• 재활간호학회지
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• 제9권1호
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• pp.5-14
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• 2006

Purpose: This research was conducted to explore the relationship between spiritual well being and life attitude among breast cancer patients who were operated, and to increase understanding for wholistic nursing care. Method: With spiritual well being from quality of life questionnaire in breast cancer survivors (QOL-BR 23) of Ferrell et al (1998) and Life attitude profile (LAP) of Recker & Peacock (1981), the data were collected by research assistant in a sample of 56 women with stage 1-stage 3 breast cancer at surgery OPD after follow-up care. Result: Mean spiritual wellbeing score of subject was 5.83 (0-10) and life attitude was 4.96 (1-7). There were significant differences in life attitude according to monthly income (F=3.22, p=.03), and in spiritual wellbeing according to monthly income (F=4.16, p=.01) and religion (t=-3.67, p=.001) among demographic characteristics. There was significant difference in spiritual wellbeing according to the period passed after operation (F=2.89, p=.04) among disease characteristics. From life attitude domain, the mean score of "will to meaning" was the highest (5.30) and "existential vacuum" was the lowest (4.58). There was a significant relationship between spiritual wellbeing and "will to meaning" subscale of life attitude (r=.521, p=.000). The correlation coefficient showed r= .513 between spiritual well being and life attitude. Conclusion: Nurses could promote positive life attitude for breast cancer patients by improving spiritual well being with the encouragement of having religion expecially for long term breast cancer survivors in the process of their rehabilitation.

• The Journal of Asian Finance, Economics and Business
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• 제8권3호
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• pp.943-952
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• 2021

The Covid-19 pandemic situation has changed all medical priorities. This has put pressure on the World's health sector, which also affects the economy of the whole world. This study aims to study how Islamic work ethics affects the relationship between spiritual leadership and organizational inclusion practices in the health care sector of Pakistan in the COVID-19 situation. This is a mix-method study. Data collected of 158 practicing doctors through survey-based questionnaire and interview was conducted from 30 doctors dealing with direct coronavirus. The organizational inclusion practices variable is used for the first time in a quantitative approach in this study. The reliability and validity of organizational inclusion practices are checked by Adanco, SPSS, and SmartPLS software. For this purpose, data on inclusion practices was also collected from the banking and education sector. Results show that spiritual leadership significantly relates to Islamic work ethics also has a positive connection between spiritual leadership and organizational inclusion practices. Still, Islamic work ethics as a moderator has an insignificant impact on the relationship between spiritual and organizational inclusion practices. Also, from the result, it is verified that the organizational inclusion practices variable is valid and reliable for further studies.

• 호스피스학술지
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• 제3권1호
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• pp.42-55
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• 2003

Purpose: The purpose of this study was to elucidate the effects of spiritual nursing intervention on spiritual well-being and depression level of the hospice patients. Method: The subjects for this study were collected from 62 patients who were admitted in the hospice care unit from July 28, 2002 to October 31, 2002 in D city K hospital. Subjects were 31 members of the experimental group and 31 members of the control group. It was devised with a nonequivalent control group pretest-posttest design. The spiritual nursing intervention was given by using the therapeutic use of self, Scripture, prayer, Hymn and music, use of church community involvement and refer to pastors according to assessment of patients' spiritual need for 3 weeks(total 12 times and 1 hour per each intervention). Sangsoon Choi(1990) and Jungho Kang(1996)'s spiritual well-being scale, which was modified from Palautzian and Ellison(1982)'s spiritual well-being scale, was used to investigate patients' spiritual well-being. To investigate level of depression, OkHyun Song(1977)'s Depression Scale, which was modified from Zung(1965)'s Depression Inventory, was used. Data were analyzed by x2-test, t-test, Repeated measures ANOVA with SPSS/Win 10.0 program. Results: 1.The 1st hypothesis, 'total spiritual well-being score in the experimental group, who received the spiritual nursing intervention, will be higher than the control group who did not receive the spiritual nursing intervention' was supported(F=6.28, p=0.015, Interaction: p=0.000). 2.The 1-1st sub-hypothesis, 'religious well-being score in the experimental group, who received the spiritual nursing intervention, will be higher than the control group who did not receive the spiritual nursing intervention' was supported(F=12.75, p=0.001, Interaction: p=0.000). 3.The 1-2nd sub-hypothesis, 'existential well-being score in the experimental group, who received the spiritual nursing intervention, will be higher than the control group who did not receive the spiritual nursing intervention' was supported(F=6.87, p=0.016, Interaction: p=0.000). 4.The 2nd hypothesis, 'depression level in the experimental group, who received the spiritual nursing intervention, will be lower than the control group who did not receive the spiritual nursing intervention' was supported(F=10.45, p=0.002, Interaction: p=0.000). Conclusion: From the above results, spiritual nursing intervention was an effective program to improve spiritual well-being state and decrease depression level for the hospice patients. In the future, when the spiritual intervention, which the researcher developed, applied on nursing field, the hospice patients can have comprehensive well being including spiritual well being and peaceful dying life.

