• Journal of Hospice and Palliative Care
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• 제23권3호
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• pp.114-125
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• 2020

Purpose: This descriptive study investigated the effects of nurses' knowledge of withdrawal of life-sustaining treatment, death anxiety, and perceptions of hospice care on their attitudes toward withdrawal of life-sustaining treatment. Methods: Data were collected from 262 nurses at tertiary hospitals, general hospitals, or primary hospitals in Busan, Korea, and statistically analyzed using the t-test, analysis of variance, the Scheffé test, Pearson correlation coefficients, and hierarchical regression analysis. Results: The participants' scores were 3.68±0.45 (out of 5) for attitudes toward withdrawal of life-sustaining treatment, 0.65±0.15 (out of 1) for knowledge of withdrawal of life-sustaining treatment, 2.61±0.26 (out of 4) for death anxiety, and 4.06±0.43 (out of 5) for perceptions of hospice care. Furthermore, knowledge of withdrawal of life-sustaining treatment and perceptions of hospice care showed positive correlations with attitudes toward withdrawal of life-sustaining treatment, while death anxiety showed a negative correlation. The most significant factors influencing attitudes toward withdrawal of life-sustaining treatment were perceptions of hospice care, followed by having experienced caring for patients who withdrew life-sustaining treatment, death anxiety, having a spouse, and ethical values, and the overall explanatory power was 43.0%. Conclusion: This study showed that perceptions of hospice were an important factor influencing nurses' attitudes toward withdrawal of life-sustaining treatment. Therefore, it is necessary to develop and validate educational intervention programs that can improve perceptions of hospice care.

• 중환자간호학회지
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• 제12권2호
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• pp.39-49
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• 2019

Purpose : The purpose of this study was to identify the extent to which intensive care unit (ICU) nurses' perceptions of life-sustaining treatment decisions and "a good death" affect attitudes toward terminal care. Method : Participants included 109 ICU nurses from three university hospitals. Data were collected using structured questionnaires, and collected data were analyzed using a t-test, ANOVA, the $Scheff{\acute{e}}$ test, Pearson correlation coefficients, and a multiple regression analysis (SPSS 24.0 program). Results : Perceptions of life-sustaining treatment decisions and a sense of closeness (a constituent for the awareness of "a good death") were positively correlated with terminal care attitudes. The factors affecting terminal care attitudes were a clinical career in ICU (${\beta}=.20$, p =.035), a sense of closeness(${\beta}=.19$, p =.041), and the perception of a life-sustaining treatment decision (${\beta}=.22$, p =.017). This finding indicates that more than 10 years of experience in ICU, a greater sense of closeness, and a higher view of life-sustaining treatment decisions results in more positive attitudes toward terminal care. The explanatory power of these variables on terminal care attitudes was 14% (F=6.84, p < .001, Adj $R^2=.140$). Conclusion : A sense of closeness and the perception of life-sustaining treatment decisions were identified as the factors affecting terminal care attitudes. Thus, various programs must be developed to raise awareness among ICU nurses of "a good death" and perceptions of life-sustaining treatment decisions.

• 중환자간호학회지
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• 제14권1호
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• pp.1-13
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• 2021

Purpose : Based on Quint's theory and the relevant literature, this study constructed a structural equation model for explaining and predicting end-of-life care performance in clinical nurses. Methods : A self-administered questionnaire was used to collect data from 265 nurses between September 1 and September 30, 2016. The data were analyzed using SPSS ver. 21 and AMOS ver. 21. Results : The goodness of fit of the modified model was found to be relatively satisfactory (χ2=114.82, Nomed χ2(χ2/df)=2.44, SRMR=.06, GFI=.94, AGFI=.89, CFI=.95, TLI=.91, RMSEA=.07). End-of-life care performance was affected by the attitudes toward nursing care of the dying, working unit, and death anxiety. The attitudes toward such care had the highest effect on end-of-life care performance. Conclusion : The results suggest that end-of-life care performance is directly and indirectly affected by attitudes toward nursing care of the dying, participation in end-of-life care education, working unit, death perception, and death anxiety. To improve clinical nurses' end-of-life care performance, effective programs to promote death anxiety and attitudes toward nursing care of the dying need to be developed. In addition, hospital nursing organizations should attempt to produce concrete measures for death anxiety and terminal care attitudes in clinical nurses.

