• Journal of Hospice and Palliative Care
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• v.24 no.3
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• pp.154-164
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• 2021

Purpose: The purpose of this study was to examine the effects of a death preparation education program for nurses working in convalescent hospitals on death anxiety, death attitudes, and attitudes toward end-of-life care. Methods: This was a quasi-experimental study with a non-equivalent control group, pre-test and post-test design. Among 53 participants, 26 were assigned to the non-equivalent experimental group and 27 to the control group. The program was performed in the formats of lectures, video-watching, group discussions, and sharing, and consisted of 10 sessions held twice a week, for 5 weeks (90 minutes per session). Data were analyzed using descriptive statistics, the t-test, and the chisquare test in SPSS version 21.0. Results: Significant differences between the experimental and control groups were observed in death anxiety (t=7.62, P<0.001), death attitudes (t=-7.58, P<0.001), and attitudes to end-of-life care (t=-10.30, P<0.001). Conclusion: It was confirmed that the death preparation education program reduced death anxiety and had a positive effect on death attitudes and attitudes toward end-of-life care. Based on the results of this study, it is expected that specialized and systematic education that can increase the implementation and stability of death preparation education in various fields, including nursing, will have a positive effect on both hospice patients and members of society more broadly.

• Korean Journal of Hospice Care
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• v.6 no.2
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• pp.19-34
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• 2006

The purpose of this study was to confirm the influence of nursing student's values on attitudes toward death of them. The subjects for this study was based 356 students of high school in Gwang Ju. The data were analyzed by using descriptive statistics, reliability, factor analysis, t-test, one -way ANOVA, scheffe, Pearson's correlation coefficient and Stepwise Multiple Regression. The results obtained were as follows : 1. The mean score for values was 24.31 The mean score for attitudes of death was 34.02 2. There was significant differences of attitudes of death according to religion, socioeconomic state, existence of parent, grades, smoking, alcohol intaking 3. There was a positive correlation that is values and attitudes toward death of nursing student. 4. There was a significant predictors influencing attitudes toward death of nursing students were values and alcohol intaking and these predictors accounted for 18.2% of attitudes toward death of them.

• Korean Journal of Hospice Care
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• v.8 no.2
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• pp.1-16
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• 2008

Hospice should help a patient maintain spiritual well-being and its attitudes toward death can have great effects on treatment and nursing of patients on terminal patient. The purpose of this study was to examine the differences in spiritual well-being and attitudes toward death due to taking a Hospice Subject in Nursing Students This is a comparative study design in which 31 senior nursing students of taking a hospice care subject and 27 senior nursing students of not taking a hospice care subject in college of nursing K university, that is located B metropolitan city in Korea. The instruments for spiritual well-being measuring tools was Kim's (2006) revision and complement of the translation by Choe (1990) on the basis of the spiritual well-being scale developed by Paloutzian and Ellison (1983). The instruments for attitudes toward death was researches revision and complement of the translation by Kim(1992) on the basis of the attitudes toward death Measuring Tool developed by Thorson and Powell (1988). Data were collected from June 1 through June 30, 2006; the researcher got permission from the subjcts, explained objectives of the research to subjects personally and got their permission, and distributed structured questionnaires to make a response in a self-administered basis. For data analysis, an SPSS WINDOWS 12.0 program was used for frequency, percentage, the mean, standard deviation, the minimum, the maximum, x2-test, ANCOVA, and Pearson's correlation coefficients. The main results of this research are as follows: 1. There were no differecnces the degree of spiritual well-being and the degree of attitudes toward death between nursing students who took a hospice subject and nursing students who did not take a hospice Subject, except several items of attitudes toward death. There was significant positive correlation (r= .508, p= .000) between subjects spiritual well-being and attitudes toward death. That is, the higher spiritual well-being, the more positive attitudes toward death. In conclusion, although there were no differecnces spiritual well-being and attitudes toward death between nursing students who took a hospice care subject and nursing students who did not take a hospice care subject, in nursing students, spiritual well-being was relatively high and their attitudes toward death was relatively positive. To help a nursing students make a positive change in attitudes toward death, a nursing intervention program is necessary to improve spiritual well-being.

• Korean Medical Education Review
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• v.20 no.3
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• pp.150-155
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• 2018

End-of-life care competencies have been perceived as important and essential, so it has been suggested that end-of-life care be studied in undergraduate medical education. However, end-of-life care curriculum has mostly focused on acquisition of knowledge and skills rather than attitudes. Therefore, we aimed to explore whether education about death affects medical students' attitudes towards care for dying patients and perception of death anxiety, meaning in life, and self-esteem. A total of 15 first- or second-year medical students were surveyed with questionnaires before and after completing a 6-week death education course. Paired data analysis showed that participants' attitudes towards caring for terminally ill patients and their caregivers improved significantly (t=-2.84, p=0.013) with an effect size of 0.73. In contrast, no significant changes were found in death anxiety, meaning in life, or self-esteem. All participants agreed that formal teaching about death and dying must be encouraged in medical schools. Our results suggest that death education may positively influence attitudes towards end-of-life care. Although replication with larger samples is necessary, this preliminary finding may support the importance of developmentally appropriate end-of-life care education in medical schools.

