• Title, Summary, Keyword: End-of-Life

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Nurses' Perceptions Regarding Sign & Symptom Management in End of Life Care in Nursing Homes (노인요양시설 간호사의 임종 징후 관리에 대한 인식)

  • Lee, Se-Hyun;Chang, Sung-Ok;Kim, Mi-So
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.2
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    • pp.209-219
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    • 2010
  • Introduction: The phenomenon related to sign & symptom management for end of life of the patients is of interest to researchers in nursing society today. This study was conducted to clarify and to conceptualize the factors of sign & symptom management in end of life care though nurses' perceptions on this phenomena. Methods: The qualitative study method was used to explore the experienced nurses' perceptions related to sign & symptom management in end of life care. It included a field study carried out in South Korea using in-depth interviews with 30 experienced nurses from three nursing home facilities. Results: This study identified the following categories related to end of life care with sub-categories for each category: (1) nurses' modes in identifying the signs related to patients' end of life, (2) nurses' perceived directions on patients' end of life care, (3) nurses' perceived strategies in end of life care and (4) nurses' perceived barriers in end of life care Conclusion: Through this study, characteristics of the way nurses' provide for patients' end of life care are identified, along with how nursing decisions are made to manage the sign & symptom indicating patients' end of life.

Attitude to Death, Perception and Educational Training Needs on the End-of-Life Care on Caregiver (요양보호사의 죽음에 대한 태도, 임종간호 인지 및 교육요구도)

  • Jung, Eunyoung;Seo, Jihye;Kong, Jeonghyeon
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.4
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    • pp.57-66
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    • 2017
  • Purpose : The current study objective was to determine the attitudes of nursing students to death, perception of end-of life care, and perceptions of educational training needs in relation to the provision of end-of life care, and to apply the results to the development of an efficient and effective education program in this regard. Method : Data collection was carried out between March and April 2017, and was achieved through the administration of a questionnaire to 124 caregivers working in a nursing home in C. A self-report instrument was used to measure nursing attitudes to death, perceptions of end-of-life care, and perceptions of educational training needs in relation to the provision of end-of-life care. The collected data were analyzed using SPSS(R) Statistics for Windows(R)(version 21.0), and were calculated was whole numbers, percentages, $mean{\pm}standard$ deviation, and Pearson's correlation coefficient. Results : The average scores obtained were 2.85 out of a maximum of 4.00, 2.14 out of 4.00, and 2.42 out of 4.00, for attitudes to death, perceptions of end-of-life, and perceptions of educational training needs in relation to the provision of end-of-life care, respectively. A positive correlation was found between attitudes to death and perceptions of end-of-life care, and a negative correlation was found between perceptions of end-of-life care and educational training needs in relation to the provision of end-of-life care. Conclusion : The development and implementation of an educational program is necessary to ensure positive attitudes to death in nursing students and improve their perceptions about end-of-life care. Further research is also warranted to determine the impact of such a program in this regard.

Factors Affecting the End-of Life Care Competency of Tertiary Hospital Nurses

  • Jeong, Da-In;Eun, Young
    • The Korean Journal of Hospice and Palliative Care
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    • v.23 no.3
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    • pp.139-150
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    • 2020
  • Purpose: The purpose of this study was to investigate the levels of end-of-life care competency; knowledge, attitudes, and experiences regarding advance directives; perceptions of good death; and end-of-life care obstacles and supportive behaviors among tertiary care nurses. Methods: The participants were 150 nurses at a tertiary hospital in Jinju, Korea. The data collected using a questionnaire were analyzed using descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression in SPSS for Windows version 24.0. Results: The mean (±SD) score of end-of-life care competency was 3.63 (±0.53) on a 5-point scale. A significant difference in end-of-life care competency was found according to whether nurses had experienced the death of a family member or acquaintance (P=0.029). According to stepwise multiple regression analysis, the factors affecting end-of-life care competency were the frequency of end-of-life care supportive behaviors (β=0.38, P<0.001), experience with advance directives (β=0.29, P<0.001), and marriage (β=0.15, P=0.039). This model had an explanatory power of 27.9% (F=18.87, P<0.001). Conclusion: In order to improve nurses' end-of-life care competency, it is important to strengthen end-of-life care supportive behaviors by exposing nurses to those behaviors and providing frequent experience with advance directives.