• 한국산학기술학회논문지
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• 제19권11호
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• pp.137-147
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• 2018

본 연구의 목적은 간호대학생을 대상으로 생명의료윤리 교육 이수에 따른 간호대학생의 생명의료윤리 의식, 관련지식, 인식 및 태도의 차이를 파악한 서술적 조사연구이다. 간호학과 112명을 대상으로 자가 보고식 설문지를 이용하여 자료를 수집하였고 t-test, Chi-Square test, Fisher's exact probability test, Pearson's correlation coefficient로 분석하였다. 두 그룹간에 생명의료윤리 의식의 하위 영역 중 인공수정, 안락사, 장기이식에서 통계적으로 유의한 차이를 나타내었다. 생명의료윤리 의식은 인체조직기증 및 이식에 관한 태도, 죽음에 대한 인식, 호스피스 완화의료 인식에서 유의한 양의 상관관계가 있었다. 본 연구결과 간호대학생은 생명의료윤리 교육에 참여한 후 인공수정, 안락사, 장기이식에 대한 의식이 통계적으로 유의한 차이를 보였고, 생명의료윤리 의식은 인체조직기증 및 이식에 관한 태도, 죽음에 대한 인식, 호스피스 완화의료 인식과 관련이 있으므로 이를 토대로 생명의료윤리 교육과정에 죽음, 호스피스 완화의료, 인체조직기증 및 이식 관련 다양한 교육과정의 개발 및 적용에 대한 연구가 필요함을 제언한다. 또한 본 연구의 대상자가 일개 대학교를 대상으로 한 연구여서 본 연구결과를 일반화하는데 무리가 있다고 보아 추후 반복연구를 제언하는 바이다.

• 문화기술의 융합
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• 제8권3호
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• pp.15-23
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• 2022

본 연구는 인체조직기증에 대한 인식의 변화를 위해 간호대학생들을 대상으로 인체조직기증 교육프로그램의 효과를 검정하기 위한 실험설계, 동등성 대조군 전·후 설계이다. 연구대상자는 U시에 위치한 간호학전공 대학생 75명으로 실험군 38명, 대조군 37명으로 무작위로 배정하였다. 자료는 SPSS/WIN 23.0을 사용하여 분석하였다. 평균 연령 22.39±0.75세, 여성이 84.2%였으며 두 군간 일반적 특성과 사전자료 모두 차이가 없었다. 결과변수인 지식(F=-8.921, p<.001), 태도(F=-5.414, p<.001), 죽음에 대한 인식(F=-3.075, p=.004)에서 유의한 차이를 보여 인체조직기증 활성화를 위해 개발된 간호대학생 교육 중재가 인체조직기증에 대한 긍정적인 효과를 보였다. 한편, 의료인뿐 아니라 타분야의 전문가를 양성하는 교육기관에 적용할 프로그램도 개발되어야만 인체조직기증 문화의 정착과 안정이 확고해 질 것이다. 또한 보건의료 캠페인 및 공공 교육기관에서의 교육도 함께 이루어져야 한다고 제언하는 바이다.

• 미래기술융합논문지
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• 제3권1호
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• pp.1-11
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• 2024

