• 성인간호학회지
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• 제22권5호
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• pp.488-498
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• 2010

Purpose: The purpose of this study was to explore clinical nurse's reported conflict experience toward end-of-life medical decision making. Methods: Data were collected by in-depth interviews with eight nurses from three different wards of university hospital in D city of Korea. Conventional qualitative analysis was used to analyze the data. Results: Results were three major themes and twelve categories from the analysis. The three major themes were prioritization of treatment, non-disclosure of diagnosis, and hierarchical and power relations. Conclusion: The results of this study suggest that shared decision making in end of life among patient, family members, physician, and nurse may contribute to improve end-of-life care performance as well as dignified dying of patient in end of life.

• 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.

• 가정간호학회지
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• 제29권2호
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• pp.143-152
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• 2022

Purpose: This study aims to describe and explore the experiences of visiting nurses so as to providing high-quality end-of-life care at home. Methods: Data was collected and recorded through in-depth interviews with 11 visiting nurses and transcribed verbatim. The data were analyzed with qualitative contents analysis. Data were collected from April 8 to July 30, 2021. Results: The results revealed the following four themes and ten sub-themes: The main themes were 'Dignified end-of-life caring practice at home', 'Providing integrated support of end-of-life family caregivers', 'Confronting the limits of visiting nursing at the end of life' and 'Reflection on life and feeling rewarded'. Visiting nurses have performed dignified end-of-life care at home and integrated support for family caregivers. Although the visiting nurse sometimes faced the limits of visiting nursing during end-of-life care, it was surveyed that they rewarded on their lives and felt rewarding through the end-of-life nursing experience. Conclusion: Practical and systematic training is needed to positively change the end-of-life care of visiting nurses. We propose programs, such as expert counseling, to improve coping skills in end-of-life care practice at home. Additionally, we propose various institutional supports which can support the limitations of end-of-life care provision.

• 한국응급구조학회지
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• 제20권3호
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• pp.107-120
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• 2016

Purpose: The purpose of this study was to investigate the factors influencing death anxiety, hospices knowledge, and attitude towards end-of-life care among paramedic students. Methods: A self-reported questionnaire was completed by 196 paramedic students in D university college in J city from November 2011 to November 2014. The study instruments included death anxiety, hospices knowledge, and attitude towards end-of-life care. Data were analyzed by t test, ANOVA, post hoc $Scheff{\acute{e}}$ test, Pearson's correlation test, and stepwise multiple regression analysis using SPSS v. 20.0. Results: According to a stepwise regression on the factors influencing attitudes towards end-of-life care, 80.4% of variance (F=161.360, p<.001) was explained by experience of death, hospices knowledge, disappearance of death anxiety, satisfaction with relationships (${\geq}2$) and student attitude toward end-of-life care. In addition, 44.1% of the variance (F=39.434, p<.001) was explained by experience of death, satisfaction with relationship(${\leq}4$), warning of others about death anxiety, and family attitude towards end-of-life care. Conclusion: The attitude towards end-of-life care was influenced by hospices knowledge and death anxiety in paramedic students. It is necessary to provide training in understanding attitudes towards death anxiety and end-of-life care. An effective educational program should be developed and implemented among paramedic students to improve their awareness of death and anxiety hospices knowledge.

• 한국콘텐츠학회논문지
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• 제21권1호
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• pp.710-721
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• 2021

본 연구의 목적은 요양병원 간호사가 경험하는 임종간호 대처 경험의 구조를 규명하여 경험의 의미를 파악, 기술하고 이해하는 것이다. 현상학적인 연구 방법을 이용하여 요양병원에 근무하는 간호사 16명의 임종간호 대처 경험을 심층적으로 면담하였고, Colaizzi가 제시한 방법으로 분석하였다. 요양병원 간호사의 임종간호 대처 경험은 3개의 범주와 15개의 주제모음으로 구조화하여 규명할 수 있었다. 참여자들의 임종간호 경험의 세 범주는 '임종환자를 돌보는 요양병원 간호사의 태도', '임종간호 스트레스', '임종간호 대처'이었다. 요양병원 간호사의 임종간호 태도를 긍정적으로 변화시키고, 임종간호 스트레스를 줄이기 위한 실제적이고 체계적인 교육이 필요하다. 더불어 대처 능력을 향상할 수 있는 프로그램이나 전문가 상담과 같은 프로그램의 운영을 제언한다.

