• 한국응급구조학회지
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• 제15권1호
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• pp.89-99
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• 2011

Purpose : This study was performed to examine the euthanasia attitude of EMT students. Method : The results were based on the revised questionnaires on euthanasia. Total 155 students filled out the questionnaires in September 17-18, 2009. Data were analyzed using SPSS 14.0 in terms of means, $x^2-test$, mean, standard deviation, and one way ANOVA. Results : The euthanasia attitude was no statistically significant difference between three groups. In the area of quality of life, there were no statistically significant difference between three groups. In the area of life respect, there were no statistically significant difference between three groups. In the area of medical ethics, there were statistically significant difference between three groups. In the area of client right, there were no statistically significant difference between three groups. Conclusion : This results showed that education of euthanasia attitude must be instructed to EMT students. It is necessary to make a further development euthanasia program of EMT.

• 한국콘텐츠학회논문지
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• 제11권7호
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• pp.298-305
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• 2011

본 논문의 목적은 안락사의 개괄적인 의미와 형태를 살펴보고 논쟁의 핵심이 되는 안락사의 찬반론을 통해 형법적으로 고찰하고, 현행 안락사 법제의 필요성과 제도적 정립에 관하여 검토하여야 할 사항을 모색하고자 한다. 현대의 의학은 눈부신 발전을 통해 치료가 불가능한 환자들을 치료할 수 도 있고 인공적인 생명유지장치를 통해 생명을 인위적으로 연장시킬 수도 있게 되었다. 이러한 의료환경의 변화는 안락사와 관련된 일련의 형법적 논의를 넘어 안락사의 허용범위도 점점 확장되어 가고 있으며 의료시술도 소극적인 면에서 적극적 면까지 논의가 되어 가고 있는 실정이다. 이에 법적, 윤리적 문제를 뒤로하고 현행 법체계에서 보다 명확한 기준이 될 수 있는 현실적인 방안이 모색 되어야 함은 시대적 요청이라 할 수 있다. 따라서 법제도화에 필요한 사항을 검토하여 보고 생명존엄성에 관한 가치들을 재정립하고자 한다.

• 한국콘텐츠학회논문지
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• 제15권3호
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• pp.229-240
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• 2015

본 연구는 일반인과 간호사의 죽음 인식과 안락사에 대한 태도를 비교하고 상관관계를 확인하기 위한 서술적 조사연구이다. 자료수집은 2010년 3월 5일부터 5월 30일까지 구조화된 설문지를 사용하였고 연구 대상자는 간호사 192명과 일반인 255명으로 총 447명이었다. 수집된 자료는 SAS Program 12.0을 사용하여 실수, 백분율, 평균, t-test로 ANOVA, Duncan test 및 Pearson's correlation coefficient 분석하였다. 연구결과는 간호사의 죽음에 대한 인식 점수는 평균 2.67점으로 일반인 2.62점보다 높은 점수를 보였으며 통계적으로 유의한 차이가 있었다(p= .030). 안락사에 대한 태도 점수도 간호사가 2.67점, 일반인이 2.63점으로 간호사가 더 높았으며 유의한 차이가 있었다(p= .009). 죽음 인식과 안락사에 대한 태도 간 상관관계는 일반인(r= .465, p= .001). 과 간호사 (r= .294, p= .001). 모두 정적인 유의한 관계가 있는 것으로 나타났다. 즉 두 집단 모두 죽음에 대한 인식 정도가 높을수록 안락사에 대하여 수용적인 태도를 보였다. 본 연구의 결과를 통하여 우리 사회의 죽음 인식의 수준을 높이고 안락사에 대한 이해를 돕는 방안이 다각도로 마련될 필요가 있으며 이를 위하여 의료인 뿐 아니라 일반인을 위한 교육프로그램 개발과 교육을 확대해 나갈 것을 제언한다.

