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http://dx.doi.org/10.5762/KAIS.2019.20.11.76

Influence of Moral Self-Concept, Ethical Values on Attitude toward Withdrawal of Life-Sustaining Treatment among Nursing Students  

Huh, Seong-Soo (Department of Nursing, Christian College of Nursing)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.20, no.11, 2019 , pp. 76-84 More about this Journal
Abstract
This study was a descriptive study to investigate the influence of moral self-concept and ethical values on attitude toward withdrawal of life-sustaining treatment among nursing students. The study subjects were 296 nursing students from 2 nursing colleges in G city. The data were collected from June 12 to June 23, 2017 and analyzed using the SPSS 23.0 program. The mean score of the moral self-concept was 3.48±0.33, of ethical values was 3.50±0.37 and of attitude toward withdrawal of life-sustaining treatment was 3.13±0.43. In attitude toward withdrawal of life-sustaining treatment, there were significant differences in grade(F=3.21, p=.024), practice(t=2.06, p=.040) and nursing ethics education(t=2.98, p=.003). There was a significant negative correlation between attitude toward withdrawal of life-sustaining treatment and moral self-concept(r=-.14, p=.017) and ethical values(r=-.42, p<.001). The significant predictors that influence the attitude toward withdrawal of life-sustaining treatment were ethical values and nursing ethics education. The explanatory power was 22.5%. Based on the above results, additional studies to determine the various factors affecting attitude toward withdrawal of life-sustaining treatment of nursing students should be conducted and systematic education programs need to be developed to foster utilitarian values in order to form a positive attitude toward withdrawal of life-sustaining treatment.
Keywords
Life-Sustaining Treatment; Moral Self-Concept; Ethical Values; Attitude; Nursing Students;
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1 G. M. Kim, K. S. Sung, E. J. Kim, "Awareness of Nursing Students' Biomedical Ethics and Attitude toward Life-Sustaining Treatment", Child Health Nurses Research, Vol.23, No.3, pp.292-299, 2017. DOI: https://doi.org/10.4094/Chnr.2017.23.3.292   DOI
2 M. A. Hornor, J. P. Byrne, K. E. Engelhardt, A. B. Nathens, "Examining Racial Disparities in the Time to Withdrawal of Life-Sustaining Treatment in Trauma", Journal of Trauma and Acute Care Surgery, Vol.84, No.4, pp.590-597, 2018. DOI: https://doi.org/10.1097/ta.0000000000001775   DOI
3 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", Mayo Clinic Proceedings, Vol.85, No.10, pp.949-954, 2010. DOI: https://doi.org/10.4065/mcp.2010.0201   DOI
4 H. J. Joo, Legislation of Well-Dying Law[Internet], The Korean Nurses Association News, Feb. 23, 2016, http://www.nursenews.co.kr/main/ArticleDetailView.a sp?sSection=62&idx=8608(accessed Nov. 20, 2017)
5 Ministry of Health and Welfare, Announcement of Interim Results of a Life-Life-Sustaining Treatment Demonstration Project[Internet]. Ministry of Health and Welfare, Nov. 28, 2017, Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ= 342971(accessed Feb. 5, 2018)
6 H. K. Lee, H. S. Kang, "Attitude 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, Vol.16, No.3, pp.85-98, 2010.
7 C. Y. Chang, Y. S. Kim, "Attitude toward Forgoing Life-Sustaining Treatment among Cancer Patient Families" Ment Soc Work, Vol.38, pp.5-30, 2011.
8 E. J. Choi, H. S. Jeong, "The Effect of Nursing Students Consciousness of Biomedical Ethics, Good Death Recognition, and Self-Esteem on the Attitude toward Life-Sustaining Treatment", Journal of the Korean Academia-Industrial cooperation Society, Vol.19, No.5, pp.275-284, 2018. DOI: https://doi.org/10.5762/KAIS.2018.19.5.275
9 W. S. Jung, Tennesse Self-Concept Scale, Seoul, Korean Testing Center, 1968.
10 Y. M. Kwon, "A study on moral judgement and ethical values of nursing students", The Journal of Korean Academic Society of Nursing Education, Vol.8, No.1, pp.17-28, 2002.
11 G. S. Park, The Study of Consciousness of Euthanasia among Health Professionals, Master's Thesis, Dankok University, Seoul, Korea, 2000.
12 E. K. Byun, H. R. Choi, A. L. Choi, N. M. Kim, K. H. Hong, H. S. Kim, "An Investigative Research on the Attitudes of Intensive Care Unit Nurses and Families on Terminating Life Support", Clinical Nursing Research, Vol.9, No.1, pp.112-124, 2003.
13 J. R. Moon, Attitude on the Withdrawal of Meaningless Life-Sustaining Treatment and Ethical Values of Clinical Nurses, Master's Thesis, Catholic University, Pusan, Korea, 2013.
