• Journal of Digital Convergence
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• v.16 no.10
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• pp.271-279
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• 2018

This study attempted to identify and the relationship between death consciousness and awareness of good death of nursing students who have experienced clinical practice. The data collection was conducted for a total of 205 students from June 1 to June 15, 2018, who are 111 students in third grade and 94 students in fourth grade at S City of C university. Death consciousness and awareness of good death were both normal. Death consciousness according to general characteristics was the experience of thought about death(t=.559, p=.002), and awareness of good death was death education(t=.777, p=.018) and statistically significant difference in understanding death(F=2.964, p=.033). There was a positive correlation between grade and awareness of good death(r=.161, p=.021), but there was no correlation between death consciousness and awareness of good death(r=-.71, p=.311). As a result of this study, it was able to understand the death consciousness and awareness of good death, the importance of death thought and death education of nursing college students who experienced clinical practice, and the needed to repeated research for nursing education and relationship confirmation to improve the death consciousness and awareness of good death.

• Journal of Hospice and Palliative Care
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• v.24 no.1
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• pp.26-35
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• 2021

Purpose: The purpose of this study was to determine the effects of awareness of good death and end-of-life care attitudes on end-of-life care performance in long-term care hospital nurses. Methods: This study used a cross-sectional study design. The participants were 147 nurses working at six long-term care hospitals with more than 200 beds in B city, South Korea. Data were collected using self-reported questionnaires, and analyzed with descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and multiple stepwise regression analysis using IBM/SPSS 26.0 for Windows. Results: The participants' awareness of good death, end-of-life care attitudes, and end-of-life care performance were positively correlated. The factors affecting end-of-life care performance were age, education level, awareness of good death, and end-of-life care attitudes; these variables explained 19.0% of end-of-life care performance. Conclusion: In order to improve long term care hospital nurses' end-of-life care performance, continuing education and training should be provided regarding awareness of good death and end-of-life care attitudes.

• Journal of Korean Critical Care Nursing
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• v.16 no.3
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• pp.109-122
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• 2023

Purpose : This study aims to explore nursing activities after the decision to discontinue life-sustaining treatment, awareness of a good death, and perception of life-sustaining treatment decisions among nurses in intensive care units (ICUs) at tertiary general hospitals. Methods : Participants were 173 nurses working in two tertiary general hospitals. The data were collected using structured questionnaires and analyzed using an independent t-test, paired t-test, one-way ANOVA, Scheffé's test, and Pearson's correlation coefficient. Results : Participants were 173 nurses working in two tertiary hospitals. The nursing activity increase was the greatest in the spiritual domain, and the physical domain was where the activities decreased the most. There were significant associations between Awareness of good death (Clinical) and Perception of life-sustaining treatment decision(r=.26, p <.001), Awareness of good death (Closure) and Perception of life-sustaining treatment decision(r=.36, p <.001), and Awareness of good death (Personal control) and Perception of life-sustaining treatment decision(r=.49, p <.001). Conclusion : Based on the results, systematic education programs and job training are required to improve the awareness regarding good death and perception of life-sustaining treatment decision for nurses in ICUs where discontinuing life-sustaining treatment decisions are made.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.26 no.3
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• pp.197-209
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• 2019

Purpose: This study was done to examine good death awareness, attitudes toward advance directives (ADs), and preference for care near the end-of-life (PCEOL) of hospitalized elders in long-term care hospitals. Relevant characteristics were investigated as well as correlation of the variables. Methods: This descriptive research study involved 161 hospitalized elderly patients in long-term care hospitals. A self-report questionnaire was used to measure Good Death Scale, ADs Survey, PCEOL Scale, and general characteristics. Collected data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson correlation with SPSS/WIN 23.0. Results: In terms of good death awareness, a significant difference was observed; in according to age (F=3.35, p=.037), payer of treatment costs (F=3.98, p=.021), mobility (F=3.97, p=.021), heard discussion about ADs (t=-3.89, p<.001), and willing to complete ADs (t=2.12, p=.036). As far as attitudes toward ADs, the participants presented significant difference depending on religion (t=2.38, p=.018), average monthly income (F=3.91, p=.022), duration of hospital admission (F=5.33, p=.006), person to discuss ADs (t=-2.76, p=.006). On PCEOL, there was a significant difference, depending on religion (t=-3.59, p<.001) and perceived health status (F=3.93, p=.022). Finally, as for how the variables were related to each other, good death awareness and attitudes toward ADs had a weak positive correlation with PCEOL. Conclusion: To help seniors staying in nursing homes face a good death and enjoy autonomy, there should be educational and support systems that reflect each individual's sociodemographic characteristics so that the seniors can choose what kind of care they want to receive near the end-of-life.

• The Journal of the Korea Contents Association
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• v.21 no.2
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• pp.676-685
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• 2021

This study examined effects of good death awareness and knowledge of advance directives on attitude toward advance directives in middle-aged adults. The participants were 152 middle-aged adults in G province and C province. Data were collected from October 4 to November 15, 2019 through self reported structured questionnaire. Data analysis was performed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and stepwise regression. Good death awareness correlated positively with knowledge of advance directives and attitude toward advance directives. Knowledge of advance directives was positively correlated with attitude toward advance directives. Participants' economic status, knowledge of advance directives and good death awareness explained 28.3% of variance in attitude toward advance directives among middle-aged adults. The findings indicate that middle-aged adults' economic status, knowledge of advance directives and good death awareness are important factors to be considered for the formation of desirable attitude toward advance directives.

