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http://dx.doi.org/10.5762/KAIS.2019.20.3.429

Factors Influencing on the Attitude toward withdrawal of life-sustaining treatment of Nursing College Students  

Kim, Kyoung-Nam (Department of Nursing, Busan Women's College)
Kang, Eun-Hee (Department of Nursing, Kyungnam College of Information & Technology)
Kim, Mi-Young (Department of Nursing, Kyungnam College of Information & Technology)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.20, no.3, 2019 , pp. 429-437 More about this Journal
Abstract
This study was a descriptive study to investigate the factors influencing on attitude toward withdrawal of life-sustaining treatment of nursing students' consciousness of biomedical ethics, good death recognition and meaning of life. The subjects of this study were 293 nursing students attending college at P city. Data were collected for two weeks from May 1, 2018 to May 11, 2018. The statistical method was performed with SPSS WIN 22.0 using a complex sampling analysis, pearson's correlation coefficients, and a multiple regression analysis. The result of this study was significant positive correlation between attitude toward withdrawal of life-sustaining treatment and consciousness of biomedical ethics(r=.266, p<.001), good death recognition(r=.373, p<.001), meaning of life(r=.122, p=.037). The meaning of life was significant positive correlation consciousness of biomedical ethics(r=.294, p<.001), good death recognition(r=.230, p<.001). The good death recognition was significant positive correlation consciousness of biomedical ethics(r=.306, p<.001). Factors Influencing on the attitude toward withdrawal of life-sustaining treatment was good death recognition(${\beta}=.32$, p<.001) and consciousness of biomedical ethics(${\beta}=.16$, p=.004). These factors explained about 16% of the variance. Therefore it is necessary to develop an educational program to positively raise the attitude of consciousness of biomedical ethics and good death recognition.
Keywords
Attitude; Ethics; Good Death Recognition; Withdrawal of Life-Sustaining Treatment;
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1 K. J. Lee, E. Lee, Y-S. Park, "Comparison on influencing factors on consciousness of biomedical ethics in nursing students and general students", Journal of Digital Convergence, vol.14, no. 1, pp.377-388, 2016. DOI: http://doi.org/10.14400/JDC.2018.16.9.453   DOI
2 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.
3 B-K. Kang, S-A. Won, H-H. Kang, "Levels of concern and others influencing the awareness of biomedical ethics among nursing students", Korean Journal of Medicine Ethics, vol.19, no.3, pp.340-357, 2016.   DOI
4 M. S. Kim, M. K. Jeon, "Influencing of perception of patient rights and ethical values on biomedical ethics awareness in nursing students", Journal of East-West Nursing Research, vol.24, no.1, pp.1-9, 2018. DOI: http://doi.org/10.14370/jewnr.2018.24.1.1
5 E-H. Kang, M-Y. Kim, (2017). "Good death, self-esteem, and attitude to life among nursing students", Journal of Korean Society of Health Sciences, vol.14, no.1, pp.1-10, 2017. DOI: http://doi.org/10.4094/chnr.2017.23.3.292
6 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 Hospital Palliative Care, vol.16, no.1, pp.1-9, 2013. DOI: http://doi.org/10.14475/kjhpc.2013.16.1.001   DOI
7 K. H. Jo, "A meaning of death through emotional expression about after nursing and medical students' end-of-life care practice", Journal of Korean Academy of Adult Nursing, vol.22, no.3, pp.329-341, 2010.
8 G. E. Watkinson, "A study of the perception and experiences of critical nurses in caring for potential and actual organ donor: Implications for nurse education", Journal of Advanced Nursing, vol.22, no.5, pp.929-940, 1995.   DOI
9 E-J. Seo, N-H. Cha, "Relationships among nursing professional values, bioethics and death ethic perception in nursing students", Journal of Digital Concergence, no.14, vol.5, pp.349-358, 2016. DOI: http://doi.org/10.14400/JDC.2016.14.5.349
10 Y. M. Kwon, "A Study on Moral Judgement and Ethical Values of Nursing students", The Korean Academic Society of Nursing Education, vol.8, no.1, pp.17-28, 2002.
11 K. Oberle, D. Hughes, "Doctor's and nurses' perceptions of ethical problems in end-of-life decisions", Journal of Advanced Nursing, vol.33, no.6, pp.705-715. 2001. DOI: http://doi.org/10.1046/j.1365-2648.2001.01710.x
12 M. L. Raines, "Ethical decision making in nurses: relationships among moral reasoning, coping style, and ethics stress", Journal of Nursing Administration's Healthcare Law, Etics, and Regulation, vol.2, no.1, pp.29-41, 2000.   DOI
13 G. M. Kim, K. S. Sung, E. J. Kim, "Awareness of nursing students' biomedical ethics and attitudes toward withdrawal of life-sustaining treatment", Child Health Nursing Research, vol.23, no.3, pp.292-299, 2017. DOI: http://doi.org/10.4094/chnr.2017.23.3.292   DOI
14 S. B. Kim, Knowledge to interruption of life-sustaining treatment and advance directives in nursing students, Master's Thesis, Chonbuk: Chonbuk National University, pp.17-29, 2011.
15 H. S. Jeong, Recognition towards good death among physicians and nurses in an area, Master's Thesis, Catholic University of Busan, Busan, pp.1-64, 2010.
16 S. N. Kim, H. J. Kim, "Recognition of good death, attitude towards the withdrawal of life-sustaining treatment, and attitude towards euthanasia in nurses", Korean Journal of Hospice and Palliative Care, vol.19, no.2, pp.136-144, 2016. DOI: http://dx.doi.org/10.14475/kjhpc.2016.19.2.136   DOI
17 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 withdrawal of life-sustaining treatment", Journal of the Korea Academia-Industrial cooperation Society, vol.19, no.5, pp.275-284, 2018. DOI: http://doi.org/10.5762/KAIS.2018.19.5.275
18 Y. S. Lee, "A study of the ethical values of korean nurses", Journal of Korean Academy of Nursing, vol.20, no.2, pp. 249-270, 1990.
19 S. J. Kwon, A study on the consciousness of biomedical ethics of the nursing students and medical students - focused on daegu city and gyeongsangbuk-do-, Master's Thesis, Keimyung University, Daegu, pp.1-72, 2003.
20 C. E. Schwartz, K. Mazor, J. Rogers, Y. Ma, G. Reed, "Validation of a new measure of concept of a good death", Journal of Palliative Medicine, vol.6, no.4, pp.575-584, 2003. DOI: https://doi.org/10.1089/109662103768253687   DOI
21 J. C. Crumbaugh, L. T. Maholick, Manual of instructions for the purpose in life test, Indiana; Munster, pp.29-38, 1969.
22 T-H. Kim, J-H. Kim, "The effects of hope and meaning of life on adolescents' resilience", The Korean Journal of Counseling and Psychotherapy, vol.16, no.3, pp.465-490, 2004.
23 G. S. Park, The study of consciousness of euthanasia among health professionals: Q-methodological approach, Master's Thesis, Dankook University, Kongju, pp.1-59. Cheonan, 2000.