14 Y. S. Lee, "A Study of the Ethical Values of Korean Nurses", The Journal of Nurses Academic Society, Vol.20, No.2, pp.249-270, 1990. DOI: https://doi.org/10.4040/jnas.1990.20.2.249   DOI
15 J. H. Park, W. O. Kim, Y. S. Kim, "The Present Status and Future Directions of Nursing Ethics Education", Korean Journal of Medical Ethics, Vol.12, No.3, pp.251-260, 2009. DOI: https://doi.org/10.35301/ksme.2009.12.3.251   DOI
16 H. Y. Hwang, "The current status and consideration for nursing ethics education in South Korea", Korean Journal of Medical Ethics, Vol.20, No.3, pp.305-316, 2017. DOI: https://doi.org/10.35301/ksme.2017.20.3.305   DOI
17 S. H. Lee, S. Y. Kim, J. A. Kim, "Ethical Value of Nursing Students", Journal of Korean Academy of Nursing Administration, Vol.13, No.2, pp.145-155, 2007.
18 S. Y. Suk, A Study on the Ethical Sensitivity and Moral Self-Concept of Clinical Nurses, Master's Thesis, Ajou University, Suwon, Korea, 2013.
19 Y. H. Cho, "Factors Affecting the Consciousness of Biomedical Ethics of the Nursing Students before Clinical Practice In Convergence Era", Journal of the Korea Convergence Society, Vol.8. No.10, pp.359-369, 2017. DOI: : http://doi.org/10.15207/JKCS.2017.8.10.359   DOI
20 M. S. Kim, "Influence of Moral Sensitivity and Ethical Values on Biomedical Ethics Awareness of Nursing Students", The Journal of Korean Academic Society of Nursing Education, Vol.21, No.3, pp.382-392, 2015. DOI: http://dx.doi.org/10.5977/jkasne.2015.21.3.382   DOI
21 S. D. Kim, "Effects of a Blended Learning Program on Ethical Values in Undergraduate Nursing Students", Journal of Korean Academy of Nursing Administration, Vol.20, No.5, pp.567-575, 2014. DOI: http://dx.doi.org/10.11111/jkana.2014.20.5.567   DOI
22 H. J. Jeong, H. J. Park, I. S. Jang, "Effects of Nursing Ethics Education based upon CEDA Debates on Moral Judgment and Ethical Values", The Journal of Korean Academic Society of Nursing Education, Vol.18, No.2, pp.248-258, 2012. DOI: http://dx.doi.org/10.5977/jkasne.2012.18.2.248   DOI
23 Mannix J. Wilkes L. Daly J., "Good ethics and moral standing: A qualitative study of aesthetic leadership in clinical nursing practice", Journal of Clinical Nursing. Vol.24, pp.1603-1610, 2015. DOI: http://doi.org/10.1111/jocn.12761   DOI
24 Y. H. Kim, Y. S. Yoo, O. H. Cho, "Nursing Students' Awareness of Biomedical Ethics and Attitudes toward Death of Terminal Patients", Korean journal of hospice and palliative care, Vol.16, No.1, pp.1-9, 2013. DOI: https://doi.org/10.14475/kjhpc.2013.16.1.001   DOI
25 M. O. Kim, K. S. Kim, "Biomedical Ethics Awareness, Moral Self-Concepts, and Self-Esteem among College Students Majoring in Healthcare", Korean J Med Ethics, Vol.18, No.4, pp.478-490, 2015. DOI: https://doi.org/10.35301/ksme.2015.18.4.478   DOI
26 E. Y. Kim, E. H. Seo, E. Y. Jung, "Knowledge and Attitudes toward the Withdrawal of Life-Sustaining Treatment among Nursing Students", Journal of East-West Nursing Research, Vol.23, No.1, pp.1-8, 2017. DOI: https://doi.org/10.14370/jewnr.2017.23.1.1   DOI
27 E. Y. Jung, Association of Moral Self-concept and Ethical Values with Perception for Protection of Patient's Personal Information among Students Majored in Healthcare Administration, Unpublished Doctoral thesis, Chosun University, Gwangju, Korea, 2017.
28 M. E. Greipp, "Greipp's Model of Ethical Decision Making", Journal of Advanced Nursing, Vol.17, pp. 734-738, 1992. DOI: https://doi.org/10.1111/j.1365-2648.1992.tb01972.x   DOI
29 Y. M. Jang, E. K. Ahn, "The Effects of Moral Sensitivity, Ethics Awareness on Attitude toward Withdrawal of Life-Sustaining Treatment of Nursing Students", Journal of Industrial Convergence, Vol.17, No.2, pp.53-61, 2019. DOI: https://doi.org/10.22678/JIC.2019.17.053   DOI