• Asian Pacific Journal of Cancer Prevention
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• v.14 no.10
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• pp.6173-6180
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• 2013

Background: Our objective was to determine the knowledge and attitudes of Thai generalists (general physicians) toward palliative terminal cancer care (PC) in a primary care setting. Materials and Methods: We performed a cross-sectional descriptive survey using a self-administered questionnaire. The total number of completed and returned questionnaires was 63, giving a 56% response rate. Data analysis was based on these (Cronbach's alpha=0.82) and percentages and mean values were assessed using the Fisher's exact test to determine the correlation of variables. Results: Overall, attitude and knowledge levels were slightly satisfactory. Results indicated that general physicians had moderate scores in both attitudes (84.1%) and knowledge (55.7%) regarding palliative terminal cancer care. However, they had insufficient knowledge regarding truth telling, pain control and management with morphine, emergency management in terminal cancer care and treatment of fluid intake in terminal stages. Attitude and knowledge scores were statistically correlated (p=0.036). Knowledge scores were further positively associated with being taught palliative care in their medical curriculum (p=0.042). Conclusions: Formal education in palliative care and development of palliative care services are very much needed in Thailand to provide holistic care to terminally ill patients.

• Korean Journal of Hospice Care
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• v.8 no.2
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• pp.1-16
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• 2008

Hospice should help a patient maintain spiritual well-being and its attitudes toward death can have great effects on treatment and nursing of patients on terminal patient. The purpose of this study was to examine the differences in spiritual well-being and attitudes toward death due to taking a Hospice Subject in Nursing Students This is a comparative study design in which 31 senior nursing students of taking a hospice care subject and 27 senior nursing students of not taking a hospice care subject in college of nursing K university, that is located B metropolitan city in Korea. The instruments for spiritual well-being measuring tools was Kim's (2006) revision and complement of the translation by Choe (1990) on the basis of the spiritual well-being scale developed by Paloutzian and Ellison (1983). The instruments for attitudes toward death was researches revision and complement of the translation by Kim(1992) on the basis of the attitudes toward death Measuring Tool developed by Thorson and Powell (1988). Data were collected from June 1 through June 30, 2006; the researcher got permission from the subjcts, explained objectives of the research to subjects personally and got their permission, and distributed structured questionnaires to make a response in a self-administered basis. For data analysis, an SPSS WINDOWS 12.0 program was used for frequency, percentage, the mean, standard deviation, the minimum, the maximum, x2-test, ANCOVA, and Pearson's correlation coefficients. The main results of this research are as follows: 1. There were no differecnces the degree of spiritual well-being and the degree of attitudes toward death between nursing students who took a hospice subject and nursing students who did not take a hospice Subject, except several items of attitudes toward death. There was significant positive correlation (r= .508, p= .000) between subjects spiritual well-being and attitudes toward death. That is, the higher spiritual well-being, the more positive attitudes toward death. In conclusion, although there were no differecnces spiritual well-being and attitudes toward death between nursing students who took a hospice care subject and nursing students who did not take a hospice care subject, in nursing students, spiritual well-being was relatively high and their attitudes toward death was relatively positive. To help a nursing students make a positive change in attitudes toward death, a nursing intervention program is necessary to improve spiritual well-being.

• Journal of Hospice and Palliative Care
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• v.23 no.3
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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.

• Journal of Hospice and Palliative Care
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• v.18 no.4
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• pp.306-313
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• 2015

Purpose: This study was performed to explore factors that influence attitudes toward terminal care in nursing students. Methods: Data were collected using a self-reported questionnaire filled by 175 nursing students at a university in a metropolitan city B. Data were analyzed using descriptive analysis, t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression with the SPSS/WIN 22.0 program. Results: Attitudes toward terminal care in nursing students was significantly correlated with communication competence (r=0.438, P<0.001), spirituality (r=0.374, P<0.001), and gratitude (r=0.318, P<0.001). Communication competence explained 18.7% of the variance in attitudes toward terminal care. Conclusion: The study shows communication competence is an important factor for attitudes toward terminal care in nursing students. Therefore, it is necessary to develop a communication competence enhancement program to foster nursing students with appropriate attitudes toward terminal care.

• Journal of Home Health Care Nursing
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• v.9 no.2
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• pp.90-102
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• 2002

Purpose: Home health nurses could affect patients' choice of alternative therapy. This study was carried out to investigate home health nurses' attitudes and cognition toward alternative therapy. Method: The subjects were 92 nurses who preparing the home health nurses at 2 university in Seoul and Suwon. Using the questionnaire. we measured the subjects' attitudes and cognition toward alternative therapy. Result: The mean score of attitudes about application was 3.14. and the score of attitudes about therapeutic effect was 2.57. The score of attitudes about therapeutic effect were significantly positive correlation to the score of cognition about alternative therapy. The attitudes about therapeutic effect were different significantly according to number of working years. But they commonly wanted to apply the soojichim. aroma-therapy. massage. danjon breathing. music therapy. plant therapy. and foot reflexology to their home health care subjects. Conclusion: Alternative therapies became a popular source of health care in Korea. This study showed pre-home health nurses had positive attitudes toward alternative therapies and they had wide variations of knowledge in how to use each therapy. But they acknowledge the value of alternative therapies as useful nursing interventions. so we all nurses should pay attention to develope the nursing intervention using alternative therapy.

