• 한국임상보건과학회지
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• 제3권2호
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• pp.361-371
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• 2015

Purpose. The purposed of this study was done to DNR attitude and terminal care performance among hospital nurses. Methods. The participants were 207 nurses working in hospital nurses in D and G cities. Data on DNR attitude and terminal care performance were collected via questionnaire between April 2015 and July 2015. Data analysis was done with SPSS 12.0 program and included one-way ANOVA, independent t-test, and Pearson correlation. Result. DNR attitude of participants in this study were shown to have high levels (DNR attitude: M=32.64/60, SD=6.14). Terminal care performance of participants in this study were shown to have poor levels (physical M=20.72/32, SD=3.77, psychological M=20.26/32, SD=3.85, spiritual M=9.62/24, SD=3.65). The attitude of the hospital nurse was significantly different according to the marital status. The terminal care performance was significantly different according to experience of terminal care. The DNR attitude by nurses was positively correlation to physioloical terminal care performance(r=.137, p<.049) but the relationship between the psychological terminal care performance( r=.016, p=.815) and spiritual terminal care performance showed no correlation(r=-.099, p=.157). Conclusion. The results of this study indicate that it is necessary to increase DNR attitude and to encourage terminal care performance among hospital nurses.

• 임상간호연구
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• 제25권3호
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• pp.323-332
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• 2019

Purpose: This study aimed to identify the factors affecting the terminal care stress of nurses in intensive care units in terms of their death perception, attitude toward terminal care, and mental health. Methods: This descriptive study collected data from 118 nurses in intensive care units in one tertiary referral hospital and three general hospitals. The instruments used in the study were the Terminal Care Stress Assessment Tool, the View of Life and Death Scale, the Frommelt Attitudes toward Nursing Care of the Dying Scale (FATCOD), and the Mental Health Assessment Tool. The data were analyzed by t-test, ANOVA, Pearson's correlation coefficient, and multiple regression. Results: There was a significant positive correlation between terminal care stress and death perception (r=.31, p<.001). The factors significantly influencing the terminal care stress of the participants included gender (β=.33, p<.001), religion (β=.24, p=.004), and death perception (β=.35, p<.001), and the overall explanatory power was 23.1% (F=12.73, p<.001). Conclusion: To decrease terminal care stress among nurses, establishing the death perception of nurses based on value clarification about death may be necessary. Furthermore, this study suggests an intervention study examining the effect of an education program on terminal care stress among ICU nurses.

• 한국보건간호학회지
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• 제37권2호
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• pp.275-289
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• 2023

Purpose: This study developed a structural model for explaining and predicting terminal care performance in long-term care hospital nurses. The model was based on the stress integration model of Ivancevich and Matteson(1980) and the results of previous studies. Method: Data was obtained from August to September 2022 from 267 nurses in 13 long-term care hospitals in G-do. Results: Results of model verification for this study, revealed that factors directly affecting the terminal care performance of long-term care hospital nurses were nursing work environment(β=0.43, p<0.001), death anxiety(β=-0.29, p<0.001), and terminal care stress(β=0.22, p=0.003). However, the attitude toward nursing care of dying(β=0.07, p=0.287) had no effect on the terminal care performance. Conclusion: The results of this study, confirmed the necessity of improving an individual's perceived nursing work environment, continuous education related to terminal care to reduce death anxiety, and an interventional approach for enhancing terminal care performance.

