DOI QR코드

DOI QR Code

Nursing students' Awareness of Well-dying, Attitude toward Withdrawal of Life-Sustaining Treatment and Attitude toward Euthanasia

간호대학생의 웰다잉에 대한 인식과 연명치료중단과 안락사에 대한 태도

  • Kim, Mi-Ja (Department of Nursing, Daejeon Institute Science & Technology)
  • 김미자 (대전과학기술대학교 간호학과)
  • Received : 2020.11.04
  • Accepted : 2020.12.20
  • Published : 2020.12.31

Abstract

Although the life-sustaining treatment decision law is in effect, health care worker have many difficulties in determining life-sustaining treatment. Therefore, the relationship between the awareness of well-dying(WD), the attitude toward withdrawal of life-sustaining treatment(AWLST), and the attitude toward euthanasia(AE) for nursing students who will take care of dying patients in the future will be analyzed and used as basic data for bioethics classes. The study period was from April 1 to May 6, 2018, and a survey was conducted on 288 nursing students in D City. As a result of the study, WD was found to have positive (+) correlations with AWLST and AE, while AWLST was positive (+) with active and passive euthanasia. As nurses are expected to experience many ethical conflicts in the life-sustaining treatment process, it is necessary to receive education related to well-dying awareness, bioethics education, and life-sustaining treatment during the nursing student period.

본 연구는 간호대학생을 대상으로 웰다잉에 대한 인식과 연명치료중단의 태도 및 안락사에 대한 태도 간의 관계를 알아보고자 시도되었다. 연구 기간은 2018년 4월 1일부터 5월 6일까지로 D광역시에 소재한 간호학과의 288명의 간호대학생을 대상으로 조사를 실시하였다. 연구결과 웰다잉에 대한 인식은 연명치료중단의 태도와 적극적 안락사, 소극적 안락사와 정(+)의 상관관계로, 연명치료중단의 태도는 적극적 안락사, 소극적 안락사와 정(+)의 상관관계로 나타났다. 간호사는 연명치료과정에서 많은 윤리적 갈등을 경험할 것으로 예상되는 바 간호대학생 시기에 웰다잉에 대한 인식, 생명윤리교육을 받는 것이 필요하고 교육프로그램의 개발과 효과평가가 요구된다.