• 호스피스학술지
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• 제4권2호
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• pp.9-20
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• 2004

Purpose: The purpose of this study was to elucidate the effects of spiritual nursing intervention on spiritual wee-being and depression level of the hospice patients. Method: The subjects for this study were collected from 62 patients who were admitted in the hospice care unit from July 28, 2000 to October 31, 2002 in D city K hospital. Subjects were 31 members of the experimental group and 31 members of the control group. It was devised with a nonequivalent control group pretest-posttest design. The spiritual nursing intervention was given by using the therapeutic use of self, Scripture, prayer, Hymn and music, use of church community involvement and refer to pastors according to assessment of patients' spiritual need for 3 weeks(total 12 times and 1 hour per each intervention). Sangsoon Choi(1990) and Jungho Kang(1996)'s spiritual well-being scale, which was modified from Palautzian and Ellison(1982)'s spiritual well-being scale, was used to investigate patients' spiritual well-being. To investigate level of depression, OkHyun Song(1977)'s Depression Scale, which was modified from Zung(1965)'s Depression Inventory, was used. Data were analyzed by x2-test, t-test, Repeated measures ANOVA with SPSS/Win 10.0 program. Results: 1.The 1st hypothesis, 'total spiritual well-being score in the experimental group, who received the spiritual nursing intervention, will be higher than the control group who did not receive the spiritual nursing intervention' was supported(F=6.28, p=0.015, Interaction: p=0.000). 2.The 1-1st sub-hypothesis, 'religious well-being score in the experimental group, who received the spiritual nursing intervention, will be higher than the control group who did not receive the spiritual nursing intervention' was supported(F=12.75, p=0.001, Interaction: p=0.000). 3.The 1-2nd sub-hypothesis, 'existential well-being score in the experimental group, who received the spiritual nursing intervention, will be higher than the control group who did not receive the spiritual nursing intervention' was supported(F=6.87, p=0.016, Interaction: p=0.000). 4.The 2nd hypothesis, 'depression level in the experimental group, who received the spiritual nursing intervention, will be lower than the control group who did not receive the spiritual nursing intervention' was supported(F=10.45, p=0.002, Interaction: p=0.000). Conclusion: From the above results, spiritual nursing intervention was an effective program to improve spiritual well-being state and decrease depression level for the hospice patients. In the future, when the spiritual intervention, which the researcher developed, applied on nursing field, the hospice patients can have comprehensive well being including spiritual well being and peaceful dying life.

• 호스피스학술지
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• 제2권2호
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• pp.17-27
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• 2002

Purpose: The purpose of this study was to elucidate the effects of spiritual nursing intervention on anxiety and depression of the hospice patients. This study was devised one group pretest-posttest design. The data was collected during the period from July 10 to September 25 in 2000 at the general hospital in cheonju city. The subjects were thirty-seven patients who referred the hospice service. Method: The tools were used Spielberger's State Anxiety Scale and Zung's Depression Inventory. The spiritual nursing intervention was carried out through Hymn, Scripture, Prayer, the therapeutic use of self over a period of three weeks. Data were analyzed by frequency, percentage, mean, standard deviation, paired t-test. Results: 1.After the spiritual nursing intervention, state anxiety of hospice patients was reduced(t=6.237, p=0.000). 2.After the spiritual nursing intervention, depression of hospice patients was reduced(t=18.58, p=0.000). Conclusion: The hospice patients who were offered spiritual nursing intervention had lower anxiety & depression than those who were not offered spiritual nursing intervention. According to these results, spiritual nursing intervention can be regarded as an effective nursing intervention that relieved anxiety and depression of the hospice patients.

