• 가정간호학회지
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• 제23권1호
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• pp.90-99
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• 2016

Purpose: The purpose of this study was to examine the influences of emotional intelligence and attitudes about death on hospice volunteers' perception of life as meaningful. Methods: In this study, 232 hospice volunteers who were serving at 3 university hospitals and 7 general hospitals for 6 months or longer. Data were collected using self-report questionnaires from January 20 to February 15, 2016. Data were analyzed using descriptive statistics, independent-tests, one way ANOVAs, Pearson's correlation coefficients, and multiple regression analyses with SPSS 21.0. Results: Hospice volunteers' perception of life as meaningful was positively correlated with their attitudes toward death and emotional intelligence. The significant predictors of perception of meaning were emotional intelligence, attitudes toward death, religion and perceived health status. These variables explained 41.0% of the variance in hospice volunteers' perception of life as meaningful. Conclusion: These results suggest that hospice volunteers perceptions of life as meaningful can be changed positively by increasing emotional intelligence and positive attitudes about death.

• 동서간호학연구지
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• 제19권2호
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• pp.88-95
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• 2013

Purpose: The purpose of this study was to examine nursing students' attitude toward death and perception on hospice care. Methods: The survey was performed on 103 nursing students in one university in Goseong-gun, Gangwon-do. The data were collected by questionnaires and analyzed using descriptive statistics. Results: Regarding the attitude toward death, 90.3% of the students had thought about death. They worried about sense of loss and sadness due to parting with family (31.1%). About half (51.5%) of the students considered death as a final process of the life. With regard to the perception of hospice, 92.2% of the students heard about hospice through books or nursing classes (65.0%). Public institutions running by government was considered to the students as the best hospice management institution (44.7%). The students thought a ideal model of hospice setting in Korea was hospital or institution specialized with hospice care (51.5%). They considered the barriers to effective hospice care in Korea was the lack of the public consensus on the need for hospice program (35.9%). The average perceptions about the purpose of hospice care was 4.33 whereas the average of the need of hospice care was 3.85. Conclusion: The findings of the study provide the basis for expanding nursing practice and education related to hospice care.

• 기본간호학회지
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• 제17권2호
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• pp.209-219
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• 2010

Introduction: The phenomenon related to sign & symptom management for end of life of the patients is of interest to researchers in nursing society today. This study was conducted to clarify and to conceptualize the factors of sign & symptom management in end of life care though nurses' perceptions on this phenomena. Methods: The qualitative study method was used to explore the experienced nurses' perceptions related to sign & symptom management in end of life care. It included a field study carried out in South Korea using in-depth interviews with 30 experienced nurses from three nursing home facilities. Results: This study identified the following categories related to end of life care with sub-categories for each category: (1) nurses' modes in identifying the signs related to patients' end of life, (2) nurses' perceived directions on patients' end of life care, (3) nurses' perceived strategies in end of life care and (4) nurses' perceived barriers in end of life care Conclusion: Through this study, characteristics of the way nurses' provide for patients' end of life care are identified, along with how nursing decisions are made to manage the sign & symptom indicating patients' end of life.

• Journal of Hospice and Palliative Care
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• 제20권2호
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• pp.100-110
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• 2017

목적: 본 연구는 우리나라 사람들이 인지하고 있는 존엄한 죽음의 의미를 참여자의 관점에서 있는 그대로 탐구하여 확인하고 기술함으로써 그 구조와 본질을 규명하기 위한 것이다. 방법: 현상학적 분석방법을 적용한 질적 연구로 본 연구의 참여자들은 연령대와 성별을 고려한 일반인으로 총 13명이었다. 자료수집은 참여자와 개별적 심층면담을 통해 이루어졌으며, 자료분석은 Colaizzi(1978)의 현상학적 분석방법을 이용하였다. 결과: 우리나라 사람들이 인지하는 존엄한 죽음은 4개의 범주와 9개의 주제모음 및 18개의 주제로 구조화할 수 있었다. 4개의 범주는 '편안한 죽음', '보기 좋은 죽음', '해결하고 죽는 죽음', '남긴 죽음'이었고, 9개의 주제모음은 '고통 없는 죽음', '자연에 순응하는 죽음', '흉하지 않은 죽음', '좋은 회상을 남기는 죽음', '원하는 방식으로 죽는 죽음', '주변을 정리한 죽음', '응어리를 풀고 가는 죽음', '잘 살고 죽는 죽음', '인정받는 죽음'이었다. 결론: 우리나라 사람들이 의미하는 존엄한 죽음은 고통 없이 편안하게 죽으면서 다른 사람에게 피해를 주지 않고 남아 있는 삶 동안 모든 일을 해결하고 가족을 포함한 다른 사람과의 관계 속에서 좋은 이미지로 남아야 하는 것으로 나타나 우리나라 사람들의 존엄한 죽음을 위하여 임종을 앞둔 대상자의 호스피스 간호에 적용할 수 있을 것이다.

