• Title/Summary/Keyword: Death Recognition

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Paramedic students' awareness and attitude toward a do-not-resuscitate (DNR) order and death (응급구조학과 대학생들의 죽음의식과 심폐소생술 금지(DNR)에 대한 인식 및 태도)

  • Choi, Bo-Ram;Kim, Dong-Ok
    • The Korean Journal of Emergency Medical Services
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    • v.19 no.2
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    • pp.71-82
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    • 2015
  • Purpose: This study aimed to investigate paramedic students' awareness and attitude toward a do not resuscitate (DNR) order and death. Methods: This research was conducted among 421 students from the Department of Emergency Medical Technology in a 4-year college located in the Chungcheong and Daejeon districts, from May 14 to 22, 2014. Data were analyzed by using IBM SPSS 21.0. Results: The mean level of attitude toward death was 2.17. The paramedic students with clinical experience showed a positive attitude toward death, of whom 72.0% answered that a DNR order is necessary. The mean level of attitude toward DNR was 2.88. The paramedic students with clinical experience showed a positive attitude toward a DNR order. They indicated that sanctity of life should be respected rather than extending ineffective treatment and that patients' decisions on DNR should be respected. The students who had more knowledge about DNR and felt the necessity of DNR had a positive attitude about death and DNR. Conclusion: Paramedic students need systematic education for proper recognition and values establishment about death and DNR.

A Study on Importance Evaluation on Planning Factors of Well-dying Space and Recognition Attitude of Well-dying in College Students (대학생들의 웰다잉에 대한 인식 태도 및 공간 계획요소 중요도 연구)

  • Yoo, Bok-Hee;Lee, Min-Ah
    • Journal of the Korean housing association
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    • v.28 no.1
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    • pp.63-72
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    • 2017
  • The purpose of this study is to investigate the overall recognition on attitudes of well-dying and evaluation the importance of planning factors of well-dying space in college students. This will serve as a basis to accumulate materials on the recognition of well-dying and well-dying spaces of various generations of South Korea. This study conducted a survey from October 4th to 8th, 2016 with 119 college students from U University and K University. As the contents of the survey, were comprised of general socio-demographic elements, subjective recognition and attitudes toward well-dying, and the importance of the planning factors of the physical, emotional, social and spiritual environments of the well-dying space. The main results are as follows. (1) The interest of university students on death education is high, and there was a preference for 'home' where they could be comfortable and be with loved ones as the space for dying. Also, in case of events of bereaving them after death, formal grieving ceremonies were undesired. The funeral was desired to be simple, serene, and not too sad. (2) In evaluation of the importance of physical, emotional, and spiritual environmental planning factors, physical environmental factors were considered to be the most important overall, and the recognition of importance of the planning factors of spiritual environment was low.

The Influence of Hospice Volunteering and Death Education on High School Students' Attitude toward Death and Meaning of Life (고등학생의 호스피스자원봉사 경험자와 비경험자의 죽음에 대한 태도와 삶의 의미 비교)

  • Ryoo, Chung-Ja
    • Journal of the Korean Society of School Health
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    • v.29 no.3
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    • pp.310-317
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    • 2016
  • Purpose: This descriptive research was carried out to identify how high school students' attitude to death and their meaning of life were affected by hospice volunteering and death education. Methods: This study is based on a structured questionnaire designed for 180 high school students who were given death education while doing volunteer work at non-profit hospice hospitals and another 288 high school students not doing any hospice volunteer work. The collected data was processed by the SPSS 20.0 program and then analyzed by $x^2$ test, t-test and ANOVA test. Results: High school students' attitude to death and their meaning of life showed significant differences depending on whether or not they had volunteered at hospice hospitals. The group with hospice volunteering experience tended to be more negative about death and have a higher meaning of life compared to those without hospice volunteering experience. Students with proper hospice recognition made up 52.4%, those who expressed hopes to receive hospice-care themselves if necessary accounted for 70.5%, and those who said they would like to take care of their family members either at home or at a hospice center if any of them got incurably sick comprised 59.0%. Those who thought dignified death is to be with one's family or any other meaningful person were 47.6% and 18.5% of the students thought that 'thinking they had led a meaningful life' was the core of a dignified death. Conclusion: Given the above results, it became clear that hospice volunteering and death education can affect high school students' meaning of life and their attitudes toward death.