The Eco-Architecture for Optimal End-Of-Life Strategy for Complex Products : An Extension to Hierarchical Analysis (제품의 사용 후 처리전략 수립 최적화를 위한 계층적 에코 아키텍쳐 분석방법론)

  • Kwak, Min Jung;Lee, Hyun Bok;Hong, Yoo Suk;Cho, Nam Wook;Choi, Keon Young
    • Journal of Korean Institute of Industrial Engineers
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    • v.34 no.1
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    • pp.79-89
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    • 2008
  • An end-of-life strategy is concerned with how to disassemble a product and what to do with each of the resultingdisassembled parts. A sound understanding of the end-of-life strategy at the early design stage could improve theease of disassembly and recycling in an efficient and effective manner. Therefore, the end-of-life decisionmaking for environmental conscious design has become a great concern to product manufacturers.We introduce a novel concept ofeco-architecture which represents a scheme by which the physical componentsare allocated to end-of-life modules. An end-of-life module is a physical chunk of connected components or afeasible subassembly which can be simultaneously processed by the same end-of-life option without furtherdisassembly. In this paper, a method for analyzing the eco-architecture of a product at the configuration designstage is proposed. It produces an optimal eco-architecture under the given environmental regulations. To dealwith the case ofa complex product, the method is extended for analyzing hierarchical eco-architecture.

Pediatric Nurses' Perceptions related to End-of-Life Care and Turnover Intention (아동의 임종에 관한 간호사의 인식과 이직 의도)

  • Baek, Sook Young;Kang, Sook Jung
    • Child Health Nursing Research
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    • v.24 no.4
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    • pp.353-363
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    • 2018
  • Purpose: The purpose of this study was to investigate pediatric nurses' perceptions regarding in end-of-life care and turnover intention. Methods: A cross-sectional descriptive study was performed among 111 hospital nurses. Pediatric nurses' perceptions of obstacles and supportive behaviors were measured using the Pediatric Nurses' Perceptions of End of Life Care Questionnaire which was translated into Korean and turnover intention was measured using the Korean Nurse Turnover Intention Scale (K-NTIS). Results: The supportive behavior with the highest perceived magnitude was 'Physicians who are compassionate, but very clear about prognosis.' The obstacle with the highest perceived magnitude was 'Instigating painful treatments when there is no hope of recovery.' Pediatric nurses' perceptions of obstacles in end-of-life care showed statistically significant differences depending on whether nurses received end-of-life care education (t=2.02, p=.046). The perception of obstacles in end-of-life care was positively correlated with turnover intention (intensity r=.28, p=.002) (frequency r=.20, p=.027). Conclusion: These results suggest that pediatric nurses' perception of obstacles and supportive behaviors in end-of-life care need to be assessed when considering turnover intention. Furthermore, psychological counseling should be offered to nurses to prevent burnout and reduce moral distress which is correlated with the turnover rate.

The Influence of Ethical Dilemma and End-of-life Care Stress on Burnout in Long­term Care Hospital Nurses (요양병원간호사의 윤리적 딜레마와 임종간호스트레스가 소진에 미치는 영향)

  • Lim, Gui-Yeon;Choi, So-Young
    • Journal of the Korea Convergence Society
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    • v.10 no.6
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    • pp.355-363
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    • 2019
  • The purpose of this study was to investigate the correlation between ethical dilemma, end-of-life care stress and burnout of the nurses in long term care hospitals and descriptive correlations to identify factors affecting burnout. The subjects of study were 143 nurses who are working in the seven long-term-care hospitals in G-do and had more than one experience of end-of-life nursing care, understood the research items and agreed to participate in the research. In this study, it was founded that end-of-life care stress, age, job position, and end-of-life care education were found to be influential factors affecting burnout of the nurses in long-term care hospitals. As a result, age and occupation, end - of - life nursing education, and end - of - life stress were found to be factors affecting nurses' burnout. Therefore, in order to prevent and alleviate burnout of long-term care hospital nurses, a systematic intervention program that manages stress related to end-of-life nursing care is needed.