본 연구는 간호대학생의 좋은 죽음에 대한 인식과 임종환자에 대한 간호태도가 공감능력에 어떤 영향을 미치는지 알아보기 위해 실시한 서술적 조사연구이다. 연구대상자는 연구목적을 이해하고 참여에 동의한 간호대학생 155명으로, 온라인 설문조사법을 활용하여 자료를 수집하였다. 자료수집 기간은 2023년 4월 11일부터 총 34일이 소요되었다. 자료분석은 IBM SPSS Statistics 26 통계 패키지를 사용하여 기술통계, 독립 t-검정, 일원배치 분산분석, 다중회귀분석을 사용하여 수행되었다. 더미변수인 '지인의 죽음 경험'을 통제한 결과, 임종간호태도가 높을수록(B=.312) 공감능력에 통계적으로 유의한 긍정적인 영향을 미치는 것으로 나타났다(p<.01). 간호대학생의 공감능력에 영향을 미치는 변인은 지인의 임종경험(𝛽=.226), 임종간호태도(𝛽=.220)였으며, 회귀모형은 통계적으로 유의하였다(F=6.968, p<.001). 하나의 더미변수(지인의 임종경험)와 2개의 독립변수(임종간호태도, 좋은 죽임 인식)는 공감능력을 10.4% 설명하였다. 본 연구는 간호대학생의 공감능력에 미치는 영향을 분석함으로써 향후 간호대학생의 공감역량 강화를 위한 프로그램 개발의 기초자료로 활용될 수 있을 것으로 기대된다.

• 한국응급구조학회지
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• 제19권2호
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• pp.19-27
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• 2015

Purpose: To determine factors of kindergarten teachers' willingness to perform cardiopulmonary resuscitation (CPR) and to suggest education methods toward CPR. Methods: We interviewed 92 kindergarten teachers trained to administer CPR. Among them, 74 answered the questions regarding CPR experience, barriers, and willingness. Logistic regression was used to calculate odds ratios (OR) and 95% confidence intervals (CIs) for the association of willingness factors to cognition, performance, and attitude toward CPR. Results: Of the participants, 73 (98.7%) were female, 32 (43.0%) were in their twenties (mean age: 33.9 years), 31 (41.9%) graduated college, 47 (63.5%) had < 10 years of tenure, and 65 (87.8%) and 62 (83.8%) indicated willingness to perform CPR to family members and kindergarteners, respectively. Barrier factors included fear of performing CPR incorrectly (46.8%) and injuring the victim (25.6%). Willingness factors included understanding brain death (37.7%) and performing CPR correctly (26.1%). Willingness predictors included attitude toward family members (OR: 4.54, 95% CI: 1.19 -17.39, p = .027) and kindergarteners (OR: 3.07, 95% CI: 1.15-8.22, p = .025), and cognition to kindergarteners (OR: 0.36, 95% CI: 0.13-0.99, p = .050). Conclusion: The kindergarten teachers were more willing to perform CPR to family members and kindergarteners than to others in an attitude-dependent manner.

• Journal of Hospice and Palliative Care
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• 제17권3호
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• pp.151-160
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• 2014

목적: 노년기는 죽음이 가까워지는 시기이고 노인들은 좋은 죽음을 원하지만 아직까지 노인에서 좋은 죽음의 정도와 영향요인을 규명하는 연구 자료가 부족하다. 이에 따라 본 연구에서는 재가노인을 대상으로 좋은 죽음의 인지도를 알아보고 그의 영향요인을 일반적 특성과 가족지지를 중심으로 살펴보았다. 방법: 대상자는 서울시, 경기도, 강원도 및 전라도의 지역사회 거주 노인들 중 편의 표출하여 연구에 참여를 서면 동의한 65세 이상의 노인 317명이었다. 구조화된 설문지 문항에는 일반적 특성, 좋은 죽음 19문항과 가족지지 11문항을 포함시켰으며 설문내용에 대해 대상자 스스로 기입하거나 자기기입이 어려운 노인은 연구자나 연구보조원이 설문에 대한 노인의 응답을 기입하는 방법으로 자료수집을 하였다. 자료분석은 기술통계, t 혹은 F 검정, 피어슨 상관계수 및 단계적 다중회귀 분석을 이용하였다. 결과: 좋은 죽음의 정도는 상으로 높은 편이었고 좋은 죽음의 요인 중 통제감이 가장 높았으며 문항별 정도는 '평화롭게 죽는 것이다'와 '죽음을 수용하는 것이다'에 이어서 '다른 사람에게 부담(폐)을 주지 않는 것이다'를 높게 인지하였다. 좋은 죽음의 인지도는 성별, 결혼상태와 경제상태에 따라 유의한 차이가 있었고 가족지지와 유의한 정적 상관관계를 보였다. 좋은 죽음에 대한 영향요인은 가족지지와 성별로 그 설명력은 10.2%이었다. 결론: 재가노인의 좋은 죽음을 위해서는 그들의 일반적 특성 중 성별, 결혼상태와 경제상태를 고려하고 중재가 가능한 가족 지지를 높여야 할 것이다. 또한 노인의 통제감을 높일 수 있는 방안을 모색하고 문항 중 높은 인지도를 나타낸 평화로운 죽음과 죽음 수용 등에 대해 초점을 맞추어 중재를 하여야 할 것이다. 나아가 본 연구결과를 기반으로 노인의 성별과 가족지지를 고려하여 그들의 좋은 죽음뿐 아니라 삶의 질이 유지, 증진될 수 있도록 지지 프로그램이나 정책 제안 등 합당한 노력을 강구하여야 할 것이다.