Evaluative Study of Hospice Education using Data Triangulation (자료적 트라이앵귤레이션 방법의 활용을 통한 호스피스 교육평가에 관한 연구)

  • Paik Hoon-Jung;Kim Chun-Mi;Choi Soon-Young;Park Soon-Ok;Moon Jin-Ha;Kim Jung-Suk;Kim Ae-Jung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.12 no.1
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    • pp.91-100
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    • 2005
  • Purpose: This research used quantitative research to identify differences in death consciousness between pre and post education. The study was also designed to further understanding of the effects of nursing education by using a qualitative analysis to examine hospice education experience. Method: This study a one group pre-post test design. Results: 1 The mean score for the students' death consciousness before the hospice education averaged $2.15{\pm}\;.33$, a medium level for death Consciousness. The Score after education was $2.25{\pm}\;.36$, that is, there was higher score for death consciousness after education. 2. The result of classification, giving their names and categorizing the experience of being in a coffin shown to be self-reflection, regret, recognition to death, death as discontinuation of life, the last closing from everything, death as a sad and cruel event, death as another world, specialist intuition of nursing. Conclusion: This research provided an opportunity for nursing students to consider death earnestly and realistically through hospice nursing education. We also discovered affirmative changes in the students' viewpoint of death, students who in future clinical practice may work with elders. We also found increases in motives to develop ability to present effective aid to dying patients.

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Effect of good death cognition, self esteem, attitude toward withdrawal of life-sustaining treatment on the consciousness of biomedical ethics of nursing students (간호대학생의 좋은 죽음 인식, 자아존중감, 연명치료 중단에 대한 태도가 생명의료윤리 의식에 미치는 영향)

  • Park, Hyo Jin;Yang, Hyun Joo;Byun, Eun Kyung
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.3
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    • pp.71-78
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    • 2021
  • The purpose of this study was to investigate the effect of good death recognition, self-esteem, attitude toward withdrawal of life-sustaining treatmenton the consciousness of biomedical ethics in nursing students. Data were collected from 154 nursing students in B city and analyzed by t-test, ANOVA, Pearson correlation coefficient, and multiple regression using SPSS/WIN 22.0. The degree of consciousness of biomedical ethics in nursing students was 2.87±0.26. There were significant differences in consciousness of biomedical ethics with respect to religion(t=-2.90, p=.004). There was positive correlation between consciousness of biomedical ethics and good death recognition(r=.27, p=.001), self-esteem(r=.36, p<.001), negative correlation between consciousness of biomedical ethics and attitude toward withdrawal of life-sustaining treatment(r=-.29, p<.001). The factors affecting consciousness of biomedical ethics of the study subjects were good death recognition(β=.26, p<.001), self-esteem(β=.29, p<.001), attitude toward withdrawal of life-sustaining treatment(β=-.30, p<.001), religion(β=-.20, p=.004), with an explanatory power of 28.7%. Through this research requires the fellow study to determine the factors affecting consciousness of biomedical ethics of nursing students.

