• The Journal of the Korea Contents Association
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• v.21 no.4
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• pp.688-698
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• 2021

The purpose of this study was to determine the effects of perception of good death and knowledge toward advance directive on attitude toward withdrawal of life-sustaining treatment among university hospital nurses. The subjects of this study were 207 university hospital nurses. Data were analyzed using the SPSS Statistics 24.0 version. The results showed that factors influencing attitude toward withdrawal of life-sustaining treatment were perception of good death (𝛽=-.32, p<.001), education experience for good death (𝛽=.15, p=.024), and knowledge toward advance directive (𝛽=.14, p=.036). They explained 14.2% of attitude toward withdrawal of life-sustaining treatment. Based on the results of this study, it suggests the development of education programs for good death and life-sustaining treatment to improve the perception of good death, knowledge toward advance directive of university hospital nurses.

• Journal of Convergence for Information Technology
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• v.10 no.12
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• pp.226-235
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• 2020

This study aimed to identify the integral factors influencing the attitudes of nursing students toward withdrawal of life-sustaining treatments. Methods: 139 nursing students were selected from the school of nursing of a single university. Questionnaires were used as measurement tools to measure their good death recognition, attitude towards death & towards withdrawal of life-sustaining treatment. The degree of good death recognition, attitude towards death & towards withdrawal of life-sustaining treatment were analyzed using descriptive statistics. Correlation between variables was analyzed using Pearson's correlation coefficient and factors influencing the attitude towards withdrawal of life-sustaining treatment using multiple linear regression. Results: Attitude towards withdrawal of life-sustaining treatment was significantly positively correlated with good death recognition(r=.312, p=.000). As a result of multiple linear regression, good death recognition significantly influenced (β=.312, p=.000), accounting for 8.5% of the variance in attitude towards withdrawal of life-sustaining treatment. Conclusions: The results from this study can be contribute to develop educational programs to foster positive attitudes towards withdrawal of life-sustaining treatment.

• Journal of Advanced Technology Convergence
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• v.2 no.2
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• pp.23-30
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• 2023

This study is a descriptive research study conducted to find out the level of perception of the good death among nursing students and compare sub-factors among the perceptions of a good death. As for the research method, 102 people who explained the purpose of the study and agreed to participate were conveniently recruited. As a research tool, 'Measure of concept of a Good Death' by Schwartz et al. (2003) was translated by Lee (2017), and the research was conducted through online. For data analysis, statistical techniques such as descriptive statistics, frequency analysis, t-test, and one-way ANOVA of the IBM SPSS Statistics 26 program were used. Factors showing average differences in scores for each of the three sub-factors of good death awareness were derived from the experience of clinical practice. The mean of good death (3.13±0.36 points) of nursing students who experienced clinical practice was statistically significantly higher than that of students without clinical practice experience (2.90±0.31 points) (t=3.156, p=.002). In particular, the mean of good death for 'closure' was statistically significantly higher for those with experience in clinical practice (3.46±0.39 points) than those without experience (3.16±0.37 points) (t=3.476, p=.001). Through this study, it was confirmed that nursing students' perception of a good death differed depending on whether or not they were in clinical practice. The results of this study are expected to provide basic data for the establishment of effective educational strategies for the perception of good death in nursing students.

• Journal of Hospice and Palliative Care
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• v.19 no.2
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• pp.136-144
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• 2016

Purpose: To provide practical data for bioethics education, we identified correlations between recognition of good death, attitude towards withdrawal of meaningless life-sustaining treatment, and attitude towards euthanasia in nurses. Methods: Using convenience sampling, we recruited 218 nurses who had at least six-month work experience in one of the six general hospitals with 500 or more beds in Seoul, Busan, and Gyeongsang province. All participants understood the purpose of the study and agreed to take part in the study. The research tools used included the Concept of Good Death Measure (CoGD), the measurement tool for attitudes towards withdrawal of meaningless life-sustaining treatment (WoMLST), and the measurement tool for attitudes towards euthanasia. Data were analyzed using an Independent t-test, one-way ANOVA, and Pearson's correlation coefficient using SPSS 21 for Windows. Results: Nurses had normal levels on CoGD, WoMLST, and attitudes towards euthanasia. Nurses' CoGD, WoMLST, and euthanasia scores significantly differed depending on their education level, working period, and the importance of religion to them. A negative correlation was found between the CoGD and WoMLST scores, and WoMLST and euthanasia scores were positively correlated. Conclusion: Nurses should be trained to deal with ethical issues that may arise while caring for terminal patients. It is necessary for nurses to understand the concepts related to CoGD, WoMLST, and euthanasia, and to promote bioethics education with focus on decision-making and problem-solving ability in ethically conflicting situations.

• Journal of Hospice and Palliative Care
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• v.20 no.2
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• pp.100-110
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• 2017

Purpose: We explored Koreans' perception of the meaning of death with dignity that Korean people. Methods: A phenomenological research methodology was applied. A total of 13 participants were sampled based on their age and gender. Participants were interviewed in depth from September 2015 through February 2016. Colaizzi's phenomenological analysis method was used for data analysis. To establish the validity of the study, we evaluated its realistic value, applicability, consistency and neutrality of the qualitative evaluation criteria of Lincoln and Guba. Results: Koreans' perception of death with dignity was structured as 19 themes, nine theme clusters and four categories. The four categories were "comfortable death", "good death", "resolving problems before death", and "death with good reputation". The theme clusters were "death without pain", "death submitting to one's fate", "death that is not ugly", "leaving good memories to others", "dying in a way we want", "death after proper settling of things", "dealing with chronic resentment before death", "death after living a good life", and "death with recognition". Conclusion: For Koreans, death with dignity meant not burdening others, settling things right and leaving good memories to their families and friends. Such perceptions can be applied to hospice care for terminally ill patients.