• 디지털융복합연구
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• 제17권12호
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• pp.329-336
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• 2019

본 연구의 목적은 요양병원 간호사의 내·외적 통제신념과 임종간호 스트레스 및 피로관계에서 임종간호 수행수준을 알아보고 임종간호에 미치는 영향을 규명하는 서술적 조사연구이다. 요양병원 간호사 422명을 대상으로 구조화 된 설문지를 사용였다. 자료분석은 기술통계는 SPSS Win 22.0와 가설적 모형의 적합도와 연구가설 경로분석은 Amos 5.0 통계 프로그램을 이용하였다. 연구결과 요양병원 간호사의 임종간호 수행에는 임종간호 스트레스, 피로, 내적통제신념이 유의한 상관관계가 나타났으며, 내적통제신념이 높을수록 임종간호 스트레스를 덜 받고 또한 임종간호 수행이 높은 것으로 나타났다. 본 연구를 통해 요양병원 간호사의 임종간호 수행을 향상하기 위한 기초자료를 제공하고자 하였으며, 요양병원간호사의 임종간호 스트레스와 피로를 감소시킬수 있는 전략적 프로그램 개발과 임종간호를 수행하는 요양병원 간호사에게 질적인 간호수행을 할 수 있는 교육이나 업무환경 개선의 노력이 필요할 것으로 생각된다.

• 중환자간호학회지
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• 제9권2호
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• pp.61-70
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• 2016

Purpose: The purpose of this study was to identify the influences of death perception, terminal care attitude on clinical nurses' terminal care performance for cancer patients. Methods: Data were collected through self-reported questionnaires filled by 526 nurses at a General Hospital in Seoul. Data were analyzed using a multiple regression analysis. Results: Death perception showed a positive correlation with terminal care attitude (r = .45, p < .001), while there was no correlation with terminal care performance. Additionally, terminal care attitude had a positive correlation with terminal care performance (r = .18, p < .001). The explanatory power of nurses' death perception and terminal care attitude toward terminal care performance was 14%. Conclusions: The study results imply that nurses' death perception and terminal care attitude are significant variables affecting terminal care performance.

• Journal of Hospice and Palliative Care
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• 제19권2호
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• pp.154-162
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• 2016

목적: 본 연구는 요양병원 간호사의 임종간호수행과 죽음불안, 자아존중감 및 임종간호스트레스간의 상관관계를 확인하고 임종간호스트레스에 영향을 미치는 요인을 파악하기 위한 서술적 조사연구이다. 방법: K시와 B광역시 소재 10개 요양병원에 근무하는 212명의 간호사를 대상으로 자가 보고식 설문지를 이용하여 자료를 수집하였다. 결과: 요양병원간호사의 임종간호스트레스에 영향을 미치는 요인은 죽음불안과 임종간호수행이었으며 죽음불안과 임종간호수행 정도가 높을수록 임종간호스트레스가 높았다. 이들 변수들은 임종간호스트레스에 대하여 32.5%의 설명력을 나타냈다. 결론: 요양병원간호사의 임종간호스트레스를 완화시키기 위하여 효율적인 인력배치 등의 행정적인 방안을 수립하고 죽음불안을 감소시킬 수 있는 임종간호교육프로그램 개발 및 효과검증 연구 수행을 제안하는 바이다.

• Journal of Hospice and Palliative Care
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• 제16권1호
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• pp.33-41
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• 2013

목적: 본 연구는 간호사의 죽음불안과 임종간호스트레스 및 임종간호수행과의 관계를 확인하고 임상간호현장에서 임종간호수행의 질 향상을 도모하기 위해 시도되었다. 방법: 연구의 대상은 180명의 서울시내 일개 대학병원에 근무하는 임종간호경험이 있는 간호사이다. 자료의 분석은 SPSS 18.0 프로그램을 이용하여 서술통계와 One-way ANOVA, Pearson's 상관계수를 확인하였다. 결과: 대상자의 일반적 특성에 따른 죽음불안과 임종간호스트레스, 임종간호수행의 차이는 근무부서, 결혼여부, 교육정도 및 호스피스 교육경험에 따라 차이가 있었다. 또한 임종간호스트레스와 임종간호수행 간에는 통계적으로 유의한 상관관계가 있는 것으로 나타났다. 결론: 간호사들의 죽음불안과 임종간호스트레스 감소를 위한 노력을 통해 임종간호수행의 향상을 가져올 수있을 것으로 사료된다. 따라서 간호사의 임종간호수행 향상을 위해서는 이에 영향을 미치는 요인을 파악하고 다양한 수준에서 간호사의 임종간호수행을 위한 프로그램 개발과 호스피스교육이 필요할 것이다.