암환자 인식에 관한 연구 - 간호사ㆍ의사를 중심으로

  • Jo, In-Hyang
    • Korean Journal of Hospice Care
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    • v.2 no.1
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    • pp.58-74
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    • 2002
  • This paper constitutes a descriptive investigation and used a structured questionnaire to investigate nurses' and doctors' recognition of cancer patients. The subjects were extracted from the medical personnel working at the internal medicine, the surgery ward, the obstetrics and gynecology department, the pediatrics department, the cancer ward, and the emergency room of five general hospitals located in Seoul and Gyeonggi Province. The research lasted from August, 2001 to September 2001. Total 137 nurses and 65 doctors were included and made out the questionnaires directly distributed by the investigator. The study tool was also developed by the investigator and consisted of such items as the demographic and social characteristics, the medical personnel's recognition degree of cancer and cancer patients, their recognition of the management of cancer patients, and their participation in a hospice. The results were analyzed using the SPSS Window program in terms of technological statistics, ranks, t-test, and ANOVA. The reliability was represented in Cronbach' α=.75. The nurses' and doctors' recognition degree of cancer and cancer patients had an overall average of 3.86 at the 5 point-scale. The items that received an average of 4.0 or more included 'Medical personnel should explain about the cancer cure plans to the cancer patient and his or her family', 'A patient whose case has been diagnosed as a terminal cancer should be notified of it, 'If I were a cancer patient, I would want to get informed of it,' and 'Cancer shall be conquered whenever it is'. In the meantime, the items that received an average of 3.0 or less was 'My relationship with the cancer patient's family has gotten worse since I announced his or her impending death.' And according to the general characteristics and the difference test, the recognition degree of cancer and cancer patient was high among the subgroups of nurses, females, married persons, who were in their 30s, who had a family member that was a cancer patient, and who received a hospice education. The biggest number of the nurses and doctors saw 'a gradual approach over several days'(68.8%) as a method to tell a cancer patient about his or her cancer diagnosis or impending death. Those who usually tell tragic news were the physician in charge(62.8%), the family members or relatives(32.1%) and the clergymen(3.8%) in the order. The greatest number of them recommended a cancer patient's home as the place where he or she should face death because they thought 'it would stabilize his or her mentality'(91.9%) while a number of them recommended the hospital because they 'should give the psychological satisfaction to the patient'(40%) or 'should try their best until the last moment of the patient's death'(30%). A majority of the medical personnel regarded 'smoking or drinking' and 'diet' as the causes of cancer. The biggest symptom of a cancer patient was 'pain' and the pain management of a cancer patient was mostly impeded by the 'excessive fear of drug addiction, tolerance to drugs and side effects of drugs' by medical personnel, the patient, and his or her family. The most frequently adopted treatment plan of a terminal cancer patient was 'to do whatever the patient or his or her family wants' to resort to a hospice' and 'to continue active treatment efforts' in the order. The biggest reasons why a terminal cancer patient went to see a doctor were 'pain alleviation' 'control of symptoms other than pain(intravenous supply)' and 'incapability of the patient's family' in the order. Terminal cancer patients placed their major concern in 'spiritual(religious) matter' 'emotional matters' their family' 'existence' and 'physical matters' in the order. 113(58.5%) of the whole medical personnel answered they 'would recommend' an alternative treatment to a terminal cancer patient mostly because they assumed it would 'stabilize the patient's mentality.' Meanwhile, 80(41.5%) of them chose 'not to recommend it mostly due to the unverified effects and high cost of it(78.7%). A majority of them, I. e. 190(94.1%) subjects said they 'would recommend' a hospice to a terminal cancer patient mostly because they thought it would help the patient to 'mentally prepare'(66.6%) Only 17.3% of them, however, had received a hospice education, most of which was done through the hospital duty education(41.4%) and volunteer training(34.5%). The follows are results of this study: 1. The nurses and the doctors turned out to be still passive and experience confusion in dealing with a cancer patient despite their great sense of responsibility for him or her. 2.Nurses and Doctors realize the need of a hospice, but an extremely small number of them participate in a hospice education or performance. Thus, a whole recognition of a hospice should be changed, for which purpose a hospice education for nurses and doctors should be provided. 3.Terminal cancer patients preferred their home to a hospital as the place to face their impending death because they felt it would bring 'mental stability.' And most of nurses and doctors think it would be unnecessary for them to be hospitalized just for control of their symptoms. Accordingly a terminal cancer patient can be cared at home, and a home hospice care needs to be activated.

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Factors Influencing Perception of Hospice Palliative Care in High School Students in Korea (고등학생의 호스피스완화의료 인식 영향요인)

  • Lee, Young Eun;Kim, Mi Kyung;Choi, Eun Ah;Im, Min Suk
    • Journal of Hospice and Palliative Care
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    • v.19 no.3
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    • pp.222-232
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    • 2016
  • Purpose: This study was to investigate the relationships between spiritual well-being, attitude towards death and perception of hospice, and the factors influencing hospice perception of high school students. Methods: A survey was conducted with 229 students in four high schools in B city from May 1, 2015 through May 31, 2015. The data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, stepwise multiple regression using the SPSS 18.0 program. This study was approved by the internal review board. Results: The factors influencing hospice perception of the high school students were previous recognition of hospice (${\beta}=0.412$, P<0.001), attitude towards death preparation among sub-variables of attitude towards death (${\beta}=-0.244$, P<0.001), subjective school life satisfaction (${\beta}=-0.215$, P<0.001), and sex (${\beta}=0.191$, P<0.001). The more positive the attitude towards my body after death and that towards death preparation was, the more positive recognition for hospice was. The total explanatory power of these factors was 34.5%. Conclusion: To improve high school students' perception of hospice, it is necessary to provide them with a hospice education program to help them with their attitudes towards death preparation and their understanding of hospice.

A Study on the recognition of organ donation of Nursing students in convergence and integration time (융복합 교육시대에 간호대학생의 장기이식 인식에 관한 모색)

  • Lee, Ja-Ok;Oh, Eun-Young
    • Journal of Digital Convergence
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    • v.16 no.5
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    • pp.289-297
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    • 2018
  • The purpose of this study was to recognition of organ donation of nursing students in convergence and integration time so was to investigate the relationship between consciousness of biomedical ethics and attitude in organ donation. The participant were 202 nursing students and data were collected from April until July of 2017. Findings showed that consciousness of biomedical ethics wes 2.98 and attitude in organ donation was 2.67, and brain death was lowest at 2.67. The relationship between two variables showed a positive correlation(r=.18, p<.01), and Affecting Factors of consciousness of biomedical ethics was attitude in organ donation, gender, experience of studying for biomedical ethics, and the explanatory power was 9.1%. This result that for promotion of recognition of organ donation, we propose to implementing nursing ethics education focused on brain death and attitude in organ donation.

The Meaning of Dignified with Death (존엄한 죽음의 의미)

  • Chung, Bok-Yae;Cho, Young-Hwa
    • 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.