• Journal of Hospice and Palliative Care
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• v.17 no.3
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• pp.122-133
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• 2014

Purpose: We conducted a descriptive correlational study to determine a relationship between nurses' awareness of good death and attitudes toward terminal care, which in turn could be used as basic data for improvement of the quality of terminal care at geriatric hospitals. Methods: From April 3, 2013 through April 22, 2013, data were collected from 230 nurses working at geriatric hospitals. Results: Nurses' attitudes toward terminal care showed no significant correlation with awareness of good death, but it was positively correlated with a sense of closeness, a subfactor of awareness of good death. There was negative correlation between emotions regarding a deathbed, a subfactor of attitudes of nurses in charge of terminal patients, and awareness of good death. We found positive correlation between terminal care performance and awareness of good death. Conclusion: This study warrants the need for nursing education catered to characteristics of geriatric hospitals and development of diverse intervention strategies to help them to attain a positive attitude toward death by familiarizing themselves with the concept of good death and enhancing job satisfaction.

• Journal of the Korean Applied Science and Technology
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• v.36 no.3
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• pp.975-984
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• 2019

The purpose of this study was to investigate the good death awareness, spiritual well-being, and elderly nursing performance of geriatric hospital nursing providers, and the factors affecting the elderly nursing performance. The subjects were collected from 176 nursing providers in 5 Geriatric hospitals located in D, S, and C provinces. Collected data were analyzed by means, standard deviation, t-test, ANOVA, pearson correlation, and multiple regression analysis using spss 22.0. The result showed that good death awareness was 3.15 out of 4 points, spiritual well-being was 4.11 out of 6 points, and 4.15 out of 5 points for elderly nursing performance. There was a positive correlation between the elderly care performance and good death awareness (r=.19, p=.011) and spiritual well-being (r=.23, p=.002). The factors affecting the performance of elderly nursing were good death perception(${\beta}=.18$, p=.015) and spiritual well-being(${\beta}=.18$, p=.013). Based on the results of this study, it is necessary to develop an intervention program that considers good death and spiritual well-being in order to improve the elderly nursing care performance of geriatric hospital Nursing providers.

• The Journal of Korean Academic Society of Nursing Education
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• v.25 no.2
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• pp.227-237
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• 2019

Purpose: The purpose of this study was to identify nursing students' knowledge and attitude toward advance directives and factors influencing the attitude. Methods: A cross-sectional survey design was used and 196 nursing students participated in the study. Data were collected from July 1 to August 30, 2018 using a structured questionnaire which included biomedical ethics, awareness of good death, knowledge and attitude toward advance directives. Data were analyzed using SPSS/WIN 25.0 program with descriptive statistics, t-test, ANOVA, correlation, and multiple regression. Results: The mean score of biomedical ethics, awareness of good death, knowledge and attitude toward advance directives were $2.88{\pm}0.59$, $3.18{\pm}0.48$, $7.68{\pm}31.32$, $31.00{\pm}3.09$. Factors influencing the attitude toward advance directives were awareness of good death (${\beta}=.28$, p<.001), intention of writing their advance directives (${\beta}=.19$, p=.006), the knowledge related to advance directives (${\beta}=.15$, p=.029). A total of 14% of attitude toward advance directives was explained by awareness of good death, the knowledge related to advance directives, and ntention of writing their advance directives. Conclusion: The findings of the study indicate that it is necessary to provide a systemic education program regarding advance directives for nursing students in order to provide knowledge related to advance directives and to help them establish positive attitudes toward advance directives.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.1
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• pp.197-207
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• 2020

The purpose of this study was to identify the predictors of death anxiety among community-dwelling elderly cancer survivors in Korea. This study was a descriptive correlation study with 216 elderly cancer survivors who live in the jurisdiction of community health centers in Chugbuk province. Data of this study were collected from February 27 to March 15 2019 by a structured questionnaire. The data were analyzed using independent t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression. In the results, the mean score of death anxiety was 2.47±0.39 out of 4.0, while that of ego integrity was 2.60±0.29, depression 6.35±4.0, and awareness of a good death 2.97±0.35. Based on the hierarchical multiple regression analysis, subjects' awareness of a good death had the greatest impact on death anxiety (β = 0.255, p < .001), followed by depression (β = 0.185, p = .020) and religion (no= 1; β= 0.148, p = .021). These factors explained 16.4% of death anxiety (F=8.04, p<.001). Therefore, the results of this study are expected to be utilized as basic data for developing an intervention program that will be designed to reduce the death anxiety in elderly cancer survivors.

• Journal of Korean Critical Care Nursing
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• v.12 no.2
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• pp.39-49
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• 2019

Purpose : The purpose of this study was to identify the extent to which intensive care unit (ICU) nurses' perceptions of life-sustaining treatment decisions and "a good death" affect attitudes toward terminal care. Method : Participants included 109 ICU nurses from three university hospitals. Data were collected using structured questionnaires, and collected data were analyzed using a t-test, ANOVA, the $Scheff{\acute{e}}$ test, Pearson correlation coefficients, and a multiple regression analysis (SPSS 24.0 program). Results : Perceptions of life-sustaining treatment decisions and a sense of closeness (a constituent for the awareness of "a good death") were positively correlated with terminal care attitudes. The factors affecting terminal care attitudes were a clinical career in ICU (${\beta}=.20$, p =.035), a sense of closeness(${\beta}=.19$, p =.041), and the perception of a life-sustaining treatment decision (${\beta}=.22$, p =.017). This finding indicates that more than 10 years of experience in ICU, a greater sense of closeness, and a higher view of life-sustaining treatment decisions results in more positive attitudes toward terminal care. The explanatory power of these variables on terminal care attitudes was 14% (F=6.84, p < .001, Adj $R^2=.140$). Conclusion : A sense of closeness and the perception of life-sustaining treatment decisions were identified as the factors affecting terminal care attitudes. Thus, various programs must be developed to raise awareness among ICU nurses of "a good death" and perceptions of life-sustaining treatment decisions.