• Journal of The Korean Society of Integrative Medicine
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• v.5 no.4
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• pp.57-66
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• 2017

Purpose : The current study objective was to determine the attitudes of nursing students to death, perception of end-of life care, and perceptions of educational training needs in relation to the provision of end-of life care, and to apply the results to the development of an efficient and effective education program in this regard. Method : Data collection was carried out between March and April 2017, and was achieved through the administration of a questionnaire to 124 caregivers working in a nursing home in C. A self-report instrument was used to measure nursing attitudes to death, perceptions of end-of-life care, and perceptions of educational training needs in relation to the provision of end-of-life care. The collected data were analyzed using SPSS(R) Statistics for Windows(R)(version 21.0), and were calculated was whole numbers, percentages, $mean{\pm}standard$ deviation, and Pearson's correlation coefficient. Results : The average scores obtained were 2.85 out of a maximum of 4.00, 2.14 out of 4.00, and 2.42 out of 4.00, for attitudes to death, perceptions of end-of-life, and perceptions of educational training needs in relation to the provision of end-of-life care, respectively. A positive correlation was found between attitudes to death and perceptions of end-of-life care, and a negative correlation was found between perceptions of end-of-life care and educational training needs in relation to the provision of end-of-life care. Conclusion : The development and implementation of an educational program is necessary to ensure positive attitudes to death in nursing students and improve their perceptions about end-of-life care. Further research is also warranted to determine the impact of such a program in this regard.

• Korean Journal of Human Ecology
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• v.23 no.2
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• pp.205-217
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• 2014

This study examined attitudes of grandmothers who had experience in grandchild care in order to explore their subjectivity. Research questions were 1) to categorize the attitudes toward grandchild care, and 2) to analyze each type's characteristics and elucidate the analyses. The results are as follows. Grandmothers' attitudes toward grandchild care were categorized into three types: (1) adjusting-to-role-change type, (2) recognizing-the-role-burdens type, (3) enjoying-the-traditional-role type. Type 1, the adjusting-to-role-change type was aware of positive facets of grandchild care, and actively accepted the caring responsibility, but did not think it was a grandmother's duty to care for the grandchildren or that it was the sole pleasure in a grandmother's life. Type 2, the recognizing-the-role-burdens type, had a negative view regarding grandchild care, perceiving the cost too high relative to the reward. On the other hand, Type 3, the enjoying-the-traditional-role type considered grandchild care as a pleasure and a duty, and downplayed negative aspects such as having no time to herself, assuming the traditional grandmother role and enjoying it. These results imply that the attitudes of grandmothers nowadays are undergoing a change from the traditional grandmother role attitude.

• Journal of Hospice and Palliative Care
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• v.23 no.4
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• pp.172-182
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• 2020

Purpose: This study aimed to identify the relationships among attitudes towards death, perceptions of hospice care, and hospice care needs as perceived by family members of patients in the intensive care unit (ICU). Methods: This study used a descriptive correlational method. A structured questionnaire was used to collect data from 114 participating families in the ICU at Dong-A University Hospital, from October 10 to November 1, 2019. The data were analyzed in terms of frequency, percentage, and mean and standard deviation. The t-test, one-way analysis of variance, and Pearson correlation coefficients were also conducted. Results: Perceptions of hospice care showed significant differences according to age (F=3.06, P=0.031) and marital status (t=3.55, P=0.001). However, no significant differences in attitudes towards death or hospice care needs were found. A significant positive correlation was found between perceptions of hospice care and hospice care needs (r=0.49, P<0.001). Conclusion: In order for families to recognize the need for hospice care and to receive high-quality palliative care at the appropriate time, it is necessary to increase public awareness of hospice care through various educational and awareness-raising efforts, thereby providing opportunities for families of terminally ill patients to request hospice care.

• Journal of Families and Better Life
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• v.33 no.2
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• pp.119-134
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• 2015

The purpose of the study is to explore how parenting attitudes, ego resilience, and care affects adolescents' adjustment to school so as to provide a necessary basic guideline needed to seek various intervention methods. To achieve this end, the study referred to the 2014 Annual Report of the Korean Children and Youth Panel Survey. By using both SPSS 19.0 and AMOS 19.0, the study yielded the following results. First, the study showed that parenting attitudes, ego resilience, care, and school adjustment all have a positive correlation. Second, by conducting path analysis in order to verify the mediating effect of ego resilience and care with regards to the relationship between parenting attitudes and school adjustment, the direct influence that parenting attitudes had on school adaptation was shown to be relevant. Third, adolescents' ego resilience and care have a partial mediating effect on the relationship between parenting attitudes and school adaptation. Therefore, together with intervention in actual school settings, assessing various factors that would aid the recovery of adolescents' characters and pursuing a positive reinforcement of character by finding protective factors would enable this study to be used as a basic guideline that would prevent adolescents' maladjustment to school and social deviance as well as aid the growth of their characters.

• Journal of muscle and joint health
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• v.20 no.1
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• pp.43-51
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• 2013

Purpose: The purpose of this study was to investigate attitudes and preventive practice of pressure ulcer among hospital nurses and identify factors affecting their preventive practice of pressure ulcer. Methods: Data were collected at April, 2011 in a university hospital in Korea. A total of 140 hospital nurses completed a questionnaire including attitudes and preventive practice of pressure ulcer. Data were analyzed with descriptive statistics, Spearmans rho, and stepwise multiple regression via SPSS/WIN 20.0. Results: Levels of attitudes and preventive practice of pressure ulcer were average 3.65 out of 5 and 2.19 out of 3 respectively. There was significant difference in preventive practice of pressure ulcer by area of practice ($x^2$= 43.35, p<.001), frequency of pressure ulcer care ($x^2$=10.72, p=.013), and experience of wound care education (Ζ=4.73, p=.030). The attitudes toward pressure ulcer prevention were positive correlated to preventive practice among nurses (rho=.190, p=.049). Area of practice, attitude toward pressure ulcer prevention and experience of wound care education explained 48% of variance in preventive practice of pressure ulcer. Conclusion: For improving quality of care, it is important to provide educations to change nurses attitudes toward preventive practice of pressure ulcer.