• 호스피스학술지
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• 제6권2호
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• pp.55-68
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• 2006

In Korea, there are constantly increasing number of cancer patients with reaching 65,000 deaths and it was 26.3% of the total number of death in 2004. Many cancer patients suffer from surgery, chemotherapy, and radiotherapy after being diagnosed as cancer. And many of them are facing fear of death because they can't be perfectly cured. Due to patients' physical, psychological, and spiritual pain, quality of life drops dramatically. Patients' families also suffer from huge medical expenses while they have to take care of patients's suffering from pain. At the same time, family's attitude can influence on the quality of patients' life. The purpose of this study is to investigate the relationship between the death orientation of first care giver and the quality of life of hospice patient. The subjects of the study were 80 hospice patients registered at ten hospice institutions with hospice team and medical practitioners in six cities including Seoul as well as their first care givers. This study used 13 questions for the hospice patients and nine questions for the first care givers to recognize general characteristic. To measure death orientation of the first care giver the tool developed by Noh, Soon-hee (2003) was used. And to measure quality of life of the hospice patients Yoo, Seung-yeon's structured tool was used. The data were collected for a month through interview method. SPSS win 12.0 was used to analyze the data by using frequency, percentage, t-test, Pearson correlation. The study result is as follows. In relationship between general characteristic of hospice patient and quality of life, the highest suffering was pain (60%) and the second suffering was anorexia (23.8%). There was no significant relationship between physical pain and general characteristics of hospice patient. In psychological aspects, religion (p=.044) showed significant difference (p<.05). In existential aspects, age (p=.035) showed significant difference (p<.05). There was no significant difference variable in support aspects. And religion (p=.000) was statistically significant variable in spiritual aspects (p<.001). Age (p=0.025) and religion (p=.050) were the variable showed significant difference according to general characteristics of first care giver's death orientation. Although the relation between death orientation of first care giver and quality of life of hospice patient was not statistically significant correlation. In conclusion, while death orientation of first care giver and hospice patient's quality of life are not statistically significant in correlation analysis.

• 한국응급구조학회지
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• 제6권1호
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• pp.39-53
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• 2002

This descriptive study was conducted to identify the attitude toward euthanasia of EMT and nursing students and to compare their attitude before and after clinical practice. The convenience sample was comprised of 40 first grade and 40 second grade EMT students attended at G college in G-city, and 40 first grade and 40 third grade nursing students attended at C college in C-province. The variable was tested with an euthanasia attitude scale developed by Kim Ae Kyoung(2001). The valid responses were obtained and analyzed by using SPSS PC+ from November 25 to December 6, 2002. The results showed that most of the respondents agreed to have positive attitude toward euthanasia in terms of client's right and client's quality of life. Also, they thought that euthanasia should be legalized and the right to die with dignity should be guaranteed. The EMT respondents having a clinical experience showed significantly higher score than respondents having no experience in the subarea of medical ethics, and nursing respondents who had a clinical practice showed significantly higher score than others no experience in the subarea of quality of life. But, the other sub-areas had no significant difference between the respondents before and after clinical practice. The attitude toward euthanasia composed of sub-areas such as being after the quality of life, having a high regard for a life and recognizing client's right was not affected by the single factor of clinical practice. Therefore, much supportive intervention need to be done for the students about the significant affecting factors found in this study like a religion, values, education and observing experience of someone's death.