• 한국보건간호학회지
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• 제14권2호
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• pp.446-463
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• 2000

The purpose of this study is to identify the recent attitude of nurses toward euthanasia. and to provide necessary basic information for on-the-job-training and student education. The subject of this study are 521 nurses working in the hospital attached to university in Seoul. to whom I distributed questionnaires which were made on the basis of the instrument of Tordella & Neutens. from 21. July. 2000 to 27. July. 2000. The collected data were statistically examined through SPSS program and were analysed through Frequency. Means. Factor Analysis. T-test. and ANOVA. The study results are as follows: 1. General characteristics of nurses are in age of average 26.9. in education of junior college graduate $83.7\%$. in both parent alive $85.2\%$. in marital status of single $77.5\%$. in religion of christianity $34.8\%$ against non-religion 38.3%. The term of employment is average 52.7 months and are in various post. The experience of family dying $46.3\%$ and of terminal care $56.8\%\;and\;82.5\%$ are information oriented to euthanasia. 2. The attitude toward euthanasia reveals 3.40 score in average. and is significant in relation to religion among general characteristics (p<.000). 3. Passive euthanasia reveals 2.48 score in average with significance in religion(p<.000), and duty post (p<.046). Natural euthanasia is 4.09 score which is in most characteristics positive direction with significance in information oriented group. Indirect euthanasia reveals 2.98 score and are significant in various group of age (p<.004). both parents alive (p<.005), marital status (p<.000). term of employment (p<.022), duty post (p<.005), and family dying(p<.028). Family commitment is 3.51 score with significance in both parents alive (p<.023) and term of employment (p<.020). Clear definition of euthanasia and analysis of its effects need to be studied in order to improve proper courses of nursing patients with terminal illness.

• Journal of Hospice and Palliative Care
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• 제26권2호
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• pp.95-100
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• 2023

With the implementation of Act on Hospice and Palliative Care and Decisions on Life-Sustaining Treatment for Patients at the End of Life, interests of the general public on self-determination right and dignified death of patients have increased markedly in Korea. However, "self-determination" on medical care is misunderstood as decision not to sustain life, and "dignified death" as terminating life before suffering from disease in terminal stage. This belief leads that physician-assisted suicide should be accommodated is being proliferated widely in the society even without accepting euthanasia. Artificially terminating the life of a human is an unethical act even though there is any rational or motivation by the person requesting euthanasia, and there is agreement thereof has been reached while there are overseas countries that allow euthanasia. Given the fact that the essence of medical care is to enable the human to live their lives in greater comfort by enhancing their health throughout their lives, physician-assisted suicide should be deemed as one of the means of euthanasia, not as a means of dignified death. Accordingly, institutional organization and improvement of the quality of hospice palliative care to assist the patients suffering from terminal stage or intractable diseases in putting their lives in order and to more comfortably accept the end of life physically, mentally, socially, psychologically and spiritually need to be implemented first to ensure their dignified death.

• Journal of Hospice and Palliative Care
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• 제19권2호
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• pp.136-144
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• 2016

목적: 본 연구는 간호사들을 대상으로 좋은 죽음에 대한 인식, 연명치료 중단과 안락사에 대한 태도수준과 변인 간의 관련성을 확인하여 생명윤리교육의 근거를 마련하는데 실제적인 자료로 활용하고자 이루어졌다. 방법: 연구 대상은 서울, 부산경남, 및 경북지역에 소재한 500병상 이상의 6개 종합병원에서 6개월 이상 근무한 간호사 중 본 연구의 목적을 이해하고 연구 참여를 허락한 자 218명을 대상으로 편의표집 하였다. 연구도구는 좋은 죽음 인식 측정도구(The Concept of Good Death Measure), 연명치료 중단 측정도구와 안락사 측정도구(Attitudes toward Euthanasia)를 사용하였다. 수집된 자료는 SPSS 21 WIN 프로그램을 이용 서술통계, Independent t-test와 one-way ANOVA 및 Pearson's correlation coefficient로 분석하였다. 결과: 간호사의 좋은 죽음에 대한 인식, 연명치료 중단과 안락사에 대한 태도는 보통 수준이었다. 간호사의 일반적 특성에 따른 좋은 죽음에 대한 인식, 연명치료 중단과 안락사에 대한 태도차이는 교육수준, 근무경력 및 신앙의 중요성에서 유의하게 나타났다. 좋은 죽음과 연명치료 중단에 대한 태도는 역 상관관계가 있었고, 연명치료 중단과 안락사에 대한 태도는 순 상관관계가 있었다. 결론: 말기환자를 돌보는 과정에서 발생하는 윤리적 문제를 다루는데 간호사들은 숙련되어야 한다. 좋은 죽음에 대한 간호사의 인식확립과 연명치료 중단과 안락사와 같은 존엄사와 관련된 개념에 대한 이해와 윤리적 갈등 상황에서의 판단과 해결능력에 관한 생명윤리교육의 활성화가 필요하다고 본다.

