• The Journal of Korean Academic Society of Nursing Education
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• v.23 no.1
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• pp.37-47
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• 2017

Purpose: This study aimed to explore the influences of attitude to death and resilience on terminal care attitude among Korean nursing students. Methods: Participants were 230 nursing undergraduates from two nursing schools in Korea. The students responded to a self-report questionnaire that included demographics, attitude to death, resilience, and terminal care attitude. Results: The majority of the participants who had undertaken a clinical practicum had experienced the death of a patient during their clinical placements but had not yet received any support from their instructors or professionals, but also academic training on patients' death or terminal care. The mean score of terminal care of the students who had death-related education was significantly higher than among those who had not. Regression analysis indicated that attitude to death, grade, and resilience were the most significant predictors of terminal care attitude. These explained 30.3% of their terminal care attitude. Conclusion: Death-related education is needed throughout the curriculum including not only death but also resilience to develop emotional competences. In this way, nursing undergraduates will be better prepared to cope positively and constructively with the suffering and death they encounter, and thus may minimize the distress they experience in the patients' dying process. It may also create a significant positive increase in their terminal care attitude.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.22 no.3
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• pp.277-286
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• 2015

Purpose: This study was done to develop a death education program for nursing students and evaluate the effects of the program. Methods: The education program was developed based on ADDIE model. The death education program was developed on the base of educational needs, a comprehensive review of the literature and focus group interviews and then evaluated with 53 nursing students, 27 in the experimental and 26 in the control group. Measurement was done for the meaning of life using the tool by Choi et al (2005) for attitudes concerning death, the tool Thorson and Powell (1998) revised by Kim (2006) and for attitude to end-of-life patient care, the Attitudes toward Nursing Care of the Dying Scale by Frommelt (1991) translated by Cho and Kim (2005). Results: The program consisted of five sessions: Understanding of death, Family bereavement care, Communication and End-of-life patient care, Professional role, and Ethics and legal issues There was a statistically significant difference between pretest and posttest for the meaning of life in the experimental group compared to the control group. About 82% of students in the experimental group were satisfied with the program. Conclusion: The results indicate that this program can be used to educate nursing students.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.5
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• pp.169-176
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• 2017

This study, a non-equal prior and post quasi-experimental research on a control group, investigates the nursing students' change of perception on the meaning of life, death, well-dying and hospice in order to elucidate its effect. The study subjects were 38 students registered in the Department of Nursing Science in C University located in A city as the experimental group and another 36 students registered in the Department of Nursing Science in P University in P city as the control group. Death preparation education was conducted from February 29 through April 20, 2016. A 90-minute session was conducted each week for eight weeks and the data were analyzed by $x^2-test$ and t-test. In line with four domains of death education, i.e., cognition, emotion, practice and value, death preparation education was composed by imparting meaning to life and focusing on the perception on death, well-dying and hospice. From the study results, death preparation education enhanced nursing students' perception on the meaning of life, well-dying and hospice, and hence helped nursing students grant meaning to their lives and establish right values of life. Thus, it acted as a driving force for nursing students to live positive lives and is expected to be utilized as useful education which cultivates right perception on well-dying and hospice. However, in the absence of any significant difference in perception of death, repeated follow-up studies are required to verify the effect on the perception on death and the change in the perception of well-dying depending on the period of application.

• Korean Journal of Hospice Care
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• v.5 no.1
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• pp.33-41
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• 2005

Purpose: The purpose of this study was to identify the effects of education of hospice for nurses on concern and coping about death and dying. Methods: The subjects of this study were 33 Korean nurses who participated in the education of hospice which consisted of lectures and practices for 5 months. Data were collected using questionnaire of concern and coping about Death and Dying. Data were analyzed with the mean, SDs and Wilcoxen test. Results: The mean score of concern about death and dying was 7.03. The highest items of concern about death and dying were 'thoughts of physical pain and being, 'thoughts of suffocating and choking, 'fear of darkness', The lowest items of concern about death and dying were. 'thoughts of burglars invading my possessions', 'rejection by God', thoughts of no one attending funeral', 'thoughts of no one paying respect or tribute', The mean score of coping about death and dying was 11.37. The highest items of coping about death and dying were 'call family member(s) into room and ask them ti sit close by, reminisce on happy events of the past, tell myself that there is nothing to be afraid of, look at family picture albums'. The lowest items of coping about death and dying were 'stay up stay up late till ready to fall asleep', 'look at family heirlooms', 'phone a prayer line', 'ask for a snack or something to drink'. In concern and coping about death and dying, significant differences were not found between pre and post test. But there was a tendency to decrease concern and increase coping about death and dying after education of hospice. Conclusion: According to these results, it is needed for nurses not only to do research for concern and coping about death and dying but also to develop an education program.

• Journal of Convergence for Information Technology
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• v.12 no.5
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• pp.71-82
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• 2022

This study aimed to identify the effects of death education programs among Korean aged on death anxiety and attitudes toward death in the convergence era. The searched kew words were included aged, death education program, death anxiety, and attitudes to death in the research papers published in Korea. Finally, 11 studies were selected and the effect size was calculated. Death anxiety and death attitude were selected as dependent variables, and publication type, total duration of intervention, and frequency of intervention were selected as moderator variables. The total of 11 papers were selected to estimate the effect sizes of interventions. As a result, the overall effect size of the death education program for the aged was 1.07. The overall effect size showed death education program was able to lower death anxiety (Hedges' g=1.30, 95% Cl=0.80~1.80, p<.01) and improve attitudes to death (Hedges' g=0.93, 95% Cl=0.49~1.37, p<.01) compared with the no intervention group. In the moderator analysis to identify the cause of heterogeneity, significant results were found in the frequency of intervention. We propose a study that repeatedly verifies the effect of related studies in the future by providing the theoretical basis and basic data for the development of the death education program.