• 성인간호학회지
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• 제15권4호
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• pp.551-562
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• 2003

Purpose: All nurses should provide spiritual care for their clients. It is especially important to care spiritually for cancer patients facing the crisis of life. Therefore, the purpose of this study is to analyze the concept of spirituality which is one of the basic concepts for spiritual care in cancer patients. Method: The subjects of this study were 8 cancer patients; 2 Christians,3 Buddhists, and 3 persons who did not have any religion. The data was collected and analyzed by Hybrid Model. Result: The results of this study were as follows: Dimensions of spirituality(vertical dimension connected with the absolute being, horizontal dimension related to others, existential dimension related to seeking of meaning), attributes of spirituality(dynamic process strengthened in suffering due to struggle with cancer, connectedness with the absolute being or will and belief in oneself, transcendence of reality, meaning and purpose of life, future oriented), outcomes of spirituality(intrinsic, behavioral). Conclusion: The spirituality of cancer patients is manifested differently by his(her) religion, age, past experiences and burden of family, and is able to be strengthened with cancer. Therefore, nurses should recognize that diagnosis and deterioration of cancer is not only a spiritual crisis but can be a good chance for spiritual growth, as well.

• Journal of Hospice and Palliative Care
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• 제12권1호
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• pp.14-19
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• 2009

목적: HIV/AIDS환자의 영적 안녕과 영적 요구 정도를 파악하여 간호실무 면에서 HIV/AIDS 환자의 영적 건강 사정과 영적 간호 중재 방안을 마련하는데 기초 자료를 제공하고자 본 연구를 시도하게 되었다. 방법: HIV/AIDS 환자의 영적 안녕과 영적 요구와의 관계를 파악하기 위한 관계성 조사연구(Correlation Survey Research)이며, 연구 대상은 20세에서 70세 사이의 HIV/ AIDS 환자 51명이다. 결과: 1. HIV/AIDS환자의 영적 안녕 점수는 평균 54.59점이었고, 영적 안녕의 하위 영역인 실존적 안녕은 27.78점, 종교적 안녕은 26.80점으로 모두 중 정도 이상으로 나타났다. 따라서 HIV/AIDS환자들은 자신의 영적인 안녕 상태에 대해 중 정도로 지각하고 있다고 볼 수 있으며, 종교적 안녕보다 실존적 안녕의 점수가 높게 나타났다. 2. HIV/AIDS환자의 영적 요구 점수는 평균 108.67점이고 영역별로는 사랑과 관심에 대한 요구가 37.80점, 의미와 목적을 갈망하는 요구가 42.35점, 용서받고 싶은 요구가 28.51점으로 의미와 목적을 갈망하는 요구, 사랑과 관심에 대한 요구, 용서받고 싶은 요구 순으로 높게 나타났다. 3. 영적 안녕과 영적 요구의 상관 관계에서 HIV/AIDS환자의 총 영적 안녕과 총 영적요구는 약한 순 상관관계를 나타냈다(r=0.344, P=0.013). 영적 안녕의 하위영역인 실존적 안녕과는 통계적으로 유의하지 않게 나타났으며, 종교적 안녕과는 순 상관관계를 보였다. 결론: HIV/AIDS환자의 영적 안녕과 영적 요구는 중 정도 수준 이상으로 나타났으며, 영적 안녕과 영적 요구간의 약한 순 상관관계를 나타냈다. HIV/AIDS환자들은 의미와 목적을 갈망하는 요구도가 높으므로 이에 대한 영적 간호를 제공하여 현재 위기 상태의 경험에서 삶의 의미와 목적을 찾도록 하여 실존적 영적 안녕 정도가 증진되도록 지지하고, 앞으로 대상자 수를 확대한 연구와 영적 안녕을 증진시키는 간호 중재에 대한 연구가 계속되어야 하리라고 사료된다.

• 한국산학기술학회논문지
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• 제17권6호
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• pp.510-520
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• 2016

본 연구는 노인요양병원 간호사의 죽음 인식, 영적 안녕, 임종간호 스트레스의 정도를 파악하고 그 관련요인을 분석하여 임종간호 스트레스를 감소시키기 위한 중재 개발의 기초자료로 제공하기 위한 목적으로 시도 되었다. 연구 대상은 노인요양병원 6곳에 근무하는 간호사 181명이었고, 자료 수집은 2015년 7월 16일부터 2015년 8월 1일 까지 구조화된 자기기입식 설문지로 하였다. 연구결과 노인요양병원 간호사의 죽음 인식은 평균 4.30점, 영적 안녕은 평균 3.40점, 임종간호 스트레스는 평균 3.84점이었고, 일반적인 특성에 따른 임종간호 스트레스는 종교, 총 임상경력에서 유의한 차이를 보였다. 임종간호 스트레스의 평균 점수를 기준으로 차이를 분석한 결과 영적 안녕은 임종간호 스트레스에 유의한 영향을 주는 것으로 나타났으며(p=.047), 영적 안녕이 평균 평점 1단위 증가할 때마다 임종간호 스트레스가 '상'그룹에 속할 확률이 Odds비 1.702로 나타났다. 노인요양병원의 임종간호 스트레스를 감소시키기 위한 교육프로그램과 간호중재 개발이 요구되며, 임종간호 스트레스 감소를 통해 임종간호의 질을 높이기 위한 노력을 기울여야 할 것이다.