• The Journal of the Korea Contents Association
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• v.18 no.12
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• pp.624-638
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• 2018

The purpose of this study was to determine the perception of good death, knowledge and perception hospice palliative care among the nursing graduates. The subjects of this study were 241 nursing students in 4th grade in 8 universities nationwide. The results showed that the perception of good death was positively correlated with perception of hospice palliative care and knowledge of hospice palliative care with perception of hospice palliative care. The perception of good death was 3.28 points. Knowledge of hospice palliative care was 9.24 points. Perception of hospice palliative care was 4.07 points. Based on the results of this study, it is necessary to improve the curriculum to improve knowledge and perception of good death and hospice palliative care, and to develop various teaching methods and programs such as role play, simulation, and discussion.

• The Journal of the Korea Contents Association
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• v.21 no.2
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• pp.676-685
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• 2021

This study examined effects of good death awareness and knowledge of advance directives on attitude toward advance directives in middle-aged adults. The participants were 152 middle-aged adults in G province and C province. Data were collected from October 4 to November 15, 2019 through self reported structured questionnaire. Data analysis was performed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and stepwise regression. Good death awareness correlated positively with knowledge of advance directives and attitude toward advance directives. Knowledge of advance directives was positively correlated with attitude toward advance directives. Participants' economic status, knowledge of advance directives and good death awareness explained 28.3% of variance in attitude toward advance directives among middle-aged adults. The findings indicate that middle-aged adults' economic status, knowledge of advance directives and good death awareness are important factors to be considered for the formation of desirable attitude toward advance directives.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.1
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• pp.197-207
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• 2020

The purpose of this study was to identify the predictors of death anxiety among community-dwelling elderly cancer survivors in Korea. This study was a descriptive correlation study with 216 elderly cancer survivors who live in the jurisdiction of community health centers in Chugbuk province. Data of this study were collected from February 27 to March 15 2019 by a structured questionnaire. The data were analyzed using independent t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression. In the results, the mean score of death anxiety was 2.47±0.39 out of 4.0, while that of ego integrity was 2.60±0.29, depression 6.35±4.0, and awareness of a good death 2.97±0.35. Based on the hierarchical multiple regression analysis, subjects' awareness of a good death had the greatest impact on death anxiety (β = 0.255, p < .001), followed by depression (β = 0.185, p = .020) and religion (no= 1; β= 0.148, p = .021). These factors explained 16.4% of death anxiety (F=8.04, p<.001). Therefore, the results of this study are expected to be utilized as basic data for developing an intervention program that will be designed to reduce the death anxiety in elderly cancer survivors.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.8
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• pp.514-522
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• 2019

This study, two-group pretest-posttest design was to provide the well-dying program for aged and college students and to determine the effects on death anxiety, perception of good death, and readiness for death. The subjects were 14 aged and 9 college students by providing a 12 hour well-dying program, verified its effectiveness. Data collection was from October 1 to December 31, 2018 and were analyzed using IBM SPSS 24.0. To verify the normality of the research variable in two groups, Shapiro-Wilk was used. Tested by Fisher's exact probability test, independent sample t-test, and Mann-Whitney test to verify the homogeneity of general characteristics of the subjects. Repeated Measure ANOVA, Friedman test to verify the continuity of the program effects on two group respectively. Results, death anxiety and perception of good death among the aged and college students showed no significant interaction between time and group, but there was a significant difference according to time((p<.030). Readiness for death was significant interaction between time and group((p=.030), a significant difference between the groups(p=.003). The well-dying program of this study is helps raise the death anxiety and perception of good death of the subject, especially the program which helps the readiness for death of the aged.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.5
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• pp.275-284
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• 2018

This study was a descriptive study to investigate the effects of nursing students' consciousness of biomedical ethics, good death recognition, and self-esteem on attitudes toward withdrawal of life-sustaining treatment. The subjects of this study were 204 nursing students attending university. The data were collected from October 24 to October 31, 2017 and analyzed using the SPSS Win. 22.0 program. Attitudes toward withdrawal of life-sustaining treatment scored $2.97{\pm}0.29$ out of 4, $3.01{\pm}0.31$ for biomedical ethics, $3.24{\pm}0.38$ for good death recognition and $3.23{\pm}0.41$ for self-esteem. There was a significant positive correlation between attitudes toward withdrawal of life-sustaining treatment and good death recognition, and there was a significant positive correlation between attitudes toward withdrawal of life-sustaining treatment and self-esteem. As a result of multiple regression analysis, it was found that good death perception affected nursing students' attitudes toward the withdrawal of life-sustaining treatment. In other words, elevated perception of good death was associated with more positives attitudes toward withdrawal of life-sustaining treatment. Based on the above results, it is necessary to develop a systematic education program for nursing college students. In addition, this researcher proposes an in-depth study to explore the variables that influence nursing students' attitudes toward withdrawal of life-sustaining treatment.