• Journal of Korean Academy of Nursing
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• v.36 no.1
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• pp.74-83
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• 2006

Purpose: The purpose of this study was to develop an evaluation instrument integrated and interdisciplinary death education for the human service areas such as nursing, social welfare, and education and to test the reliability and validity of it. Method: The subjects used to verify the instrument's reliability and validity were 407 students who were enrolled in the departments of nursing, social welfare, and education in universities located in Seoul, Pusan, Daegu, and Daejeon. The data was collected from April to May, 2005, and was analyzed by SPSS/WIN 12. Result: A factor analysis was conducted. Items with over a .40 factor loading and over a 1.0 eigen value were selected. Nine identified factors were learning about death, role of professionals, personal attitudes, hospice care, ethics and legal issues, death and dying, spiritual aspect of' death, transcultural aspect of death, and multidisciplinary theory of death. The instrument consisted of 44 items and the reliability was a cronbach's of .953 Conclusion: Based on the study results, the content scale developed in this study was identified as a tool with a high degree of reliability and validity.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.8
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• pp.5501-5507
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• 2015

This study seeks to identify the duties and tasks of a social welfare worker when developing a combined death education program for welfare workers using DACUM method. The program would adopt both a medical and humanistic perspective that can be applied to real life. The study period was between March 2 to March 10, 2015. The study was conducted on eight DACUM committee members who are professors in the field of healthcare or humanities and social sciences. Their medical, humanistic and social viewpoints were investigated. The results show that the focus of the education needs to be on 'the acceptance and understanding of death' and 'healing the stress from loss and suicide prevention'as tasks under the duty of 'loss and mourning'. The tasks for the duty 'the need for death education'were identified as 'death in traditional society and death in contemporary society' as well as 'understanding of issues related to death'. The results show that there is a need to develop death education programs that emphasize healing for the acceptance and understanding of death from a humanistic perspective.

• Journal of Korean Public Health Nursing
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• v.26 no.2
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• pp.280-288
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• 2012

Purpose: The purpose of this research was to determine the effects of hospice and palliative care education on knowledge of hospice and palliative care and attitude toward death in nursing students. Method: Subjects of this study included 49 nursing students. Using a one-group pretest-posttest quasi-experimental research design, we conducted experiments to determine the effects of a hospice and palliative care education during a period of seven weeks from August through November 2009. The program was composed of seven sessions (total: 28hrs). The SPSS/Win 18.0 program was used for analysis of collected data. Results: A significant change in knowledge of hospice and palliative care and attitude toward death was observed after the intervention. Conclusion: The hospice and palliative care education was effective for nursing students in improving their attitude toward death and in increasing knowledge of hospice and palliative care. Therefore, I recommend generous application of this program to nursing students in order to improve knowledge of hospice and palliative care and attitude toward death.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.10
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• pp.6234-6241
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• 2014

The purpose of this study was to examine the status of medical staff stress and accommodating manners on the death of patients in a hospital setting for serving the basic information to develop a death education program of medical personnel from April 1 to April 30, 2014. A survey was performed on 353 medical personnel at K university hospital, located in Daejeon metropolitan city. Frequency analysis, chi-square test, and independent t-test were used to analyze the data. The results showed that 'to understand the value of the time and preparedness of a meaningful future' were the most important perspectives on the contents of death education (p<0.05), 'in order to change perceptions and attitudes toward death positively' was the most important reason why they required death education'(p<0.05), 'case-based teaching and problem-based learning' was the most effective way of death education (p<0.05), 'negative or hostile response of a patient's guardian to medical personnel' was the largest stress that medical personnel confront upon witnessing a death'(p<0.05). An understanding of the death of patients by medical personnel and an awareness of the need for death education will help improve the understanding of the patient, their guardian, and medical personnel themselves. The main findings will contribute to the development of a specific death education program on the medical personnel in a hospital setting.

• Journal of Preventive Medicine and Public Health
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• v.38 no.4
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• pp.443-448
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• 2005

Objectives : This study was done to evaluate the reliability of education and occupational class between using the health survey and the death certificate data. Methods : The 1998 National Health and Nutrition Examination Survey (NHANES) was conducted on a cross-sectional probability sample of South Korean households, and it contained unique 13-digit personal identification numbers that were linked to the data on mortality from the Korean National Statistical Office. The data from 263 deaths were used to estimate the agreement rates and the Kappa indices of the education and occupational class between using the NHANES data and the death certificate data. Results : The simple and weighted Kappa indices for education were 0.60 (95% CI=0.53-0.68) and 0.73 (95% CI=0.67-0.79) respectively, if the educational level was grouped into five categories: no-formal-education, elementary-school, middle-school, high-school and college or over. The overall agreement rate was 71.9% for these educational groups. The magnitude of reliability, as measured by the overall agreement rates and Kappa indices, tended to increase with a decrease in the educational class. The number of non-educated people with using the death certificate data was smaller than that with using the NHANES data. For the occupational class (manual workers, non-manual workers and others), the Kappa index was 0.40 (95% CI=0.30-0.51), which was relatively lower than that for the educational class. Compared with the NHANES, the number of non-manual workers for the deceased who were aged 30-64 tended to be increased (8 to 12) when using the death certificate data, whereas the number of manual workers tended to be decreased (59 to 41). Conclusions : The socioeconomic inequalities in the mortality rates that were based on the previous unlinked studies in South Korea were not due to a numerator/denominator bias. The mortality rates for the manual workers and the no-education groups might have been underestimated.