• 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.

• 한국산학기술학회논문지
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• 제15권1호
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• pp.157-164
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• 2014

본 연구 목적은 호스피스 케어인식도, 이용에 대한 만족도, 호스피스인식도의 차이를 파악하고자 한다. 연구대상은 수도권에 소재하는 호스피스 요양시설에 입원한 중증질환자와 가족 160명을 대상으로 2013년 3월 10일부터 7월 31일까지 설문조사를 실시하였다. 분석방법은 SPSSWIN 18.0프로그램을 이용하여 평균, 표준편차, 빈도분석, 카이스케어 분석을 하였다. 연구결과는 호스피스 케어인식도에서 연령과 종교, 결혼 상태에 따른 케어인식도가 유의미하게 파악되었다. 그리고 중증질환자의 호스피스 시설이용만족도에 대한 결과는 호스피스 시설이 도시보다 농촌을 선호하는 것으로 파악되었으며 병실선호 형태는 침대가 온돌방 보다 만족도가 높았다. 본 논문의 시사점은 향후 시설이용 의향이 있다는 응답이 높게 나타난 결과로 볼 때 호스피스 제도개선 정책의 기초자료가 될 것으로 사료된다.

• Journal of Hospice and Palliative Care
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• 제19권4호
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• pp.283-291
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• 2016

지난 10년 동안 암 관리법에 의한 국가 정책에 따라 일본에서는 호스피스 및 완화의료가 급속히 발전해왔다. 완화의료 시설 및 입원 환자의 호스피스, 병원의 완화 의료팀, 가정 호스피스 기능을 갖춘 진료소의 수는 꾸준히 증가하고 있으며 국가 협회로부터 완화의료 전문가로 공인된 의사, 간호사, 약사의 수도 증가하고 있다. 학부, 대학원 및 계속적인 의학 교육을 통해서 교육프로그램 및 교육의 기회를 표준화하고 보급하기 위한 공동 노력이 이루어졌다. 일본의 연구 활동은 말기 섬망, 말기 탈수증, 완화적 진정, 임종 환자의 의료, 예후, 의사 소통, 정신 종양학, 지역적인 완화의료 프로그램의 분야에서 현저하게 기여하였다. 이 보고서에서는 일본에서의 주요 완화의료 환경, 특성, 국가 협회, 교육, 완화의료 연구에 초점을 맞추었다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권16호
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• pp.6941-6945
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• 2015

Background: Awareness and attitudes of nurses regarding end of life care are important factors in providing hospice care. In an extensive literature review, we found no related articles investigating Iranian nurses awareness and attitudes about providing such care. Objectives: The aims of this study were to investigate the awareness and attitudes of Iranian nurses in providing hospice care. Materials and Methods: In this descriptive-correlational study, 240 nurses employed in six educational centers were selected by non-randomized stratified sampling. The data collection instruments included an awareness test and attitudes regarding providing end of life care in hospice questionnaire. The data were analyzed using descriptive statistics and independent sample t-tests, one-way ANOVA, and Pearson correlation tests. Results: The nurses' awareness score was 14.3 out of 29 and 55.7% of them stated that they had not received any education in providing end of life care. Also, by obtaining the score of 91.7 out of 120 the attitudes of participants in providing end of life care in hospices were positive. In addition, the highest attitudes score of nurses were in the dimensions of benefits of implementation and health care team. Conclusions: Considering low awareness of nurses about end of life care in hospices, continuing education should be provided for them in this regard. Especially, by considering the positive attitude of nurses, providing such programs could help develop hospice care in Iran.

• Journal of Hospice and Palliative Care
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• 제19권1호
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• pp.5-10
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• 2016

Purpose: This study reviewed what the location of death (LOD) means as an outcome and how to use LOD to assess end-of-life (EOL) care. This study also examined the reason why LOD is significant for the quality of EOL care. Methods: A literature review was performed, using LODs and home deaths as outcomes in the field of EOL care, and analyzed the findings associated with key fields in regards to LOD. Results: Palliative care research used LOD, in particular, hospital death (versus home death) as a significant outcome when examining cost savings, quality of life care, and patient and family preferences. Based on substantial evidence from previous research, home hospice or continuous palliative care in non-hospital settings (i.e. homes, nursing homes) have been designed and available for dying patients in developed countries. Conclusion: The LOD delivers practical significance as an outcome for diverse reasons. In-depth examination on LOD in South Korea is needed despite limitations to interpretation of its meaning in the country.