• Journal of Hospice and Palliative Care
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• 제26권3호
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• pp.101-111
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• 2023

Purpose: This study aimed to identify levels of perception and performance of end-oflife care among nurses and to investigate correlations between perception and performance. Methods: This cross-sectional descriptive survey included 321 nurses from a tertiary hospital in Seoul, Korea. The participants had at least 6 months of work experience and had been involved in end-of-life care at least once, in either ward or intensive care unit settings. A structured questionnaire was utilized to assess their perception and performance of endof-life care. Results: The mean score for perception of end-of-life care was 3.23±0.34, while the score for performance of end-of-life care was 3.08±0.34. There was a significant positive correlation between nurses' perception of end-of-life care and their performance in this area (r=0.78, P<0.001). Conclusion: It is necessary to change perceptions regarding end-of-life care and to develop systematic and standardized education programs including content such as assessing the hydration status of dying patients, evaluating mental aspects such as suicidal ideation, and providing spiritual care for nurses working in end-of-life departments.

• 근관절건강학회지
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• 제30권2호
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• pp.111-119
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• 2023

Purpose: The purpose of this study was to describe end-of-life care stress, compassionate competence, and job satisfaction among nurses caring for cancer patients and to identify the relationship between variables. Methods: The participants comprised 141 nurses at the D cancer center in Busan metropolitan city. Data were collected from October 14 to the 31, 2022. The data were analyzed using the SPSS/WIN 29.0 program. Results: There was a significantly positive correlation between a participnat's job satisfaction and compassionate competence (r=.45, p<.001), and end-of-life care stress (r=.42, p<.001). Conclusion: Compassionate competence and end-of-life care experience among nurses caring for cancer patients are factors that influence job satisfaction. A program that can improve compassionate competence should be developed to improve job satisfaction.

• Journal of Hospice and Palliative Care
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• 제26권4호
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• pp.160-170
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• 2023

Purpose: The aim of this study was to examine the effects of death anxiety and perceived end-of-life care competencies on the fear of terminal care among clinical nurses. Methods: This correlational study was conducted from June to July 2021. The study included 149 clinical nurses employed at a tertiary hospital and seven other hospitals. The measurement tools used in this study were the Thanatophobia Scale (Cronbach's α=0.87), the Death Anxiety Scale (Cronbach's α=0.80), and the Scale of End-of-life Care Competencies (Cronbach's α=0.94). These instruments were chosen to assess the levels of fear of terminal care, death-related anxiety, and competencies in end-of-life care. Results: The mean score for fear of terminal care was 3.32±1.32. Differences in fear of terminal care were observed based on the working unit, position, number of patients requiring terminal care, and experience with end-of-life care education. Fear of terminal care was significantly positively correlated with death anxiety and significantly negatively correlated with end-of-life care competencies. In multiple regression analysis, the factors influencing fear of terminal care were attitudes toward end-of-life care competencies (𝛽=-0.39, P<0.001), death anxiety (𝛽=0.24, P<0.001), knowledge of end-of-life care competencies (𝛽=-0.22, P=0.005), and behaviors related to end-of-life care competencies (𝛽=-0.16, P=0.021). These factors explained 64.6% of the total variance (F=25.54, P<0.001). Conclusion: This study suggests that developing nurses' end-of-life care competencies and reducing death anxiety are crucial for managing the fear of terminal care. Therefore, providing end-of-life care education and psychological support programs is important.

• 한국융합학회논문지
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• 제10권6호
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• pp.355-363
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• 2019

본 연구의 목적은 요양병원 간호사를 대상으로 윤리적 딜레마, 임종간호스트레스 및 소진의 관계와 윤리적 딜레마와 임종간호스트레스가 소진에 미치는 영향을 파악하고자 함이다. 본 연구의 대상자는 경상남도에 위치한 7개 노인요양병원에 근무하고 임종간호 경험이 한 번 이상 있으며 연구의 목적을 이해하고 연구 참여에 동의한 간호사 143명을 대상으로 구조화된 설문지를 이용하여 설문조사하였다. 본 연구결과 연령과 직위, 임종간호교육, 임종간호스트레스가 요양병원 간호사의 소진에 영향을 미치는 요인으로 확인되었다. 따라서 요양병원간호사의 소진을 예방하고 완화시키기 위해 임종간호 관련 교육과 함께 스트레스를 관리하는 체계적인 중재프로그램이 필요할 것이다.

• 재활간호학회지
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• 제6권1호
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• pp.61-69
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• 2003

The purpose of this phenomenological study was to understand and describe the essence and the structure of lived experience of liver transplant recipient. Five individual interviews were conducted to gather data regarding their subjective experiences. About 130 significant statements were extracted and these were clusterd into 9 themes. End stage liver disease patients chose their last treatment - liver transplantation. After liver transplantation, recipients experience vague anxiety and uneaseness related to much information and life style change that they had to accept. And they feared to lose their health again. But they felt free from medication and restriction of food. And they satisfied with regaining their physical status. Most of the recipients also had financial difficulties and social restrictions. And they experience uncertainty about their future. But they restored their previous social life. And they experience psychological wellbeing and hope. The results of this study might help nurses who work with liver transplant recipient in establishing and implementing an effective nursing intervention by understanding their lived experience.