logotherapy application in hospice nursing". The Journal of Korean Academic Society of Nursing Education, vol. 9, no. 2, pp. 329-339, 2003.
17 Y. E. Lee, E. A. Choi, K. E. Lee, "Spiritual well-being, Attitude to death and perception of hospice care in college students", The Korean Journal of Hospice and Palliative Care, vol. 18, no. 4, pp. 294-305, 2015. DOI: http://dx.doi.org/10.14475/kjhpc.2015.18.4.294   DOI
18 Y. S. Seo, K. W. Sung, "Influence of nurses' spirituality on hospice nursing intervention in long-term care facilities", Journal of Korean Gerontological Nursing, vol. 14, no. 1, pp. 12-20, 2012.
19 E. M. Hong, M. D. Jun, E. S. Park, E. J. Ryu, "Death perceptions, death anxiety and attitudes to death in oncology nurses". Asian Oncology Nursing, vol. 13, no. 4, pp. 265-272, 2013.   DOI
20 S. A. Yang, "Convergence analysis of factors influencing the end-of-life care attitude in undergraduate nursing students", Journal of the Korea Convergence Society, vol. 7, no. 4, pp. 141-154, 2016. DOI: http://dx.doi.org/10.15207/JKCS.2016.7.4.141   DOI
21 J. Swinton, "Spiritual care: a multidisciplinary model of care", Health Mission, vol. 17, no. 1, pp. 5-23, 2009.
22 Y. E. Lee, E. J. Choi, J. S. Park, S. H. Shin, "Perception and knowledge of hospice care and attitude toward death held by medical professionals from the same region in Korea", The Korean Journal of Hospice and Palliative Care, vol. 16, no. 4, pp. 242-252, 2013. DOI: http://dx.doi.org/10.14475/kjhpc.2013.16.4.242   DOI
23 M. S. Kim, "Comparison on the perception about hospice and the meaning of life of participants and non-participants of the hospice volunteer education program", Unpublished master's thesis, Gwangju, Chonnam National University, 2007.
24 S. E. Kim, "Knowledge of hospice and attitude toward care of the dying in university students". Unpublished master's thesis, Pusan, Catholic University, 2014.
25 E, R. Canda, "Conceptualizing spirituality for social work: insights from diverse perspective", Social Thought, vol. 14, no. 1, pp. 30-46, 1988. DOI: https://doi.org/10.1080/15426432.1988.10383616   DOI
26 S. N. Kim, H. J. Kim, S. O. Choi, "Effects of a hospice and palliative care education program including meaning in life on attitude toward end-of-life care and meaning in life among nursing college students", The Journal of Korean Academic Society of Nursing Education, vol. 17, no. 3, pp. 454-463, 2011. DOI: https://doi.org/10.5977/JKASNE.2011.17.3.454   DOI
27 J. Y. Han, N. Y. Lee, "Nursing students' attitude toward death and perception on hospice care", Asian Oncology Nursing, vol. 9, no. 2, pp. 95-103, 2009.
28 Y. J. Cho, "The influence of elderly's spirituality and gerotranscendence on the life satisfaction", Ph. D. dissertation, Jeonju, Chonbuk National University, 2015.
29 Y. S. Kwon, C. N. Kim, "A correlation study on spiritual well-being and death anxiety of the elderly", The Journal of Korean Academic Community Health Nursing, vol. 14, no. 1, pp. 132-143, 2003.
30 M. O. Yoon, "The effect of a death preparing education program on death anxiety, spiritual well-being, and meaning of life in adults", The Journal of Korean Academic Community Health Nursing, vol. 20, no. 4, pp. 513-521, 2009.
31 K. H. Jo, A. R. Park, J. J. Lee, S. J. Choi, "The influence of humanistic knowledge, hospice perception and spirituality on terminal care performance of clinical nurses", Korean Journal of Medical Ethics, vol. 18, no. 2, pp. 103-116, 2015.
32 V. E. Frankl, Man's search for meaning:an introduction to logotherapy. S. H. Lee, translator, pp. 140-228, Seoul: Chung-A Publishing Co, 2005.
33 B. R. Kim, C. U. Oh, H. K. Kang, "Effect of death education program on self-esteem, spiritual well-being, and pain of adults", Journal of the Korea Academia-Industrial cooperation Society, vol. 17, no. 9, pp. 156-162, 2016. DOI: http://dx.doi.org/10.5762/KAIS.2016.17.9.156   DOI
34 M. J. Jo, "Factors affecting attitudes toward terminal care in nursing students". The Korean Journal of Hospice and Palliative Care, vol. 18, no. 4, pp. 306-312, 2015. DOI: http://dx.doi.org/10.14475/kjhpc.2015.18.4.306   DOI