• 기본간호학회지
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• 제9권1호
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• pp.76-85
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• 2002

Purpose: This study has been designed to identify attitudes to euthanasia held by Korean nurses. Method: Data were collected through a survey, and the participants in the study were 234 Korean nurses. Convenience sampling method was used and analysis of the data was done with SPSS PC for descriptive statistics, t-test and ANOVA. Results : 1. The mean score for euthanasia was 2.80. and the sub dimension mean scores were, patients' rights. 3.24, quality of life, 2 78, respect for life, 2.68, medical ethics, 2.50. 2. With respect to the general characteristics of participants there were statistically significant difference in total score according to religion (P= .01), and degree of influence of religion on behavior (P= .00). 3. There were statistically significant difference in score of quality of life according to religion (P= .04), degree of influence of religion on behavior (P= 00), decisions in euthanasia (P=.04), and legal permission (P= .04). 4. There was statistically significant difference in score of patient's right according to legal permission (P = .04). 5 There were statistically significant difference in the score of respect for life according to religion (P= .00), degree of influence of religion on behavior (P= .00), decision in euthnasia (P= .00), and legal permission (P= .00).

• 의료법학
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• 제9권1호
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• pp.461-503
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• 2008

The right to live is the most valuable benefit and protection of the law. And Medical science is the study considering value of life as the top priority. As modern medical science has progressed and expanding lifespan skills have developed, the number of symptom, called a human vegetable, has been also increased. As a result, people concerns whether euthanasia should be permitted. (1) Active euthanasia is prohibited and a doctor who conduct it is punished. (2) Indirect euthanasia can be permitted unless it is against a patient's intention. (3) Permission of passive euthanasia depends on intention of a patient. In other words, when a patient accepts, a doctor respects the right of self determination of patient and irreversible situation such as brain death happens, treatment stop is permitted. Even a patient who is in the last stage of cancer has a right to die in the dignity and elegance. Solutions for ceasing medical treatment are as follows; First, establishment of 'Bioethics Committee'. Second, setting procedures to empower a court a right to decide whether medical treatment is ceased. Third, setting procedure a government to assist treatment fees. In this paper, direction for social agreement of legal policy regarding the ceasing treatment is provided.

• 기본간호학회지
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• 제8권1호
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• pp.95-104
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• 2001

This study was done to develop an euthanasia attitude scale. Subjects who participated in the study were a convenience sample of 234 Korean nurses. Data were collected through a survey over a period of three months. The analysis of the data was done using SPSS PC for descriptive statistics, factor analysis and Cronbach's Coefficient Alpha. Initially 63 items were generated from interview data from eighteen nurses and from a literature review. This preliminary scale was analyzed for a reliability and validity. The results are as follow: 1, Crombach's Coefficient alpha for the 19 items was .8804. 2. Factor analysis was done in order to confirm construct validity and four factor were extracted from the results. These contributed 56.6% of the variance in the total score. 3. Each factor was labled 'qualify of life', 'respect of life, 'client's right', 'medical ethics'. The author suggests that this scale could be used in assessing the attitude of Korean nurses toward euthanasia.

• 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.