• 보건의료산업학회지
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• 제10권3호
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• pp.85-97
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• 2016

Objectives : In this study, the awareness of hospice and the perceptions on the need for visiting palliative care and what constitutes a good death of the citizens of Busan were investigated. The purpose of this study was to develop a hospice system based on the needs of the citizenry of Busan by seeking solutions for current hospice strategies. Methods : One thousand Busan citizens from 20 to 80 years of age were surveyed in this study. Results : Busan citizens defined a good death as spending less than one month of time in the actual process of dying at home between the ages of 80-89 years. They knew about hospice a little and were aware of its necessity. They also knew about the necessity of visiting palliative care and were interested in receiving it when appropriate but did not know much about it. Conclusions : First, there is a large difference between Busan citizens' expectations on what constitutes a good death and what a good death really is. Second, Hospice palliative care should be provided to the community. Third, the older the patient is, the more palliative care visits are necessary. Fourth, 40s and 50s must make preparations for hospice palliative care in their future.

• International journal of advanced smart convergence
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• 제13권1호
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• pp.77-84
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• 2024

This study delves into the subtle sounds emanating from beneath the earth's surface to unveil hidden messages and the movements of life. It transforms these acoustic phenomena into digital data and reimagines them as visual elements. By employing Sismophone microphones and utilizing the FFT function in p5.js, it analyzes the intricate frequency components of subterranean sounds and translates them into various visual elements, including 3D geometric shapes, flowing lines, and moving particles. This project is grounded in the sounds recorded in diverse 'spaces of death,' ranging from the tombs of Joseon Dynasty officials to abandoned areas in modern cities. We leverage the power of sound to transcend space and time, conveying the concealed narratives and messages of forgotten places .Through the visualization of these sounds, this research blurs the boundaries between 'death' and 'life,' 'past' and 'present,' aiming to explore new forms of artistic expression and broaden perceptions through the sensory connection between sound and vision.

• 미래기술융합논문지
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• 제2권2호
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• pp.23-30
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• 2023

본 연구는 간호대학생들의 좋은 죽음에 대한 인식 정도를 알아보고 하위요인 간의 점수 비교를 통해 좋은 죽음의 속성 중 더 중요하게 생각하는 요인을 비교 분석하기 위한 목적으로 수행된 서술적 조사연구이다. 연구의 목적을 설명하고 참여에 동의한 102명을 편의 모집하였다. 연구도구는 Schwartz 등의 'Measure of concept of a Good Death'을 번역한 도구로 온라인을 통해 진행하였다. 자료분석은 IBM SPSS Statistics 26 프로그램의 빈도분석, 기술통계, t-검정, 일원배치 분산분석 등의 통계기법을 활용하였다. 좋은 죽음 인식의 세 가지 하위요인별 점수의 평균차이를 보인 요인은 임상실습의 경험으로 도출되었다. 임상실습을 경험한 학생들의 좋은 죽임 인식의 평균(3.13±0.36점)이 임상실습 경험이 없는 학생들(2.90±0.31점)보다 통계적으로 유의하게 높았다(t=3.156, p=.002). 특히 임상실습 유경험자(3.46±0.39점)가 무경험자(3.16±0.37점)보다 통계적으로 유의하게 친밀감에 대한 좋은 죽임 인식의 평균이 높았다(t=3.476, p=.001). 본 연구를 통해 간호대학생들의 좋은 죽음에 대한 인식은 임상실습 여부에 따라 차이가 있음을 확인하였다. 본 연구의 결과는 간호대학생의 좋은 죽음 인식에 대한 효과적인 교육프로그램 개발에 도움이 되는 기초자료를 제공할 수 있을 것으로 기대된다.