• Journal of Hospice and Palliative Care
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• 제17권4호
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• pp.232-240
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• 2014

목적: 본 연구는 임상간호사의 임종간호태도와 영적건강이 임종간호 스트레스에 영향을 미치는 요인을 파악하기 위한 조사연구이다. 방법: G 광역시 일 종합병원에 종사하는 근무하는 238명의 간호사를 대상으로 자가 보고식 설문지를 이용하여 자료를 수집하였다. 결과: 임상간호사의 임종간호스트레스에 영향을 미치는 요인은 임종간호태도, 영적건강, 결혼유무, 총 임상경력 순이었으며, 임종간호태도와 영적건강이 좋을수록, 기혼일수록, 총 임상경력이 높을수록 임종간호스트레스가 낮게 나타났다. 이들 변수들은 임종간호스트레스에 대하여 52.3%의 설명력을 나타냈다. 결론: 이상의 결과로 임상간호사의 임종간호스트레스의 가장 중요한 요인으로는 임종간호태도로 나타났다. 따라서 간호사의 임종간호스트레스를 효과적으로 대처하고 완화시키기 위해 임종간호태도와 영적건강을 증진시킬 수 있는 교육적 중재프로그램 개발이 필요하다.

• 가정∙방문간호학회지
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• 제29권3호
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• pp.251-262
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• 2022

Purpose: The purpose of this study was to identify the extent to which in-hospital-based home health nurses' perceptions and anxiety about death following terminal care, affects their attitudes toward terminal care. Methods: The subjects were 128 advanced practice nurses working in hospital-based facilities for home health care, located in Seoul, Gyeonggi-do, and Incheon Metropolitan City. Data were collected from May 3, 2019, to June 3, 2019, using structured questionnaires, on terminal care and related variables based on the literature. Data were analyzed by performing the Student's t-test, one-way ANOVA, Pearson's correlation, and multivariable stepwise regression using the SPSS Version 25.0 program. Results: The scores of the attitudes toward terminal care of home health care nurses was 3.25 points out of a possible 4 points. Factors affecting nurses' attitudes toward terminal care were their concern about death(β=0.45, p<0.001), religion(β=-0.26, p=0.001) and the anxiety of others about dying(β=-0.23, p=0.003), which explained 32.0% of the observed variance concerning the factors affecting nurses' attitudes toward terminal care. Conclusion: Through this study, concern about death, anxiety about how other people process dying, and religion, were found to be associated factors. The more concerned the nurses were about death and the less their anxiety about how others process dying, the better the home health care nurses' attitude toward implementing terminal care.

• 동서간호학연구지
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• 제27권2호
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• pp.124-133
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• 2021

Purpose: This study examined the effects of death perception, terminal care stress, and resilience on the terminal care performance of clinical nurses. Methods: As a correlational study, this study conducted a survey total of 189 nurses working at K university hospital and a P university hospital in B metropolitan city for six months or more. The data was collected from August 20th, 2020 to September 15th, 2020. Data were analyzed using the SPSS, Windows version 25.0, according to the purpose of the analysis by descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficient, and hierarchical multiple linear regression. Results: The factors having effects on the terminal care performance of subjects were resilience, perception of death, and the experience of terminal care education. The total explanatory power of those variables on the terminal care performance was 21.0%. Conclusion: For the improvement of terminal care performance, it would be necessary to develop a systematic and professional terminal care education program that could increase the positive perception of death and resilience, and also include knowledge and skills necessary for terminal care. Also, the efficiency of terminal care performance should be increased through periodic terminal care-related nursing education.