Prediction of End of Life Photovoltaic Modules with Feed in Tariff (발전차액제도가 고려된 태양광 폐모듈 발생량 예측)

  • Park, Jongsung;Lim, Cheolhyun;Kim, Wooram;Park, Byungwook;Lee, Jin-seok;Lee, Sukho
    • Current Photovoltaic Research
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    • v.8 no.1
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    • pp.39-43
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    • 2020
  • In this study, we predict the generation of end-of-life photovoltaic modules when Feed in Tariff applied, in Republic of Korea. Based on the installation of photovoltaic modules, we prepared three different senarios in order to estimate the generation of end-of-life photovoltaic modules. The senarios are i) early worn-out, ii) mid worn-out and iii) late-worn out senario. We selected the mid worn-out senario to estimated the amount of end-of-life photovoltaic modules in this study. Establishment of the end-of-life module generation scenario predicted generation of end-of-life photovoltaic module, and forecasted generation amount of end-of-life module to which Feed in Tariff was applied in consideration of installed photovoltaic modules installed by Feed in Tariff support. The generation of Feed in Tariff-applied end-of-life modules increased from 2021 to 2025 compared to without Feed in Tariff, and since then, the Feed in Tariff-applied end-of-life modules were generated as waste modules during the relevant period (2021 ~ 2025).

The Influence of Death Education on Medical Students' Attitudes towards End-of-Life Care: A Preliminary Study (의과대학생을 위한 죽음교육이 말기환자 돌봄 태도에 미치는 영향에 대한 예비연구)

  • Kim, Hae Won;Park, Joong Chul
    • 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.

Nurse's Conflict Experience toward End-of-life Medical Decision-making (말기의 의료적 의사결정에 관한 임상간호사의 갈등경험)

  • Jo, Kae-Hwa
    • Korean Journal of Adult Nursing
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    • v.22 no.5
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    • pp.488-498
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    • 2010
  • Purpose: The purpose of this study was to explore clinical nurse's reported conflict experience toward end-of-life medical decision making. Methods: Data were collected by in-depth interviews with eight nurses from three different wards of university hospital in D city of Korea. Conventional qualitative analysis was used to analyze the data. Results: Results were three major themes and twelve categories from the analysis. The three major themes were prioritization of treatment, non-disclosure of diagnosis, and hierarchical and power relations. Conclusion: The results of this study suggest that shared decision making in end of life among patient, family members, physician, and nurse may contribute to improve end-of-life care performance as well as dignified dying of patient in end of life.

Definition, End-of-life Criterion and Prediction of Service Life for Bridge Maintenance (교량의 유지관리를 위한 사용수명 정의, 종료 기준, 추정)

  • Jeong, Yo-Seok;Kim, Woo-Seok;Lee, Il-Keun;Lee, Jae-Ha;Kim, Jin-Kwang
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.20 no.4
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    • pp.68-76
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    • 2016
  • The present study proposes the definition of service life and the end-of-life criterion for bridge maintenance. Bridges begin to deteriorate as soon as they are put into service. Effective bridge maintenance requires sound understanding of the deterioration mechanism as well as the expected service life. In order to determine the expected service life of a bridge for effective bridge maintenance, it is necessary to have a clear definition of service life and end-of-life. However, service life can be viewed from several perspectives based on literature review. The end of a bridge's life can be also defined by more than one perspective or performance measure. This study presents definition of service life which can be used for bridge maintenance and the end-of life criterion using the performance measure such as a damage score. The regression model can predict an average service life of bridges using the proposed end-of-life criterion.