Keywords

References

  1. K. J. Yoo. (2008). Conditions and Direction of Well-dying from the viewpoint standing on the Contemporary Cultural Context of Korean's. The Society of Eastern Philosophy, 55, 7-43. DOI:10.17299/TSEP..55.200808.7
  2. J. Y. Yu, Y. M. Ki & M. S. Lee. (2020). Death and Well-dying Awareness, Attitude toward End-of-life Care of Undergraduate students. Journal of Learner-Centered Curriculum and Instruction, 20(6), 581-598.
  3. E. K. Byun, H. R. Choi, A. L. Choi, N. M. Kim, K. H. Hong & H. S. Kim. (2003). An investigative research on the attitudes of intensive care unit nurses and families on terminating life support. Clinical Nursing Research, 9(1), 112-124.
  4. Ministry of Health & Welfare. (2017). The life-sustaining treatment decision guide .(for hospitals).
  5. The Ministry of Government Legislation. (2017). The law of life-sustaining treatment decision. https://www.law.go.kr/LSW/lsInfoP.do?lsiSeq=180823#0000
  6. R. D. McMahan, S. J. Knights, T. R Fried & R. I. Sudore. (2013). Advanced care planning beyond advance directive: Perspectives from patients and surrogates. Journal of Pain and Symptom Management, 46(3), 355-365. DOI: 10.1016/j.jpainsymman.2012.09.006
  7. T. L. Beauchamp & L. Tom. (1994). Contemporary issuues in bioethics. Belmont, CA : Wadsworth.
  8. J. Wasserman, J. M. Clair & F. C. Ritchey. (2005). A Scale to Assess Attitudes Toward Euthanasia. Omega, 51(3), 229-237. DOI : 10.2190/FGHE-YXHX-QJEA-MTM0
  9. Y. M. Koo. (2005). Death : Bioethical approach. Ulsan : University Press.
  10. S. H. Kim & H. R. Lee. (2003). General population's view on euthanasia. Korean Journal Hospice Palliative Care, 6(2), 133-143.
  11. M. S. Hong. (2000). A study on attitude of nurses toward euthanasia. Journal of Korean Academy Community Health Nursing, 14(2), 446-463.
  12. Y. H. Yun et al. (2004). Public attitudes toward dying with dignity and hospice palliative care. Korean Journal of Hospice Palliative Care, 7(1), 17-28.
  13. S. N. Kim. (2009). Attitudes towards Euthanasia among Physicians and Nurses. Journal of Korean Academy Psychiatric Mental Health Nursing. 18(2), 137-146. UCI : G704-001695.2009.18.2.004
  14. Y. C. Cho. (2011). Emergency Nurses' Perception of Death and Terminal Care Attitude. Master's Thesis, Ajou University. Suwon.
  15. E. H. Choi & E. N. Lee. (2014). Importance of Nurses' Caring Behaviors as Perceived by Nurses and Patients at Emergency Departments. Journal of Korean Academy Society Nursing Education, 20(3), 402-412. DOI : 10.5977/jkasne.2014.20.3.402
  16. K. J. Lee, E. Lee & Y. S. Park. (2016). Comparison on influencing factors on consciousness of biomedical ethics in nursing students and general students. Journal of Digital Convergence, 14(1), 377-388. DOI : 10.14400/JDC.2016.14.12.377
  17. C. E. Schwartz, K. Major, J. Rogers, M. A. Yunshen & G. Reed. (2003). Validation of a New Measure of Concept of a Good Death. Journal of Pallative Medicine, 6(4), 575-584. DOI: 10.1089/109662103768253687
  18. H. J. Jeong. (2010). Recognition towards Good death among Physicians and Nurses in an area. Master's Thesis, Catholic University of Pusan, Pusan.
  19. G. S. Park. (2000). The study of consciousness of euthanasia among health professionals: Q-methodological approach, Master's Thesis, Dankook University, Seoul.
  20. Y. S. Park. (2009). Hospice Volunteer Attitudes Toward Euthanasia. Master's Thesis, Catholic University of Pusan, Pusan.
  21. Y. J. Choi & H. S. Jeong. (2018) The Effect of Nursing Students' Consciousness of Biomedical Ethics, Good Death Recognition, and Self-Esteem on the Attitude toward Withdrawal of Life-Sustaining Treatment. Journal of the Korea Academia-Industrial cooperation Society, 19(5), 275-284. DOI : 10.5762/KAIS.2018.19.5.275
  22. K. N. Kim, E. H. Kang & M. Y. Kim. (2019). Factors Influencing on the Attitude toward withdrawal of life-sustaining treatment of Nursing College Students Journal of the Korea Academia-Industrial cooperation Society, 20(3), 429-437. DOI : 10.5762/KAIS.2019.20.3.429
  23. M. S. Kwon & J. Y. Hong. (2019). Perception of Good Death and Knowledge, Attitude for Advanced Directives of Nursing Students. Journal of Learner-Centered Curriculum and Instruction, 19(3). 825-843.
  24. G. M. Kim, K. S. Sung & E. J. Kim. (2017). Awareness of Nursing Students' Biomedical Ethics and Attitudes toward Withdrawal of Life-Sustaining Treatment. Child Health Nursing Research, 23(3), 292-299. DOI : 10.4094/chnr.2017.23.3.292
  25. S. N. Kim & H. J. Kim. (2016). Recognition of good death, attitude towards the withdrawal of life-sustaining treatment, and attitude towards euthanasia in nurses. Korean Journal of Hospice and Palliative Care, 19(2), 136-144. DOI: 10.14475/kjhpc.2016.19.2.136
  26. E. J. Kwak. (2020). The Relationship among Good Death Perception, Attitudes toward Advanced Directives and Attitudes toward Euthanasia in Nursing Students. Master's Thesis, Chungnam National University, Daejeon.