• Journal of Hospice and Palliative Care
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• 제27권2호
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• pp.51-63
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• 2024

Purpose: This study aimed to clarify the concept of pediatric hospice and palliative care through conceptual analysis. It also sought to identify the differences between related concepts such as pediatric death care and pediatric spiritual care, in order to provide foundational data for the development of nursing theory and knowledge. Methods: A conceptual analysis of pediatric hospice and palliative care was conducted using Rodgers' evolutionary method. Out of 5,013 papers identified, 28 were selected for detailed reading and analysis. Results: Pediatric hospice and palliative care encompasses physical, psychological, social, mental, spiritual, and family care for children with acute and chronic diseases with uncertain prognoses ahead of death, as well as their families. Effective pediatric hospice and palliative care will require multidisciplinary team nursing, effective communication, and supportive policies. Conclusion: The findings of this study suggest that providing pediatric hospice and palliative care will lead to improvements in pain relief for children and families, the efficiency of responses to death in children, and the quality of life for children and families. The significance of this study is that it clearly clarifies the concept by analyzing pediatric hospice and palliative care using an evolutionary method.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제8권1호
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• pp.45-52
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• 2002

Recently cancer, AIDS, chronic sickness have increased according to the elevation of socioeconomic level and fast change of lifestyle. The number of patients receiving terminal care increased fairly because the span of life is extended by development of medicinal technology. Also necessity of hospice and palliative care was risen according to the request of terminal patients that remove pain and keep calm life by interest about quality of life. However architectural plan and type specialization of facility which can correspond team's composition and supplied nursing program are not consisting. This study researches about care environment of hospice facility plan through investigation into terminal patient's special quality. The purpose of this study is to propose fundamental datas of hospice facility for architectural plan through comparative analysis of cases of domestic and outside facilities.

• Journal of Hospice and Palliative Care
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• 제23권1호
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• pp.1-4
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• 2020

To deliver holistic and person-centered palliative care (PC), the spiritual dimension must also be assessed. However, many nurses do not screen for or assess patient spirituality. This article presents five things that PC nurses can consider in order to improve their spiritual screening and assessment practices. These points are as follows: (1) Understand that spirituality is manifest in a myriad of ways and is not the same thing as religiosity. (2) Screen for spiritual distress, and then later conduct a spiritual history or assessment. (3) Remember that spirituality is not just something to assess upon admission. (4) Know that there are many ways to assess spirituality (it is not merely how a patient verbally responds to a question about spirituality or religiosity). (5) Remember that assessment can also be therapeutic.

• Journal of Hospice and Palliative Care
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• 제15권4호
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• pp.183-187
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• 2012

말기암환자에 대한 완화의료의 중요성은 세계적으로 강조되고 있다. 이에 우리나라에서는 암정복10개년계획을 수립하면서 암에 대한 정책을 기획하였고, 추진되었다. 말기암환자 완화의료사업에 대한 법적 근거를 제시하는 암관리법과 제2기 암정복10개년 계획의 내용을 통해 현재 우리나라의 호스피스 완화의료 제도화 현황을 확인해보고자 한다. 호스피스 완화의료의 제도화는 국가암관리사업의 커다란 틀 안에서 발전되어 왔다. 완화의료기관의 확대 및 전문인력 양성과 질적 향상 등에 대해 2013년 완화의료 수가 본 사업이 시작된 이후에도 호스피스 완화의료의 지속적인 발전을 위하여 발전해야 할 것이다.

• Journal of Hospice and Palliative Care
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• 제25권2호
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• pp.66-75
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• 2022

Purpose: The purpose of this study was to examine person-centered care, nursing professionalism, the nursing work environment, and empathy capacity among hospice ward nurses and to identify the factors affecting person-centered care. Methods: Data were collected using a self-report questionnaire completed by 120 nurses at 30 inpatient hospice institutions in South Korea from August 24, 2020 to September 8, 2020. The independent t-test, one-way analysis of variance, and Pearson correlation analysis were conducted using SPSS version 26.0. Results: The scores were 3.76±0.45 for person-centered care, 3.58±0.47 for nursing professionalism, 3.24±0.57 for the nursing work environment, and 4.00±0.46 for empathy capacity. There were positive correlations between the variables. Factors that influenced the person-centered care of hospice nurses were being a manager (β=0.20, P=0.002), high nursing professionalism (β=0.20, P=0.012), a better nursing work environment (β=0.15, P=0.033), and high empathy capacity (β=0.51, P<0.001). The explanatory power was 65.3%. Conclusion: To reinforce the person-centered care competency of hospice nurses, it is necessary to improve nursing professionalism, the nursing work environment, and empathy competency. Opportunities for nurses to practice independently must be expanded for nurses to develop nursing professionalism. Sufficient nursing personnel and material resources must be provided to nurses to cultivate a positive work environment. Empathy should be improved by implementing integrated education programs that include nursing practice situations.