The Journal of Korean Academic Society of Nursing Education (한국간호교육학회지)

The Korean Academic Society of Nursing Education (한국간호교육학회)
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Nursing Students' Experiences with Patient Deaths during Clinical Practice

간호학생의 임상실습 중 환자의 죽음 경험

  • Kang, Hyun-Ju (College of Nursing, Kangwon National University) ;
  • Choe, Hye Jeong (Department of Nursing, Graduate School, Kangwon National University)
  • 강현주 (강원대학교 간호대학) ;
  • 최혜정 (강원대학교 일반대학원 간호학과)
  • Received : 2019.12.09
  • Accepted : 2020.02.17
  • Published : 2020.02.28
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Abstract

Purpose: The purpose of this study was to explore nursing students' experiences with patient deaths during clinical practice. Methods: The participants were ten nursing students who had experienced patient deaths during clinical nursing practice at a university hospital in Korea. Individual in-depth interviews were conducted, and the data were analyzed using the content analysis method suggested by Graneheim and Lundman (2004). Results: The participants' experience was structured into six categories: experiencing various emotions in facing patient deaths, viewing oneself as a nursing student at the scene of a patient's death, thinking about death again, finding a pathway of understanding and support for patient death experiences, impressions and regret felt while actually observing terminal care, and picturing oneself as a future nurse dealing with a patient's death. Conclusion: Based on this study, stress management and self-reflection programs are suggested for nursing students who have experienced patient deaths. Practical nursing education for patient death and end of life care is also needed.

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References

  1. Allchin, L. (2006). Caring for the dying: Nursing student perspectives. Journal of Hospice & Palliative Nursing, 8(2), 112-117. https://doi.org/10.1097/00129191-200603000-00015
  2. Bryan, L. (2007). Should ward nurses hide death from other patients. End of Life Care, 1(1), 79-86.
  3. Cooper, J., & Barnett, M. (2005). Aspects of caring for dying patients which cause anxiety to first year student nurses. International Journal of Palliative Nursing, 11(8), 423-430. https://doi.org/10.12968/ijpn.2005.11.8.19611
  4. Edo-Gual, M., Tomas-Sabado, J., Bardallo-Porras, D., & Monforte-Royo, C. (2014). The impact of death and dying on nursing students: An explanatory model. Journal of Clinical Nursing, 23, 3501-3512. https://doi.org/10.1111/jocn.12602
  5. Ek, K., Westin, L., Prahl, C., Osterlind, J., Strang, S., Bergh, I., et al. (2014). Death and caring for dying patients: Exploring first-year nursing students' descriptive experiences. International Journal of Palliative Nursing, 20(10), 509-515. https://doi.org/10.12968/ijpn.2014.20.10.509
  6. Ferrell, B., Malloy, P., & Virani, R. (2015). The end of life nursing education nursing consortium project. Annals of Palliative Medicine, 4(2), 61-69. https://doi.org/10.3978/j.issn.2224-5820.2015.04.05
  7. Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105-112. https://doi.org/10.1016/j.nedt.2003.10.001
  8. Jo, K. (2010). Meaning of death through emotional expression about death after nursing and medical students' end-of-life care practice. Journal of Korean Academy Adult Nursing, 22(3), 329-341.
  9. Kim, S. H., Kim, D., & Son, H. (2011). Comparison of attitudes of nursing students toward death, self-esteem and life satisfaction according to clinical experience. Korean Journal of Hospice Palliative Care, 14(3), 144-151. https://doi.org/10.14475/kjhpc.2011.14.3.144
  10. Kim, S., & Kim D. (2015). Development and evaluation of death education program for nursing students. Journal of Korean Academy Fundamentals of Nursing, 22(3), 277-286. https://doi.org/10.7739/jkafn.2015.22.3.277
  11. Kim, Y. (2018). Signification and challenges of the act on life-prolongation determination with focus on patient-oriented medical care. Korean Journal of Health Communication, 13(1), 53-61. https://doi.org/10.15715/kjhcom.2018.13.1.53
  12. Korean Accreditation Board of Nursing Education. (2019). Accreditation manual with interpretive guidelines for four-year nursing programs. Retrieved from http://www.kabone.or.kr/kabon02/index04.php
  13. Kwon, M. S., & Hong, J. Y. (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. https://doi.org/10.22251/jlcci.2019.19.3.825
  14. Lee, G. J., Hwang, K. H., Ra, J. R., Hong, J. A., & Park, C. S. (2006). Concept analysis of good death. The Journal of Research Institute for Training in Hospice & Palliative Care, 10, 23-39.
  15. Mallory, J. L., & Allen, C. L. (2006). Care of the dying: a positive nursing student experience. Medical Surgical Nursing, 15(4), 217-222.
  16. Min, D., & Cho, E. (2017). Concept analysis of good death in the Korean community. Journal of Korean Gerontolgical Nursing, 19(1), 28-38. https://doi.org/10.17079/jkgn.2017.19.1.28
  17. Park, S., & Park, B. (2013). Relationship of clinical practice stress to clinical competence among one college nursing students. Korean Journal of Stress Research, 21, 313-322.
  18. Park, S. H., Jee, Y., Kim, S. H., & Kim, Y. (2014). Nursing students' first clinical experiences of death. Korean Journal of Hospice Palliative Care, 17(3), 161-169. https://doi.org/10.14475/kjhpc.2014.17.3.161
  19. Park, Y. S., & Kim, J. H. (2017). Influence of attitude to death and resilience on terminal care attitude among Korean nursing students. Journal of Korean Academic Society of Nursing Education, 23(1), 37-47. https://doi.org/10.5977/jkasne.2017. 23.1.37
  20. Parry, M. (2011). Student nurses' experience of their first death in clinical practice. International Journal of Palliative Nursing, 17(9), 448-453. https://doi.org/10.12968/ijpn.2011.17.9.448
  21. Peters, L., Cant, R., Payne, S., O'Connor, M., McDermott, F., Hood, K., et al. (2013). How death anxiety impacts nurses' caring for patients at the end of life: A review of literature. The Open Nursing Journal, 7, 14-21. https://doi.org/10.2174/1874434601307010014
  22. Sandelowski M. (1986). The problem of rigor in qualitative research. Advances in Nursing Science, 8(3), 27-37. https://doi.org/10.1097/00012272-198604000-00005
  23. Statistics Korea (2019, February). Preliminary results of birth and death statistics in 2018. Retrieved November 14, 2019, from the Statistics Korea Web site: https://kostat.go.kr/portal/korea/kor_nw/1/2/3/index.board
  24. Yu, H. S. (2015). Relationship among stress of clinical practice, practice satisfaction and clinical competence in nursing students. Journal of the Korean Data Analysis Society, 17(2), 1129-1144.

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