• The Korean Journal of Rehabilitation Nursing
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• v.18 no.1
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• pp.11-19
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• 2015

Purpose: The purpose of this study was to identify the perception on hospice, attitudes toward death and needs of hospice care between the patients with cancer and family. Methods: This study used descriptive research design. The participants were 118 patients with cancer hospitalized and 118 family caregivers of patients with cancer. The data collected by questionnaires from October to December, 2013. Results: There was significant difference in perception on hospice (recognition of hospice term and definition of hospice) and needs of hospice care between patients and family. Among the categories of the needs, 'medical needs' was the highest in patients and 'emotional care' was the highest in family. But there was no significant difference in attitudes toward death. There correlation between attitudes toward death and needs of hospice care was significant only in patients. Conclusion: Hospice care must be provided considering the death attitudes and needs of patients with cancer and family based on the understanding of perception on hospice, attitudes toward death of the patients with cancer and family.

• Korean Journal of Health Education and Promotion
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• v.8 no.2
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• pp.61-73
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• 1991

The purpose of this study was to awaken the necessity of death education and provide basic materials for healthy attitudes toward death and life. For this purpose, it observed the attitudes toward death by Juveniles and recognized life satisfaction & values related to it. The subjects for this study was based 504 students of high school in Seoul. The data was analyzed by the methods of frequency, percentage, reliability, t-test, ANOVA and Pearson's correlation coefficient. The results of this study were as follows: 1. The higher life satisfaction was the higher value on self one's ability and life. 2. There was a negative correlation that the higher life satisfaction is the higher lever death anxiety, negative to suicide and death. 3. There was no differences between values and death anxiety. However, there was negative correlation that the higher values was negative to suicide and reject death. 4. In the relationship between the individual background and attitudes toward death, there seem to be statistically significant differences: woman, general high school, the lower grade, the higher the lever of socioeconomic statues were the lower anxiety, positive to death and awaken the necessity of death education.

• Child Health Nursing Research
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• v.25 no.1
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• pp.38-47
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• 2019

Purpose: The purpose of this study was to investigate the influence of perceptions of death, end-of-life (EOL) care stress, and emotional intelligence on attitudes toward EOL care among nurses in the neonatal intensive care unit (NICU). Methods: The participants were 111 nurses working in a NICU who had experienced EOL care at least once. Data were analyzed using the t-test, Pearson correlation coefficient, and stepwise multiple regression analysis in SPSS for Windows. Results: The mean score for perceptions of death was 3.16 out of 5, the mean score for EOL care stress was 3.61 out of 5, the mean emotional intelligence score was 4.66 out of 7, and the average score for EOL care attitudes was 2.77 out of 4. The factors affecting attitudes towards EOL care were academic degree, anxiety regarding death, negativity towards death, experiences of patient death, and emotional intelligence. The explanatory power of these variables for attitudes towards EOL care was 24.7%. Conclusion: The results of this study are expected to serve as a basic reference for the development of nursing education programs and EOL care protocols to improve attitudes toward EOL care among NICU nurses.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.12
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• pp.7148-7159
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• 2014

This study examined the relationship between the death perceptions and attitudes of the severely diseased persons in hospice facilities based on their general characteristics. The surveys were conducted from March 10 to July 31, 2013 on 149 patients at hospice facilities in ${\bigcirc}$ city, Gyeonggi-do. The data was analyzed by the SPSS WIN 18.0. First, positive death attitudes showed significant differences according to the patients' general characteristics (F=6.218, p<.001). Second, the patients' death attitudes by their death perceptions showed meaningful results (F=6.634, p<.001). Third, the death attitudes revealed a positive relation with hospice use (r=.496, p<.001). Overall, patients, who have positive death perceptions and attitudes, have high expectations for hospice use and these results support for welfare policies to encourage hospice use of severely diseased persons.

• Journal of Korean Critical Care Nursing
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• v.13 no.1
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• pp.76-86
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• 2020

Purpose : The purpose of this study was to identify the extent to which nurses' death perceptions, death anxiety, and stress associated with terminal care affects their attitudes toward terminal care. Method : A total of 214 nurses were asked questions about characteristics, death perceptions, death anxiety, stress associated with end-of-life care, and terminal care attitudes, using structured questionnaires. The data were analyzed using descriptive analysis, t-test, ANOVA, Scheffé's test, Pearson's correlation coefficients, and stepwise multiple regression. Results : Factors influencing terminal care attitudes in participants were positive meaning associated with death, respect for life, final education, end-of-life nursing education experiences, stress associated with end-of-life care, death anxiety, and position. These factors explained 38.7% of variance in participants' terminal care attitudes (F=20.18, p<.001). Conclusion : In order for nurses to have a positive attitude toward terminal care, it is necessary to raise positive awareness about death and respect for life, and it is necessary to develop various educational programs and strengthen their capacity through continuous education.

• The Journal of the Korea Contents Association
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• v.15 no.3
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• pp.229-240
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• 2015

Purpose: The purpose of this study was to investigate the attitudes towards death and euthanasia among nurses and general population. Methods: The participants were 192 nurses and 255 people. Data were collected using structured questionnaires from March 5 to May 30. 2010 and analyzed with descriptive statistics, t-test, one-way ANOVA and Pearson correlation coefficients by using SAS Program 12.0. Results: The attitudes towards death showed significantly higher scores in nurses than general population. The attitudes towards euthanasia showed significantly higher scores in nurses. There were significant positive correlations between attitudes towards death and euthanasia in nurses and. people. Conclusion: The above results indicated that the higher level of cognition towards death, the more positive attitudes towards euthanasia. Besides, nurses treating with terminal illness were higher level of cognition on death and positive attitudes towards euthanasia. Therefore, we should established the strategy and education program to understand on death and euthanasia for people including the health care providers.