• Journal of Hospice and Palliative Care
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• 제23권3호
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• pp.139-150
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• 2020

Purpose: The purpose of this study was to investigate the levels of end-of-life care competency; knowledge, attitudes, and experiences regarding advance directives; perceptions of good death; and end-of-life care obstacles and supportive behaviors among tertiary care nurses. Methods: The participants were 150 nurses at a tertiary hospital in Jinju, Korea. The data collected using a questionnaire were analyzed using descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression in SPSS for Windows version 24.0. Results: The mean (±SD) score of end-of-life care competency was 3.63 (±0.53) on a 5-point scale. A significant difference in end-of-life care competency was found according to whether nurses had experienced the death of a family member or acquaintance (P=0.029). According to stepwise multiple regression analysis, the factors affecting end-of-life care competency were the frequency of end-of-life care supportive behaviors (β=0.38, P<0.001), experience with advance directives (β=0.29, P<0.001), and marriage (β=0.15, P=0.039). This model had an explanatory power of 27.9% (F=18.87, P<0.001). Conclusion: In order to improve nurses' end-of-life care competency, it is important to strengthen end-of-life care supportive behaviors by exposing nurses to those behaviors and providing frequent experience with advance directives.

• Journal of Hospice and Palliative Care
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• 제24권3호
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• pp.194-197
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• 2021

End-of-life assessments aim to help dying patients and their families plan clinical interventions in advance and prepare them for a peaceful end of life, in which the patient accepts life and death, and the family accepts the patient's departure. It is important to assess whether death is imminent within a few days, because critical hospice care is provided intensively during that period. The following five changes constitute objective evidence of the end of life: diminished daily living performance, decreased food intake, changes in consciousness and increased sleep quantity, worsening of respiratory distress, and end-stage delirium. As subjective evidence, it is suggested that sensitive perceptions of experienced nurses and the feelings of family members caring for patients should also be considered. When notifying a patient or family members that the end of life is approaching, the members of the multidisciplinary hospice team must communicate with each other, share accurate information, and provide consistent explanations. They must also listen to non-verbal communication in an empathic and supportive manner.

• 한국노년학
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• 제39권1호
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• pp.127-144
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• 2019

본 연구의 목적은 도시와 농어촌 노인의 고독감과 죽음불안, 사회적 자본에 대한 인식을 비교하고 고독감과 죽음불안 간 관계에서 사회적 자본의 조절 효과가 있는지 검증하는 데에 있다. 이를 위해 SSK 고령사회와 사회자본 연구센터에서 전국 만 65세 이상의 노인을 대상으로 2018년도에 실시된 「노인의 건강한 노화 및 웰다잉에 관한 연구」 설문 데이터를 바탕으로 서울특별시 및 6개의 광역시에 거주하는 총 839명의 도시 노인과 군단위 지역에 거주하는 322명의 농어촌 노인을 연구 대상자로 사용하였다. 주요 통계분석방법으로는 인구학적 특성과 주요 변수에 대한 도시와 농어촌 노인의 비교를 위해 기술 통계 및 t-test와 χ2 test를 실시하였고, 고독감과 죽음불안과의 관계와 사회자본의 조절효과를 검증하기 위하여 집단 별 이항 로지스틱 회귀분석을 실시하였다. 연구 결과, 주요 연구 변인에서 도시와 농어촌 노인들의 유의미한 차이가 발견되었다. 도시 노인은 농어촌 노인에 비해 죽음불안을 보고한 노인의 비율이 높았고, 고독감의 수준도 높게 나타났지만, 사회적 자본에 대한 인식의 경우에는 농어촌 노인들이 전반적으로 도시 노인보다 더 높게 나타났다. 고독감과 죽음불안 사이의 사회적 자본의 조절효과는 도시 노인들에게는 발견되지 않았지만 농어촌 노인들에게는 사회응집력과 사회적 지원이 고독감과 죽음불안과의 관계를 조절하는 효과가 있었다. 본 연구의 의의는 도시와 농어촌 노인이 고독감, 죽음불안, 사회적 자본에 대한 상이한 인식을 가지며, 고독감과 죽음불안 간의 관계를 조절하는 사회적 자본의 역할 또한 도시와 농어촌 노인 집단에서 서로 다르게 나타남을 검증한 것이다. 이러한 연구 결과는 노인의 고독감 및 죽음불안 감소를 위한 사회적 자본 확충 및 관련 개입방법을 고려할 때 도시와 농어촌의 지역적 차이 또한 검토해야 함을 시사한다.