• Journal of Hospice and Palliative Care
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• 제7권1호
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• pp.29-36
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• 2004

목적: 임종환자의 죽음에 대한 인식태도는 그들의 남은 삶의 기간동안 겪게 될 고통이나 삶의 질을 결정하게 되는 중요한 요소로써 간호제공자의 그것에 의해 영향을 받게 된다. 그러나 이제까지의 연구들은 주로 대상자에만 초점을 두어 진행을 해왔기 때문에 본 연구에서는 간호제공자 입장에서의 죽음에 대한 인식태도를 파악해 보고자 간호대학생들을 대상으로 죽음에 대한 인식태도를 파악하고자 하였으며 또한 죽음에 대한 인식태도가 영적안녕 상태와 관계가 있는지를 규명하고자 하였다. 방법: 2003년 5월부터 6월 사이 일 대학 간호학생 197명을 대상으로 설문조사를 실시하였다. 죽음에 대한 인식태도와 영적안녕 상태를 파악하기 위한 구조화된 설문지를 사용하였으며, 총 191부를 수거하여 이 중 응답이 누락되지 않은 175부를 자료분석에 사용하였다. 대상자의 일반적 특성 및 죽음인식에 대한 태도와 영적안녕 상태는 기술적 통계를 사용해 분석하였으며, 일반적 특성에 따른 죽음인식태도와 영적안녕 상태는 t-test, ANOVA를 사용해 분석하였고, 죽음에 대한 인식태도와 영적안녕 상태의 관계분석에는 Pearson's correlation을 사용하였다. 결과: 연구대상자의 영적안녕 상태는 $50.9943{\pm}10.7235$이며, 종교와 경제활동 유무에 따른 영적안녕 상태에서 집단 간에 통계적으로 유의한 차이를 보였다. 죽음에 대한 인식태도는 $20.4914{\pm}2.6280$이었으며, 성별과 연령에 따라 통계적으로 집단간 유의한 차이를 보이는 것으로 나타났다. 대상자들의 죽음에 대한 태도와 영적안녕 상태 간에는 유의한 순상관관계가 있는 것으로 나타났다(r=.261, P=.000). 결론: 본 연구를 통해서 간호대학생의 영적안녕 상태와 죽음에 대한 인식태도 간에 상호관련성이 있음이 밝혀졌다. 이는 임종과정을 경험하는 대상자들의 죽음에 대한 인식태도에 간호제공자의 죽음에 대한 인식태도가 중요한 영향을 미친다는 기존의 연구결과와 더불어 고려해본다면 영적간호 교육에서 대상자 뿐만 아니라 간호제공자의 영적안녕 상태와 죽음에 대해 인식하는 태도 또한 교육내용에서 중요하게 다뤄져 할 부분임을 시사하는 바라고 여겨진다.

• 한국융합학회논문지
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• 제10권7호
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• pp.383-390
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• 2019

본 연구는 영적 고뇌 측정도구의 속성을 평가하기 위해 시도되었다. 2016년 4월1일부터 4월20일까지 국내외학술지에 게재된 논문 중 체계적 문헌고찰을 통해 선정된 논문을 중심으로 분석을 실시하였다. 최종 선정된 문헌은 국내외 논문 10개였으며, 표준화된 영적 고뇌 측정도구는 국내1개, 국외3개 도구가 있었으며, 이를 중심으로 도구의 속성을 평가하였다. 영적 고뇌 측정도구는 당뇨환자, 암환자, 노인환자 등을 대상으로 개발되었고, 영적 고뇌를 사정하여 영적 간호를 제공하기 위한 전인적 접근을 목적으로 하고 있었다. 국내에서 개발된 도구는 신뢰도가 낮았고, 구성 타당도가 입증되지 않았으며 다차원적 영적인 개념을 반영하지 못하고 있었다. 국외에서 개발된 도구는 타문화권 적용시 국내의 문화 종교적 배경을 고려해야 하며 간호사가 활용할 수 있는 도구가 부족하였다. 따라서 이러한 단점을 보완하여 다차원적인 영적 개념을 반영한 도구 개발이 필요하다.