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Influence of Perception to Good Death and Hospice on Dying Care Attitude among Nursing Students in the Convergence era

융복합시대 간호대학생의 좋은죽음과 호스피스 인식이 임종간호태도에 미치는 영향

  • Jeon, Hyensook (Department of Nursing, Daejeon Health Institute of Technology) ;
  • Lee, Mira (Department of Nursing, Daejeon Health Institute of Technology)
  • 전현숙 (대전보건대학교 간호학과) ;
  • 이미라 (대전보건대학교 간호학과)
  • Received : 2020.10.20
  • Accepted : 2020.12.20
  • Published : 2020.12.28

Abstract

The purpose of this study was to investigate levels of perception of good death and hospice, and attitude of dying care, to examine relationships among them, and then to investigate predictors affecting of attitude of dying care in nursing students. The participants were 229 nursing students in D city who were surveyed in May to June 2019 using self-report questionnaires. Perception of good death and hospice, and attitude of dying care were related positively among variables. In the multiple regression analysis, perception of good death, and perception of hospice were influential factors significantly associated with the attitude of dying care. Those factors explained 39.3% of the attitude of dying care in nursing students. The most important factor was perception of hospice. In order to encourage and improve positive perception of death and attitude of dying care in nursing students, nursing educators should consider building up and reinforcing the curriculum of nursing college.

본 연구는 간호대학생의 좋은죽음인식, 호스피스인식, 임종간호태도의 정도와 세 변수간의 관계를 알아보고 임종간호태도에 미치는 영향 요인을 규명하여 간호대학생의 죽음에 대한 인식과 호스피스 간호, 임종간호 교육의 방향 설정에 기여하고자 설계된 조사연구이다. 대상자는 D시 소재 대학교 간호학과 재학생으로 임상실습에 참여한 경험이 있는 3, 4학년 학생 중 연구목적을 이해하고 자발적으로 연구에 참여한 대상자에게 2019년 5-6월 설문지를 배부하고 229부를 최종 분석하였다. 연구결과, 간호대학생의 좋은죽음인식, 호스피스인식, 임종간호태도 세 변수 간에는 통계적으로 유의미한 순상관관계가 있었다. 간호대학생의 임종간호태도에 영향을 미치는 요인을 분석한 결과, 임종간호태도에 가장 큰 영향력을 미치는 변수는 호스피스인식이었으며, 호스피스인식과 좋은죽음인식의 회귀모형의 설명력은 39.3%였다. 따라서 예비 간호사인 간호대학생이 긍정적인 죽음인식과 임종간호태도를 갖게 하기 위해서는 호스피스와 좋은죽음에 대한 교육이 가능하도록 교육과정을 정비하는 노력이 필요할 것으로 사료된다.

Keywords

References

  1. K. S. Park., Y. J. Suh & K. J. Ahn. (2015). Dilemma in decision making about life-sustaining treatment and its social context. Korean Journal of Social Theory, 26, 255-302.
  2. Statistics Korea. (2013). Cause of death and statistics. Statistics(Online). http://www.kosis.kr.
  3. J. G. Kim. (2018). 76 out of 100 Koreans last year died in hospitals. Chosun Ilbo. https://www.chosun.com/site/data/html_dir/2018/08/08/2018080800233.html
  4. K. Kwang. (2000). A study on nursing student's attitude on death and hospice. Chonnam Journal of Nursing Sciences, 5(1), 187-201.
  5. C. Granda Cameron & A. Houldin. (2012). Concept analysis of good death in terminally ill patients. American Journal of Hospice and Palliative Medicine, 29(8), 632-639. https://doi.org/10.1177/1049909111434976
  6. D. Min & E. H. Cho. (2017). Concept Analysis of Good Death in the Korean Community. J Korean Gerontol Nurs, 19(1), 28-38. DOI : 10.17079/jkgn.2017.19.1.28
  7. Ministry of Health and Welfare. (2020). The Act on the Decision of Life-long Medical Treatment for Patients in Hospice and palliative Care and the Deathly Hallows. Sejong. http://www.law.go.kr/lsInfoP.do?lsiSeq=217303&efYd=20200407#0000
  8. Y. J. No, N. C. Kim & S. M. Lee. (1996). The present status and the proposals of Hospice in Korea. Korean Society of Adult Nursing, 8(2), 338-349.
  9. J. Y. Han & N. Y. Lee. (2009). Nursing students' attitude toward death and perception on hospice care. Asian Oncology Nursing, 9(2). 95-103.
  10. J. S. Jun. (2014). Spiritual well-being, Attitude towards Death and Perception of Hospice among Nurses. Unpublished master's thesis. Catholic University, Pusan.
  11. M. Braun, D. Gordon & B. Uziely. (2010). Associations between oncology nurses' attitudes toward death and caring for dying patients. Oncology Nursing Forum, 37(1), 43-49.
  12. W. Ali & N. S. Ayoub. (2010). Nurses' attitudes toward caring for dying patient in Mansoura University hospitals. Journal of Biomedical Science, 1(1), 16-23.
  13. J. I. Kang, Y. M. Lee & H. J. Lee. (2019). Effect of the awareness of a good death and perceptions of life-sustaining treatment decisions on attitudes of intensive care nurses toward terminal care. Journal of Korean Critical Care Nursing, 12(2), 39-49, DOI : 10.34250/jkccn.2019.12.2.39
  14. 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 Palliative Medicine, 6(4), 575-584. https://doi.org/10.1089/109662103768253687
  15. H. S. Jeong. (2010). Recognition towards Good death among Physicians and Nurses in an area, Unpublished master's thesis, Catholic University, Pusan.
  16. J. H. Kim. (1990). A study of attitude about death and hospice of medical professionals. Unpublished master's thesis. The Hanyang University, Seoul.
  17. E. J. Lee. (1998). A study of spot-survey towards the attitude of hospice. Unpublished master's thesis. Won Kwang University, Iksan.
  18. M. S. Kim. (2007). The Effects of Hospice Volunteer Education Program on Perceptions about Hospice and their Meaning of Life. Asian Oncology Nursing, 7(2), 131-139.
  19. Frommelt, K. H. M. (1991). The effects of death education on nurses' attitudes toward caring for terminally ill persons and their families. American Journal of Hospice & Palliative Care, 8(5), 37-43. https://doi.org/10.1177/104990919100800509
  20. H. J. Cho.(2004). The Effect of the Death Education Program on the Death Anxiety and Attitudes Toward Nursing Care of the Dying Patients of Nursing Students. Unpublished master's thesis. Gyeong Sang National University, Pusan.
  21. E. A. Cho. (2018). Perception of Good Death, Knowledge and Perception of Hospice Palliative Care among The Nursing Graduates, Journal of the Korea Contents Associaltion 18(12), 624-638. DOI : 10.5392/JKCA.2018.18.12.624
  22. M. S. An & K. J. Lee. (2014). Awareness of good death and attitudes toward terminal care among geriatric hospital nurses. The Korean Journal of Hospice and Palliative Care, 17(3), 122-133. https://doi.org/10.14475/kjhpc.2014.17.3.122
  23. K. H. Jo, A. R. Park, J. J. Lee & S. J. Choi. (2015). The influence of humanistic knowledge, hospice perception and spirituality on terminal care performance of clinical nurses. Korean Journal of Medical Ethics, 18(2), 103-116. https://doi.org/10.35301/ksme.2015.18.2.103
  24. Y. S. Park & J. H. Kim. (2017). Influence of Attitude to Death and Resilience on Terminal Care Attitude among Korean Nursing students. The Journal of Korean Academic Society of Nursing Education, 23(1), 37-47. https://doi.org/10.5977/JKASNE.2017.23.1.37
  25. M. K. Sim & J. M. Park. (2017) The Influence of Spirituality, Meaning in Life and Hospice Perception on Attitudes towards Terminal Care in Nursing Students. Korea Academia-Industrial Cooperation Society, 18(7), 290-299.
  26. J. Y. Han & N. Y. Lee. (2009). Nursing students' attitude toward death and perception on hospice care. Asian Oncology Nursing, 9(2), 95-103.
  27. M. Jafari, H. Rafiei, A. Nassehi, F. Soleimani, M. Arab & M. R. Noormohammadi. (2015). Caring for Dying Patients: Attitude of Nursing Students and Effects of Education. Indian Journal of Palliative Care, 21(2), 192-197. DOI : 10.4103/0973-1075.156497